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 presented as a subcutaneous injection for subcutaneous use. It selectively binds interleukin‑5, reducing eosinophil activity, and is indicated for severe eosinophilic asthma, eosinophilic granulomatosis with polyangiitis, and chronic rhinosinusitis with nasal polyps in patients with elevated eosinophil counts.

GNH India supplies Nucala as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, offering EU‑sourced product with full quality documentation.

Manufacturer / TM Owner

Glaxosmithkline Trading Services Limited

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Indications & Clinical Uses

Nucala is used in diseases driven by eosinophilic inflammation, targeting the IL‑5 pathway.

  • Severe eosinophilic asthma: lowers the rate of asthma attacks, improves control and may reduce the need for oral corticosteroids in patients with elevated blood eosinophils.
  • Eosinophilic granulomatosis with polyangiitis (EGPA): contributes to disease remission, decreases vasculitic activity and reduces reliance on systemic steroids.
  • Chronic rhinosinusitis with nasal polyps: shrinks nasal polyps, relieves nasal congestion and improves sense of smell in individuals with eosinophilic inflammation.

How It Works

  • Mepolizumab is a humanized IgG1 monoclonal antibody that binds with high affinity to interleukin‑5 (IL‑5). By neutralizing IL‑5, it prevents the cytokine from interacting with the IL‑5 receptor on eosinophil precursors and mature eosinophils, thereby inhibiting eosinophil differentiation, activation, recruitment, and survival. The resulting reduction in circulating and tissue eosinophils mitigates eosinophil‑mediated inflammation in target organs.

Side Effects

Mepolizumab may be associated with a range of adverse reactions, which are categorized by frequency and severity.

Common Side Effects

  • Injection site pain or erythema
  • Headache
  • Upper respiratory tract infection
  • Fatigue

Serious or Rare Side Effects

  • Anaphylaxis or severe hypersensitivity reactions
  • Development of anti‑drug antibodies that may reduce efficacy
  • Immune‑mediated conditions such as vasculitis or eosinophilic pneumonia (rare)

Precautions & Warnings

Before initiating Nucala, clinicians should consider several precautionary measures to ensure safe use.

  • Assess eosinophil count: confirm elevated eosinophils to justify therapy.
  • Screen for parasitic infections: treat any active helminth infection before starting.
  • Monitor for hypersensitivity: observe patients for signs of allergic reaction after each injection.
  • Use with caution in pregnancy: safety data are limited; weigh potential benefits against risks.
  • Avoid in patients with known hypersensitivity to mepolizumab or any excipients.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Mepolizumab has a limited interaction profile, but certain combinations require attention.

Major Interactions (Avoid)

  • Live vaccines: concurrent administration may increase risk of infection; avoid using live vaccines while receiving mepolizumab.
  • Other IL‑5 targeting agents: combined use can lead to excessive immunosuppression.

Moderate Interactions (Monitor Closely)

  • Immunosuppressive drugs (e.g., corticosteroids, azathioprine): may heighten infection risk, monitor patient closely.
  • Other monoclonal antibodies: assess for additive immunologic effects.
  • Cytochrome P450 substrates: no direct effect, but monitor clinical response as disease control may change.

Frequently Asked Questions

Nucala (mepolizumab) is indicated for three eosinophil‑driven conditions: severe eosinophilic asthma, eosinophilic granulomatosis with polyangiitis (EGPA), and chronic rhinosinusitis with nasal polyps. In each case the drug helps reduce eosinophil‑mediated inflammation, leading to fewer asthma attacks, improved disease control, and relief of sinus symptoms.

Mepolizumab is a humanized monoclonal antibody that binds interleukin‑5 (IL‑5) with high affinity. By neutralising IL‑5, it blocks the cytokine’s interaction with its receptor on eosinophil precursors and mature eosinophils, preventing their growth, activation, and survival. The resulting drop in eosinophil numbers reduces tissue inflammation in the lungs and sinuses.

The dosing regimen for Nucala is determined by the prescribing clinician based on the approved indication and the patient’s clinical status. Typically the medication is administered as a subcutaneous injection at regular intervals, often every four weeks, but the exact dose and schedule must be set by a qualified healthcare professional.

Safety data for mepolizumab in pregnancy and lactation are limited, and the product carries an unknown pregnancy category. Clinicians should weigh potential benefits against possible risks and discuss treatment options with the patient. Breastfeeding mothers should also consult their healthcare provider before using the drug.

To request Nucala, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, cold‑chain shipping details and any necessary import documentation.

Nucala (mepolizumab) shares the anti‑IL‑5 mechanism with drugs such as reslizumab and benralizumab. While all reduce eosinophil counts, dosing frequency and administration routes differ: reslizumab is given intravenously, benralizumab targets the IL‑5 receptor and is administered subcutaneously every eight weeks after an initial loading phase. Choice of therapy depends on patient preference, disease severity and physician judgment.

Nucala must be stored in a refrigerator at 2 °C to 8 °C. Keep the product in its original packaging, protect it from light, and do not freeze or shake the vial. Maintaining the cold chain is essential to preserve the drug’s stability and efficacy.

Nucala is given as a subcutaneous injection, usually performed by a healthcare professional in a clinical setting. The injection is administered into the abdomen or thigh using a pre‑filled syringe or autoinjector, following aseptic technique. Patients should be observed for a short period after injection for any immediate reactions.

The most serious adverse events linked to Nucala include severe hypersensitivity reactions such as anaphylaxis, the possible development of anti‑drug antibodies that can diminish therapeutic effect, and rare immune‑mediated conditions like vasculitis or eosinophilic pneumonia. Prompt medical attention is required if any signs of a severe reaction occur.

Nucala should be avoided in individuals with a known hypersensitivity to mepolizumab or any of its excipients. It is also contraindicated in patients who have experienced severe allergic reactions to other monoclonal antibodies targeting IL‑5. Clinicians must assess each patient’s medical history before initiating therapy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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