EPOS/EUFOREA update on indication and evaluation of Biologics in Chronic Rhinosinusitis with Nasal Polyps 2023

W. J. Fokkens, An-Sofie Viskens, Vibeke Backer, Diego Conti, Eugenio de Corso, Philippe Gevaert, Glenis K. Scadding, Martin Wagemann, Manuel Bernal Sprekelsen, Adam Chaker, Enrico Heffler, Joseph K. Han, Elizabeth Van Staeyen, Claire Hopkins, Joaquim Mullol, Anju Peters, Sietze Reitsma, Brent A. Senior, Peter W. Hellings

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Abstract

Severe chronic rhinosinusitis with nasal polyps (CRSwNP) is a debilitating disease with a significant impact on the quality of life (QoL). It is typically characterized by a type 2 inflammatory reaction and by comorbidities such as asthma, allergies and NSAID-Exacerbated Respiratory Disease (N-ERD). Here, the European Forum for Research and Education in Allergy and Airway diseases discusses practical guidelines for patients on biologic treatment. Criteria for the selection of patients who would benefit from biologics were updated. Guidelines are proposed concerning the monitoring of the drug effects that provide recognition of res-ponders to the therapy and, subsequently, the decision about continuation, switching or discontinuation of a biologic. Further-more, gaps in the current knowledge and unmet needs were discussed.
Original languageEnglish
Pages (from-to)194-202
Number of pages9
JournalRhinology
Volume61
Issue number3
DOIs
Publication statusPublished - 2023

Keywords

  • Chronic rhinosinusitis
  • biologics
  • biomarkers
  • indication
  • nasal polyps
  • patient selection
  • thera-peutic response
  • type 2 inflammation

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