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Can tezepelumab be used for vasculitis?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 29-year-old female and I have severe eosinophilic asthma with overlapping EGPA. Blood eos 1200, FeNO 90ppb. Failed Mepolizumab and Benralizumab. Requiring monthly Methylpred pulses. A recent cardiac MRI shows early vasculitis. Should I consider Tezepelumab? Does any data on vasculitis overlap? Insurance requires an appeal.

Please help.

Thank you.

Answered by Dr. Jain Tushar Pukharaj

Education:

MD

Professional Bio:

Dr. Tushar Jain is a Pulmonologist with extensive experience in diagnosing and managing respiratory conditions, including asthma, COPD, lung infections, and sleep-related breathing disorders. He also has clinical expertise in critical care, infectious diseases, allergy management, and internal medicine. With a patient-focused approach, Dr. Jain emphasizes accurate diagnosis, evidence-based treatment, and personalized care plans to improve breathing health and overall well-being. He regularly treats complex respiratory and critical-care cases and is committed to early intervention and preventive healthcare. Dr. Jain currently provides consultation and advanced lung-care services at his clinic, helping patients achieve better long-term respiratory health and quality of life.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I can understand your concern.

Tezepelumab is a relatively new medication approved for severe asthma. It targets thymic stromal lymphopoietin (TSLP), a cytokine involved in airway inflammation.

Regarding its use in vasculitis overlap, there is limited data. However, Tezspire has shown promise in reducing eosinophilic inflammation, which might benefit patients with overlapping EGPA (eosinophilic granulomatosis with polyangiitis).

Sharing medical information-

To better understand your situation and provide more specific guidance, it would be helpful to share the following medical information:

1. Blood reports: Recent blood test results, including eosinophil count and IgE (immunoglobulin E) levels.

2. Pulmonary function tests (PFTs): Recent PFT results, including FEV1 (forced expiratory volume in one second) and FVC (forced vital capacity) values.

3. Previous medications: A list of medications tried in the past, including dosages and duration of treatment.

4. Current medications: A list of current medications, including dosages and frequency.

5. Cardiac MRI (magnetic resonance imaging) results: The recent cardiac MRI report showed early vasculitis.

6. Asthma treatment plan: A copy of your current asthma treatment plan, including any adjustments made recently.

I hope this helps.

Kindly follow up if you have more concerns.

Thank you.

Medically reviewed by iCliniq medical review team
Published At April 4, 2025
Reviewed At April 4, 2025

Education:

MD

Professional Bio:

Dr. Tushar Jain is a Pulmonologist with extensive experience in diagnosing and managing respiratory conditions, including asthma, COPD, lung infections, and sleep-related breathing disorders. He also has clinical expertise in critical care, infectious diseases, allergy management, and internal medicine. With a patient-focused approach, Dr. Jain emphasizes accurate diagnosis, evidence-based treatment, and personalized care plans to improve breathing health and overall well-being. He regularly treats complex respiratory and critical-care cases and is committed to early intervention and preventive healthcare. Dr. Jain currently provides consultation and advanced lung-care services at his clinic, helping patients achieve better long-term respiratory health and quality of life.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MD

Professional Bio:

Dr. Tushar Jain is a Pulmonologist with extensive experience in diagnosing and managing respiratory conditions, including asthma, COPD, lung infections, and sleep-related breathing disorders. He also has clinical expertise in critical care, infectious diseases, allergy management, and internal medicine. With a patient-focused approach, Dr. Jain emphasizes accurate diagnosis, evidence-based treatment, and personalized care plans to improve breathing health and overall well-being. He regularly treats complex respiratory and critical-care cases and is committed to early intervention and preventive healthcare. Dr. Jain currently provides consultation and advanced lung-care services at his clinic, helping patients achieve better long-term respiratory health and quality of life.

This doctor is not available for online consultations on the platform anymore.

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