{
  "abstract": "Introduction and Objectives Depemokimab is the first ultra-long-acting biologic with enhanced interleukin-5 binding affinity, high potency and extended half-life, enabling twice-yearly dosing in patients with asthma. In the Phase III SWIFT-1/2 studies, depemokimab significantly reduced exacerbations with sustained inhibition of type 2 inflammation assessed by blood eosinophil count (BEC) observed in patients with type 2 asthma. Seasonal changes in common triggers for asthma exacerbations, including respiratory viruses, are well described; as such, this analysis of data from the SWIFT-1/2 studies aimed to explore whether depemokimab efficacy in reducing exacerbations versus placebo is sustained across all seasons.Method In SWIFT-1/2, patients with asthma who had ≥2 exacerbations in the past year and BEC ≥150 cells/µL (screening) or ≥300 cells/µL (past year) were randomised 2:1 to receive depemokimab 100 mg subcutaneously or placebo once every 26 weeks, plus standard of care. Analyses of pooled data from the SWIFT-1/2 studies were conducted to investigate annualised exacerbation rates (total number of exacerbations divided by total number of subject-years) by season (spring/summer/autumn/winter).Results Of 762 patients included in the SWIFT-1/2 studies, 260 received placebo and 502 received depemokimab. Depemokimab was associated with reduced exacerbation rates versus placebo across all four seasons; the greatest benefit observed in spring, autumn and winter, with a 58% reduction in exacerbations in spring (rate ratio: 0.42 [95% confidence interval {CI}: 0.29, 0.61]), a 40% reduction in summer (0.60 [0.40, 0.90]), a 55% reduction in autumn (0.45 [0.32, 0.63]) and a 56% reduction in winter (0.44 [0.32, 0.60]) ( figure 1). The annualised exacerbation rates (95% CI) in the depemokimab arm remained broadly consistent across all four seasons (spring: 0.46 [0.35, 0.61]; summer: 0.47 [0.36, 0.62]; autumn: 0.56 [0.44, 0.71]; winter: 0.57 [0.45, 0.72]; however, in the placebo arm exacerbation rates were, as expected, numerically lower in summer (spring: 1.10 [0.84, 1.43]; summer: 0.78 [0.58, 1.07]; autumn: 1.23 [0.97, 1.56]; winter: 1.30 [1.03, 1.63]) (figure 1).Abstract P201 Figure 1Annualised exacerbation rate reductions in patients receiving depemokimab versus placebo were consistent across spring, autumn and winter, with a lower magnitude of reduction in summer due to reduced exacerbation rates in the placebo groupConclusion Overall, twice-yearly depemokimab demonstrated a sustained clinical benefit for patients with type 2 asthma across all four seasons, regardless of additional exacerbation triggers over the autumn and winter months.",
  "authors": [
    {
      "affiliations": [
        "Guy’s Severe Asthma Centre, School of Immunology and Microbial Sciences, King’s College London, London, UK"
      ],
      "name": "DJ Jackson"
    },
    {
      "affiliations": [
        "Département de Pneumologie et Addictologie, PhyMedExp, CHU Montpellier, Université de Montpellier, Montpellier, France"
      ],
      "name": "A Bourdin"
    },
    {
      "affiliations": [
        "Clinical Research, GSK, London, UK"
      ],
      "name": "L Jacques"
    },
    {
      "affiliations": [
        "Biostatistics, GSK, London, UK"
      ],
      "name": "C-Q Zhu"
    },
    {
      "affiliations": [
        "US Medical Affairs, GSK, Collegeville, PA, USA"
      ],
      "name": "A Vichiendilokkul"
    },
    {
      "affiliations": [
        "Global Medical Affairs, Respiratory Specialty Care, GSK, London, UK"
      ],
      "name": "P Howarth"
    },
    {
      "affiliations": [
        "Department of Respiratory Medicine, CHU Liège, Exercise Physiology Lab, GIGA I3 Lab, University of Liège, Liège, Belgium"
      ],
      "name": "F Schleich"
    }
  ],
  "title": "P201 Twice-yearly depemokimab efficacy is sustained across seasons in patients with asthma: analyses of pooled phase III SWIFT-1/2 studies",
  "uid": "94ea6bc7-3d5a-5b3a-b5bf-9261b46ec015"
}