Role of Biologics in Chronic Rhinosinusitis With Nasal Polyposis: State of the Art Review

Christine Kim, Joseph Han, Tara Wu, Claus Bachert, Wytske Fokkens, Peter Hellings, Claire Hopkins, Stella Lee, Joaquim Mullol, Jivianne T. Lee

Research output: Contribution to journalReview articleAcademicpeer-review

19 Citations (Scopus)

Abstract

Objective: To review the current literature regarding the role of biologics in the treatment of chronic rhinosinusitis with nasal polyposis (CRSwNP). Data Sources: PubMed/MEDLINE, EMBASE, Cochrane Review, ClinicalTrials.gov Review Methods: We conducted a comprehensive review of the literature on clinical studies investigating the efficacy of emerging biologics in CRSwNP, with a focus on randomized controlled trials. Conclusions: There appears to be promising evidence to support the safety and efficacy of biologics in CRSwNP with and without asthma for select patients. However, additional large-scale randomized studies with longer follow-up are necessary to determine which patients would benefit the most from these novel systemic treatments. Implications for Practice: Chronic rhinosinusitis with nasal polyposis refractory to medical and surgical therapy remains a challenging clinical problem for otolaryngologists. However, emerging biologic therapies may offer a new therapeutic option for such patients with recalcitrant disease.
Original languageEnglish
Pages (from-to)57-66
Number of pages10
JournalOtolaryngology-Head and Neck Surgery
Volume164
Issue number1
Early online date2020
DOIs
Publication statusPublished - Jan 2021

Keywords

  • biologics
  • chronic rhinosinusitis
  • nasal polyposis

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