Product image of Nucala (Mepolizumab) supplied by GNH India

Nucala

Active Ingredient:
Mepolizumab
Origin:
EU

Nucala (Mepolizumab)

Mepolizumab, the active ingredient in Nucala, is a monoclonal antibody (IL-5 antagonist) presented as a solution for injection for subcutaneous use. It treats severe eosinophilic asthma, eosinophilic granulomatosis with polyangiitis, and chronic rhinosinusitis with nasal polyps in patients who meet specific clinical criteria.

GNH India supplies Nucala as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Glaxosmithkline Trading Services Limited

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Indications & Clinical Uses

Nucala is a biologic that targets the IL‑5 pathway, a key driver of eosinophilic inflammation in several respiratory and systemic disorders.

  • Severe eosinophilic asthma: reduces exacerbations and improves lung function.
  • Eosinophilic granulomatosis with polyangiitis (EGPA): helps achieve remission and lowers oral steroid requirements.
  • Chronic rhinosinusitis with nasal polyps: decreases polyp size and relieves sinus symptoms.

How It Works

  • Mepolizumab binds selectively to interleukin‑5, preventing its interaction with the IL‑5 receptor on eosinophil precursors and mature cells. This blockade inhibits eosinophil differentiation, activation, and survival, leading to a sustained reduction in circulating and tissue eosinophil counts, which mitigates eosinophil‑driven inflammation.

Side Effects

Common side effects are generally mild and related to the injection process or systemic exposure.

Common Side Effects

  • Injection site reactions: redness, swelling, or pain at the injection site.
  • Headache: mild to moderate intensity.
  • Fatigue: transient tiredness.
  • Nasopharyngitis: upper respiratory tract infection symptoms.

Serious or Rare Side Effects

  • Anaphylaxis: severe allergic reaction requiring immediate medical attention.
  • Hypersensitivity reactions: including rash, urticaria, or angioedema.
  • Immune‑mediated conditions: such as vasculitis or serum sickness‑like reactions.

Precautions & Warnings

Before initiating therapy, clinicians should evaluate patient history and monitor for specific risks.

  • Parasitic infection screening: assess for helminth infections before treatment.
  • Hypersensitivity monitoring: observe for signs of allergic reactions during and after injection.
  • Eosinophil count assessment: confirm elevated eosinophils as a prerequisite for use.
  • Pregnancy and lactation: use only if potential benefit justifies potential risk, as data are limited.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Mepolizumab may interact with other agents that affect immune function or vaccine efficacy.

Major Interactions (Avoid)

  • Live attenuated vaccines: increased risk of infection; avoid concurrent administration.
  • Other IL‑5 targeting biologics: concurrent use may amplify immunosuppression.

Moderate Interactions (Monitor Closely)

  • Systemic corticosteroids: may alter infection risk; monitor patient closely.
  • Immunosuppressive agents (e.g., azathioprine, methotrexate): observe for additive immunosuppression.
  • Non‑live vaccines: efficacy may be reduced; assess immune response when needed.

Frequently Asked Questions

Nucala is indicated for the treatment of severe eosinophilic asthma, eosinophilic granulomatosis with polyangiitis (formerly Churg‑Strauss syndrome), and chronic rhinosinusitis with nasal polyps in patients who have an elevated eosinophil count and meet the clinical criteria for each condition.

Mepolizumab is a monoclonal antibody that binds to interleukin‑5, blocking its interaction with the IL‑5 receptor on eosinophil precursors and mature eosinophils. This inhibition reduces eosinophil production, activation, and survival, leading to lower eosinophil levels in blood and tissues and thereby decreasing eosinophil‑driven inflammation.

The dosing regimen for Nucala is determined by the prescribing clinician based on the patient’s specific indication, weight, and clinical response. Healthcare providers set the dose and administration schedule according to approved labeling and individual patient needs.

Safety data for Nucala in pregnancy and lactation are limited. It should be used only if the potential benefit to the mother outweighs any possible risk to the fetus or infant. Women who are pregnant, planning pregnancy, or breastfeeding should discuss risks and benefits with their healthcare professional.

To request Nucala, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, and will verify trade or institutional credentials before providing pricing, availability, cold‑chain shipping details and necessary import documentation.

Nucala belongs to the class of IL‑5 antagonists, which specifically target eosinophilic inflammation. Compared with broader biologics such as anti‑IgE or anti‑IL‑4/13 agents, mepolizumab offers a focused mechanism that may be preferred for patients with high eosinophil counts and frequent exacerbations despite standard therapy.

Nucala must be stored in a refrigerator at 2‑8 °C (36‑46 °F). Keep the vials in the original packaging, protect them from light, and do not freeze or shake the solution. If the product has been outside the recommended temperature range, it should not be used.

Nucala is given as a subcutaneous injection, typically in the abdomen, thigh, or upper arm. The injection is performed by a qualified healthcare professional in a clinical setting, following aseptic technique and the dosing schedule prescribed by the treating physician.

The most serious risks include severe allergic reactions such as anaphylaxis, hypersensitivity reactions, and rare immune‑mediated conditions. Patients should be monitored for signs of rash, swelling, difficulty breathing, or other systemic symptoms, and immediate medical attention should be sought if they occur.

Nucala is contraindicated in patients with known hypersensitivity to mepolizumab or any of the product’s excipients. It should also be avoided in individuals receiving live attenuated vaccines or those with active parasitic infections until the infection is adequately treated.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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