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Changes in Gene Transcription and Immunophenotypes Following Mepolizumab Treatment for Asthma

Exploratory Investigation of Changes in Gene Transcription and Immunophenotypes Following Mepolizumab Treatment for Asthma

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT05002621
Enrollment
20
Registered
2021-08-12
Start date
2021-02-16
Completion date
2025-12-11
Last updated
2026-03-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Eosinophilic Asthma

Brief summary

The purpose of this study is to identify differentially expressed gene transcripts after initiation of mepolizumab in individuals with severe eosinophilic asthma (SEA).

Interventions

OTHERObservational

Enrolled patients had a prescription for mepolizumab provided during the course of routine clinical care, and enrollment occurred prior to the initiation of mepolizumab.

Sponsors

Mayo Clinic
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Age ≥ 18 years old. * Diagnosis of SEA by a health care provider * History of an absolute eosinophil count ≥ 300/mm\^3 * Prescription for mepolizumab provided during course of routine clinical care but mepolizumab not yet started

Exclusion criteria

* Age \< 18 years old. * Pregnancy. * Currently using or have used within 3 months of the initial baseline visit any biologic or immunomodulatory therapy with the exception of #3. * Currently using or any prior use of rituximab. * History of upper/lower respiratory tract infection or asthma exacerbation within the previous four weeks of the first baseline visit. * Any prior history of malignancy, autoimmune disease, or immune deficiency. * Any other significant medical issue as determined by the principal investigator.

Design outcomes

Primary

MeasureTime frameDescription
Differentially Expressed Genes12 weeks post initiation of mepolizumabPeripheral blood mononuclear cells (PBMCs) were isolated from blood samples for bulk RNA sequencing. Paired differential expression (DE) gene analysis was performed comparing baseline gene expression versus 12 weeks post initiation of mepolizumab.

Countries

United States

Contacts

PRINCIPAL_INVESTIGATORThanai Pongdee, MD

Mayo Clinic

Participant flow

Recruitment details

20 subjects were recruited.

Pre-assignment details

No significant events occurred between the enrollment and assignment of participants to an arm or group.

Baseline characteristics

Characteristic
Age, Continuous51.5 years
peak absolute eosinophil count880 cell count
Sex: Female, Male
Female
13 Participants
Sex: Female, Male
Male
7 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 20
other
Total, other adverse events
0 / 20
serious
Total, serious adverse events
0 / 20

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 19, 2026