Comparing biologicals and small molecule drug therapies for chronic respiratory diseases : An EAACI Taskforce on Immunopharmacology position paper

Chronic airway diseases such as asthma and chronic obstructive pulmonary disease (COPD), together with their comorbidities, bear a significant burden on public health. Increased appreciation of molecular networks underlying inflammatory airway disease needs to be translated into new therapies for distinct phenotypes not controlled by current treatment regimens. On the other hand, development of new safe and effective therapies for such respiratory diseases is an arduous and expensive process. Antibody-based (biological) therapies are successful in treating certain respiratory conditions not controlled by standard therapies such as severe allergic and refractory eosinophilic severe asthma, while in other inflammatory respiratory diseases, such as COPD, biologicals are having a more limited impact. Small molecule drug (SMD)-based therapies represent an active field in pharmaceutical research and development. SMDs expand biologicals’ therapeutic targets by reaching the intracellular compartment by delivery as either an oral or topically based formulation, offering both convenience and lower costs. Aim of this review was to compare and contrast the distinct pharmacological properties and clinical applications of SMDs- and antibody-based treatment strategies, their limitations and challenges, in order to highlight how they should be integrated for their optimal utilization and to fill the critical gaps in current treatment for these chronic inflammatory respiratory diseases.

Adcock, Ian M.Imperial College London (author)
Benito-Villalvilla, CristinaComplutense University of Madrid (author)
Bianchini, RodolfoUniversity of Veterinary Medicine Vienna (author)
Bjermer, LeifLund University,Lunds universitet,Lungmedicin, allergologi och palliativ medicin,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Respiratory Medicine, Allergology, and Palliative Medicine,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine(Swepub:lu)lung-lbj (author)
Caramori, GaetanoUniversity of Messina (author)
Cari, LuigiUniversity of Perugia (author)
Chung, Kian FanImperial College London (author)
Diamant, ZuzanaSkåne University Hospital,University Medical Center Groningen(Swepub:lu)med-zdt (author)
Eguiluz-Gracia, IbonHospital Regional de Málaga (author)
Knol, Edward FUniversity Medical Center Utrecht (author)
Kolios, Antonios G.A.University Hospital of Zurich (author)
Levi-Schaffer, FrancescaHebrew University of Jerusalem (author)
Nocentini, GiuseppeUniversity of Perugia (author)
Palomares, OscarComplutense University of Madrid (author)
Puzzovio, Pier GiorgioHebrew University of Jerusalem (author)
Redegeld, Frank AUtrecht University (author)
van Esch, Betty C.A.M.Utrecht University (author)
Stellato, CristianaUniversity of Salerno (author)
University of Veterinary Medicine ViennaImperial College London (creator_code:org_t)

In:Allergy: European Journal of Allergy and Clinical Immunology: Wiley74:3, s. 432-4480105-4538

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Respiratory Medi ...

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