SWIFT Trials: Depemokimab in Severe Asthma

swift 1 and swift 2 trial

The SWIFT-1 and SWIFT-2 trials, published in The New England Journal of Medicine in 2024, investigated the efficacy of depemokimab in patients with severe uncontrolled asthma and an eosinophilic phenotype.

Key Findings:

  • Primary Outcome:
  • In SWIFT-1, the annualized rate of exacerbations was 0.46 in the depemokimab group versus 1.11 in the placebo group, with a rate ratio of 0.42 (95% CI: 0.30-0.59, P < 0.001).
  • In SWIFT-2, the annualized rate of exacerbations was 0.56 in the depemokimab group versus 1.08 in the placebo group, with a rate ratio of 0.52 (95% CI: 0.36-0.73, P < 0.001).
  • Secondary Outcome: There was no significant between-group difference in the change from baseline in the SGRQ score in either trial.

Conclusion:

Depemokimab significantly reduced the annualized rate of exacerbations in patients with severe asthma with an eosinophilic phenotype.

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