{"id":735,"date":"2025-12-17T23:36:17","date_gmt":"2025-12-18T07:36:17","guid":{"rendered":"https:\/\/getasecondopinion.ai\/blog\/?p=735"},"modified":"2025-12-22T14:57:17","modified_gmt":"2025-12-22T22:57:17","slug":"fda-approves-exdensur-a-twice-yearly-shot-that-could-change-life-for-people-with-severe-asthma","status":"publish","type":"post","link":"https:\/\/www.getasecondopinion.ai\/blog\/medications\/new-drugs\/fda-approves-exdensur-a-twice-yearly-shot-that-could-change-life-for-people-with-severe-asthma\/","title":{"rendered":"FDA Approves Exdensur: A Twice\u2011Yearly Shot That Could Change Life for People with Severe Asthma"},"content":{"rendered":"\n<p>Severe asthma can be frightening: sudden attacks, emergency visits, and daily limits on what you can do. On December 16, 2025, the U.S. Food and Drug Administration (FDA) approved <strong>Exdensur (depemokimab\u2011ulaa)<\/strong> as an add\u2011on maintenance treatment for people aged 12 and older with <strong>severe asthma characterized by an eosinophilic phenotype<\/strong>&nbsp; &#8211;&nbsp; a type of asthma driven by a specific immune cell called an eosinophil. This approval is notable because Exdensur is the first ultra\u2011long\u2011acting biologic that only needs two injections per year, offering a simpler schedule for patients who struggle with frequent dosing.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>What is Exdensur and why is this approval important?<\/strong><\/h2>\n\n\n\n<p><strong>Exdensur<\/strong> is a biologic medicine developed by GSK that targets <strong>interleukin\u20115 (IL\u20115)<\/strong>, a protein that helps eosinophils survive and cause inflammation in the airways. By blocking IL\u20115, Exdensur reduces the number of eosinophils and lowers the risk of asthma attacks (exacerbations). What makes Exdensur stand out is its ultra\u2011long action: it\u2019s designed to be effective with just two injections a year, which could be a big deal for people who find monthly or biweekly shots hard to keep up with.<\/p>\n\n\n\n<p>Many people with severe asthma still have attacks despite inhalers and other medicines. Biologics have helped some of these patients, but uptake has been limited&nbsp; &#8211;&nbsp; partly because of frequent dosing and access issues. A twice\u2011yearly option could make it easier for more people to stay on treatment and avoid hospital visits.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>What the clinical trials showed<\/strong><\/h2>\n\n\n\n<p>Exdensur\u2019s FDA approval is based on two large Phase III trials called <strong>SWIFT\u20111<\/strong> and <strong>SWIFT\u20112<\/strong>. These were randomized, placebo\u2011controlled studies that added Exdensur to patients\u2019 usual asthma care and followed them for a year.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Fewer asthma attacks:<\/strong> In SWIFT\u20111, Exdensur reduced the annual rate of asthma exacerbations by <strong>58%<\/strong> compared with placebo; in SWIFT\u20112 the reduction was <strong>48%<\/strong>. When the two trials were pooled, Exdensur also showed a <strong>72% reduction<\/strong> in exacerbations that required hospitalization or an emergency department visit.<\/li>\n\n\n\n<li><strong>Safety:<\/strong> Side effects were similar between Exdensur and placebo in the trials, and there were no treatment\u2011related deaths reported in the studies used for approval.<\/li>\n\n\n\n<li><strong>Other outcomes:<\/strong> Some patient\u2011reported measures like quality of life and symptom scores did not show consistent improvements across all endpoints, which is not uncommon in asthma trials where placebo effects can be strong.<\/li>\n<\/ul>\n\n\n\n<p>These results suggest Exdensur is particularly effective at preventing serious attacks&nbsp; &#8211;&nbsp; the kind that land people in the hospital&nbsp; &#8211;&nbsp; while offering the convenience of only two doses per year.<\/p>\n\n\n\n<div class=\"wp-block-group unauthenticated invisible has-global-padding is-layout-constrained wp-container-core-group-is-layout-675f737c wp-block-group-is-layout-constrained\" style=\"padding-right:var(--wp--preset--spacing--30);padding-left:var(--wp--preset--spacing--30)\">\n<div class=\"wp-block-group cta-background has-custom-off-white-background-color has-background has-global-padding is-content-justification-left is-layout-constrained wp-container-core-group-is-layout-64f51f8a wp-block-group-is-layout-constrained\" style=\"border-style:none;border-width:0px;border-radius:30px;padding-top:var(--wp--preset--spacing--30);padding-right:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--30);padding-left:var(--wp--preset--spacing--30);box-shadow:var(--wp--preset--shadow--natural);background-image:url(&apos;https:\/\/getasecondopinion.ai\/blog\/wp-content\/uploads\/2025\/09\/cta-background-01.webp&apos;);background-position:100% 100%;background-repeat:no-repeat;background-size:contain;background-attachment:scroll;\">\n<div class=\"wp-block-group has-global-padding is-layout-constrained wp-container-core-group-is-layout-153751c2 wp-block-group-is-layout-constrained\" style=\"padding-bottom:10px\">\n<h3 class=\"wp-block-heading has-text-align-center has-accent-1-color has-text-color has-link-color has-large-font-size wp-elements-b6fe6b9c1e90c3ca0e3d22a4a0e21d9e\">Better Treatment, Lower Cost &#8211; No Catch.<\/h3>\n\n\n\n<p>Find safer, more effective medications with fewer side effects &#8211; often for less money. It\u2019s fast, free, and personalized. <strong><a href=\"https:\/\/getasecondopinion.ai\/intro-summary\" target=\"_blank\" rel=\"noreferrer noopener\">Learn More \u2192<\/a><\/strong><\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Who is Exdensur for?