GSK Long-Acting Biologic Approved for Asthma
GSK has won FDA approval for Exdensur (depemokimab-ulaa), the first ultra-long-acting biologic for severe asthma in the U.S., with dosing just twice a year. The product was approved as an add-on maintenance treatment for adults and adolescents aged 12 and older with severe asthma driven by an eosinophilic phenotype, according to the company.
Approval was based on data from the Phase 3 SWIFT-1 and SWIFT-2 trials, which enrolled more than 760 patients with uncontrolled severe asthma despite standard of care. In the studies, depemokimab cut annualized asthma exacerbation rates by 58% and 48%, respectively, versus placebo over 52 weeks, GSK says. The company also pointed to fewer exacerbations requiring hospitalization or emergency department visits, with a pooled analysis showing a 72% reduction in those severe events compared with placebo.
The twice-yearly dosing could give depemokimab an edge as physicians weigh biologic options for patients who struggle with frequent injections, GSK says. Current asthma biologics typically require dosing every two to eight weeks, a factor that has been linked to underuse despite strong efficacy data. GSK estimates that only about 20% of eligible U.S. patients with severe asthma are currently treated with a biologic.
Severe asthma affects about two million people in the U.S., and about half continue to experience frequent exacerbations that drive hospitalizations and healthcare costs, according to company figures. GSK is betting that longer dosing intervals will improve adherence and expand uptake among both patients and prescribers.