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Benralizumab + budesonide is a combination therapy used for the treatment of severe eosinophilic asthma. This combination leverages two distinct mechanisms to control asthma symptoms: **Benralizumab (Fasenra)** is a humanized anti-interleukin 5 receptor α (IL-5Rα) monoclonal antibody that works through a dual mechanism: 1. It blocks IL-5 from binding to its receptor, preventing the heterodimerization of α and βc subunits 2. It induces antibody-dependent cell-mediated cytotoxicity (ADCC) through binding to FcγRIIIa receptors on natural killer (NK) cells, causing rapid and effective depletion of eosinophils **Budesonide** is an inhaled corticosteroid that helps decrease inflammation in the lungs. When combined with formoterol (as in Symbicort), it provides both anti-inflammatory effects and bronchodilation. This combination therapy is particularly effective for patients with severe, uncontrolled eosinophilic asthma who remain symptomatic despite treatment with high-dose inhaled corticosteroids plus long-acting β2-agonists (ICS/LABA).
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