GSK’s Nucala Approved for Certain COPD Patients
FDA has approved GSK’s Nucala (mepolizumab) as an add-on maintenance treatment for adults with chronic obstructive pulmonary disease (COPD) who have an eosinophilic phenotype and remain inadequately controlled on current therapies. This marks the first biologic approved for this specific group of COPD patients, the company says.
Approval was based on data from two Phase 3 clinical trials, MATINEE and METREX, in which mepolizumab significantly reduced the annual rate of moderate and severe COPD exacerbations compared to placebo, according to GSK. These flare-ups, which can result in hospitalizations and increased mortality, remain a major challenge in COPD management, it says, adding that mepolizumab targets patients with elevated levels of eosinophils — a type of white blood cell associated with inflammation.
GSK says the trials showed mepolizumab reduced the annual rate of moderate or severe exacerbations by about 18–21% compared to placebo. In the MATINEE trial, it also showed a reduction in exacerbations leading to emergency department visits or hospitalizations, though this result was not statistically significant, it says.