Abstract
Objective: To analyze the efficiency of biological therapies with monoclonal antibodies in patients with severe asthma. Methods: This study is an integrative review and was carried out by evaluating the literature available on the PubMed Central platform with the following MeSH terms: Monoclonal Antibodies, and Asthma, with the objective of answering whether the effectiveness of biological therapies with monoclonal antibodies in the treatment of severe asthma is superior to conventional treatments. Initially, 1339 full articles published between 2018 and 2023, in English, Portuguese and Spanish, were selected. After inclusion criteria, duplicate articles, abstracts and those that did not meet the selection criteria were removed, leaving 26 articles that were included in this review. Results: The benefit of antibodies such as benralizumab, reslizumab, mepolizumab, dupilimab and omalizumab was evidenced, as they are efficient in reducing severe asthma exacerbations when compared with inhaled and oral corticosteroids in the treatment of these patients. Final considerations: Although further studies on the subject are still needed, improvements in the control of severe asthma with monoclonal antibodies, using validated questionnaires, were significant, compared to usual treatments, in most of the evaluated studies.
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