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Which patients may particularly benefit from EXDENSUR?

Earlyi treatment initiation in severe, uncontrolled Type 2 asthma can reduce exacerbations and also decrease overall disease burden in patients with multiple comorbidities.a-d,1-3

The first and only biologic for severe, uncontrolled Type 2 asthma with an ultra-long duration of action that can reduce exacerbations.a-d,1-3

EXDENSUR may be appropriate for:e

Earlyi treatment initiation may sustainably reduce both exacerbations and the need for oral corticosteroids (OCS) in severe asthma.3-6

Thanks to its ultra-long duration of action, EXDENSUR may contribute to improved asthma control while reducing exacerbations.4

Frau mit Blumenstrauß

Hypothetical Patient

  • Bio-naïve patient
  • 44 years old
  • Diagnosis: 2 years ago
  • Uncontrolled asthma with type 2 inflammation characterised by BEC (ACT: 13 points)
  • 2 exacerbations in the past year, one of which required hospitalization; both treated with OCS pulse therapy
  • Known triggers: cold, stress, dry air
44 years old
  • High-dose ICS/LABA maintenance therapy
  • SABA as needed
  • Repeated OCS bursts during exacerbations
  • Blood eosinophils:
    • Historical count: 332 EOS/µL
    • Current count: 182 EOS/µL
  • FeNO: 47 ppb
  • FEV1: below predicted
  • Total IgE: 250 kU/L

Sustained reduction of disease burden with ultra-long duration of action1,7

Earlyi treatment initiation in severe asthma with comorbid CRSwNP may sustainably reduce disease burden.3,7

EXDENSUR offers the possibility to significantly influence disease progression in these patients.1–4,7

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Hypothetical Patient

  • Bio-naïve patient
  • 65 years old
  • Diagnosed 10 years ago (late-onset asthma)
  • Uncontrolled Type 2 asthma
  • Comorbid CRSwNP
  • 3 exacerbations in the last year with repeated OCS bursts
  • Nasal obstruction
  • Postnasal drip
  • Facial pressure
  • Poor sleep quality
  • Frequent coughing
  • High-dose ICS/LABA maintenance therapy
  • SABA as needed
  • Intranasal corticosteroids
  • Saline nasal irrigation
  • Blood eosinophils: 290 EOS/µL
  • FeNO: 29 ppb
  • Abbreviations

    ACT = Asthma Control Test; CRSwNP = Chronic Rhinosinusitis with Nasal Polyps; BEC = Blood Eosinophil Count; Fc = Crystallizable Fragment Region; FeNO = Fractional Exhaled Nitric Oxide; ICS = Inhaled Corticosteroids; IgE = Immunoglobulin E; IL = Interleukin; LABA = Long-Acting Beta-2 Agonist; OCS = Oral Corticosteroids; SABA = Short-Acting Beta-2 Agonist; YTE = Mutation (M252Y/S254T/T256E), a triple amino acid substitution in the Fc region of antibodies.

  • Footnotes

    a Characterized by eosinophils.

    b Defined as a worsening of asthma requiring one of the following: Systemic corticosteroids (intravenous or oral) for ≥ 3 days, or a single intramuscular dose; or Hospitalization or an emergency department visit; or At least a doubling of the existing maintenance dose of systemic corticosteroids for ≥ 3 days.1

    c Mean annual exacerbation rate in the previous year: SWIFT-1: 2.2; SWIFT-2: 2.7.1

    d Annual exacerbations: SWIFT-1: 0.46 with EXDENSUR (n=250) vs. 1.11 with placebo (n=132); p<0.001. SWIFT-2: 0.56 with EXDENSUR (n=252) vs. 1.08 with placebo (n=128); 48% reduction; p<0.001.2

    e EXDENSUR (depemokimab) is indicated as add-on maintenance treatment for severe asthma with type 2 inflammation characterised by blood eosinophil count in adults and adolescents 12 years and older who are inadequately controlled despite high dose inhaled corticosteroids(ICS) plus another asthma controller.1

    f Compared with the serum half-life of mepolizumab and benralizumab (16–22 days and 15.5 days, respectively).2,3

    g The YTE region is a modified part of an antibody that contributes to a longer duration in the body by slowing its degradation.1

    h One injection every 26 weeks.

    i The use of the term "early" does not imply that a statistically significant benefit of earlier treatment initiation has been demonstrated. Rather, it reflects a clinically relevant interpretation of the available evidence, including findings suggesting an opportunity for biologic initiation in patients with shorter disease duration and before progression to high-dose ICS.

PM-BE-DEPE-WCNT-260014 - September 2026