🫁 New indirect comparison (Bourdin et al., Ann Allergy Asthma Immunol 2026): 17 trials for exacerbations, 22 for safety, adjusted for prior exacerbations, ICS/OCS use & eosinophils
Fully adjusted: reduced exacerbations vs placebo, no significant difference vs mepolizumab, benralizumab, dupilumab, tezepelumab or omalizumab.
Safety similar across biologics.
⚖️ First ultra-long-acting anti-IL-5 biologic (SWIFT-1/2).
Limitation: indirect comparison, not head-to-head, and focused on exacerbations — not lung function or OCS sparing.
Bottom line: IL-5 blockade with parity, and far fewer injections.
https://www.annallergy.org/article/S1081-1206(26)00218-8/fulltext