Evidence map›Paper›PMID 33304594›Full record

ArticleRespirology case reports2021

Mepolizumab use in cystic fibrosis-associated allergic bronchopulmonary aspergillosis.

Maeve Boyle, Siobhain Mulrennan, Sue Morey, Sona Vekaria, Natalia Popowicz, Anna Tai

Open access · goldAbstract readCase Reports
In one paragraph

Article in Respirology case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
0.3field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Biologic drugs in treating allergic bronchopulmonary aspergillosis in patients with cystic fibrosis: a systematic review.European respiratory review : an official journal of the European Respiratory Society · 2022
    Pooled it
  3. Review
  4. Article
  5. Article
  6. Journal of fungi (Basel, Switzerland) · 2025
    Review
  7. Review
  8. The impact of CFTR modulator triple therapy on type 2 inflammatory response in patients with cystic fibrosis.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2023
    Article
  9. Article
  10. Review
  11. Article
  12. Molecular targets for cystic fibrosis and therapeutic potential of monoclonal antibodies.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2022
    Review
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Maeve BoyleDepartment of Respiratory Medicine Sir Charles Gairdner Hospital Perth WA Australia.ORCID https://orcid.org/0000-0001-9418-8347
Siobhain MulrennanDepartment of Respiratory Medicine Sir Charles Gairdner Hospital Perth WA Australia.
Sue MoreyDepartment of Respiratory Medicine Sir Charles Gairdner Hospital Perth WA Australia.
Sona VekariaDepartment of Respiratory Medicine Sir Charles Gairdner Hospital Perth WA Australia.
Natalia PopowiczDepartment of Respiratory Medicine Sir Charles Gairdner Hospital Perth WA Australia.
Anna TaiDepartment of Respiratory Medicine Sir Charles Gairdner Hospital Perth WA Australia.
Sir Charles Gairdner Hospital · AUThe University of Western Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Allergic bronchopulmonary aspergillosis (ABPA) is common in cystic fibrosis (CF). Treatment is challenging and the relapse rate is high. Standard therapy is oral steroids and antifungals. However, long-term systemic steroid often results in adverse effects and drug interactions between azoles and CFTR modulators are a potential concern. Mepolizumab, an anti-interleukin (IL)-5 monoclonal antibody, can benefit patients with severe eosinophilic asthma and there are reports of mepolizumab use in ABPA but not in ABPA complicating CF. We present the case of an adult with CF who had recurrent ABPA and intolerable treatment side effects with steroid, azole, and omalizumab. Mepolizumab was well tolerated and led to significantly improved clinical stability and symptomatic improvement. To our knowledge, this is the first report of successful mepolizumab treatment for ABPA in CF. Mepolizumab may be an important adjunctive treatment for difficult to control ABPA in CF.

Indexed as

Allergic bronchopulmonary aspergillosiscystic fibrosismepolizumab

Identifiers

PMID33304594
PMCPMC7710627
OpenAlexW3107434735

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.