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Real-World data shows mepolizumab may keep rare vasculitis in check Long-Term
NCT ID NCT07591753
First seen Jun 24, 2026 · Last updated Sep 11, 2026 · Updated 2 times
Summary
This study followed 591 adults with eosinophilic granulomatosis with polyangiitis (EGPA) across Europe to see how well mepolizumab 300mg every 4 weeks works over the long term in everyday medical practice. Researchers looked at disease control, lung function, and safety by reviewing medical records. The goal is to understand if this dose helps patients stay well and reduce steroid use without unexpected side effects.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- mepolizumab (a biologic drug given as a shot every 4 weeks)
- What this could lead to
- If successful, this could confirm that mepolizumab 300mg/month is a safe and effective long-term treatment to control EGPA and reduce steroid use.
- What could go wrong
- This is an observational study, not a controlled trial, so results may be influenced by other factors. It also looks back at existing data, which can be less reliable than a prospective study.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
-
591 people
The number who actually took part.
- Started
-
Sep 2025
- Finished
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Mar 2026
- Lead sponsor
-
A research network
The lead sponsor is a research network or cooperative group.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Adult patients with eosinophilic granulomatosis with polyangiitis (EGPA) receiving mepolizumab 300 mg/4 weeks in routine clinical practice at participating European EGPA referral centers, either as the initial mepolizumab regimen or after dose escalation from 100 mg/4 weeks.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adult patients with eosinophilic granulomatosis with polyangiitis (EGPA). Patients who meet the 2022 American College of Rheumatology/European Alliance of Associations for Rheumatology (ACR/EULAR) Classification Criteria for EGPA or the criteria proposed in the MIRRA trial. * Patients receiving mepolizumab 300 mg/4 weeks, either as the first mepolizumab regimen or after dose escalation from mepolizumab 100 mg/4 weeks. * Availability of at least 3 months of follow-up data after mepolizumab initiation or after dose switch. * Written informed consent. Exclusion Criteria: \- Follow-up shorter than 3 months after mepolizumab initiation or after dose switch.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
University of Florence
Florence, Florence, 50134, Italy