<\/strong><\/h2>\n\n\n\n<p>Exdensur is approved as an add\u2011on maintenance therapy for people 12 years and older with severe asthma with an eosinophilic phenotype. In plain terms:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u201cAdd\u2011on\u201d<\/strong> means it\u2019s used in addition to standard asthma medicines (like inhaled steroids and bronchodilators), not as a replacement.<\/li>\n\n\n\n<li><strong>\u201cEosinophilic phenotype\u201d<\/strong> refers to patients who have higher levels of eosinophils in their blood\u00a0 &#8211;\u00a0 a marker doctors use to identify who is likely to benefit from IL\u20115 targeted therapies.<\/li>\n<\/ul>\n\n\n\n<p>If you or a family member has severe asthma and keep having attacks despite regular inhaler treatment, a doctor may check blood eosinophil counts and consider whether a biologic like Exdensur is appropriate.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>How is Exdensur given?<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Dosing schedule:<\/strong> Two subcutaneous (under\u2011the\u2011skin) injections per year\u00a0 &#8211;\u00a0 one at the start and one six months later\u00a0 &#8211;\u00a0 plus continued standard asthma care.<\/li>\n\n\n\n<li><strong>Where it\u2019s given:<\/strong> Typically in a clinic, doctor\u2019s office, or other healthcare setting where injections are administered and patients can be observed for a short time afterward.<\/li>\n<\/ul>\n\n\n\n<p>The infrequent dosing is a major selling point: fewer clinic visits, fewer injections, and potentially better long\u2011term adherence for people who struggle with more frequent schedules.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Benefits and limitations&nbsp; &#8211;&nbsp; what to expect<\/strong><\/h2>\n\n\n\n<p><strong>Potential benefits<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Big reduction in serious attacks:<\/strong> Trials showed large drops in exacerbations, including those requiring emergency care or hospitalization.<\/li>\n\n\n\n<li><strong>Convenience:<\/strong> Twice\u2011yearly dosing could reduce treatment burden and improve adherence for many patients.<\/li>\n\n\n\n<li><strong>Favorable safety profile:<\/strong> Side effects in trials were similar to placebo, which is reassuring.<\/li>\n<\/ul>\n\n\n\n<p><strong>Limitations and things to know<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Not everyone will see big improvements in daily symptoms or quality of life:<\/strong> Some secondary measures in the trials were mixed, which means Exdensur\u2019s strongest benefit appears to be preventing severe attacks rather than immediately improving day\u2011to\u2011day symptoms for every patient.<\/li>\n\n\n\n<li><strong>Cost and access:<\/strong> New biologics can be expensive, and insurance coverage varies. GSK has not publicly released U.S. pricing at the time of approval; pricing and access programs will influence how quickly patients can start treatment.<\/li>\n\n\n\n<li><strong>Specific patient group:<\/strong> It\u2019s approved for the eosinophilic subtype of severe asthma, so it\u2019s not a universal treatment for all asthma patients.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Safety snapshot<\/strong><\/h2>\n\n\n\n<p>Across the SWIFT trials, Exdensur was well tolerated. The overall rate and severity of side effects were similar between Exdensur and placebo groups, and there were no treatment\u2011related deaths reported in the studies used for approval. As with any biologic, doctors will monitor for injection\u2011site reactions and other potential immune\u2011related effects, and they\u2019ll weigh benefits against risks for each patient.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>What next?<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Availability:<\/strong> GSK plans to launch Exdensur in the U.S. following FDA approval; the company has indicated a market debut is expected soon after regulatory clearance, with pricing details to come.<\/li>\n\n\n\n<li><strong>Competition:<\/strong> Exdensur will join a crowded field of asthma biologics, but its twice\u2011yearly dosing could give it an edge for patients who prioritize convenience.<\/li>\n\n\n\n<li><strong>Other uses:<\/strong> GSK is exploring Exdensur for other conditions linked to eosinophils and IL\u20115 biology; additional approvals could follow if studies are successful.<\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-group unauthenticated invisible has-global-padding is-layout-constrained wp-container-core-group-is-layout-675f737c wp-block-group-is-layout-constrained\" style=\"padding-right:var(--wp--preset--spacing--30);padding-left:var(--wp--preset--spacing--30)\">\n<div class=\"wp-block-group cta-background has-background has-global-padding is-content-justification-left is-layout-constrained wp-container-core-group-is-layout-64f51f8a wp-block-group-is-layout-constrained\" style=\"border-style:none;border-width:0px;border-radius:30px;background-color:#f6fffc;padding-top:var(--wp--preset--spacing--30);padding-right:var(--wp--preset--spacing--30);padding-bottom:var(--wp--preset--spacing--30);padding-left:var(--wp--preset--spacing--30);box-shadow:var(--wp--preset--shadow--natural);background-image:url(&apos;https:\/\/getasecondopinion.ai\/blog\/wp-content\/uploads\/2025\/10\/cta-background-03b.webp&apos;);background-position:100% 100%;background-repeat:no-repeat;background-size:contain;background-attachment:scroll;\">\n<div class=\"wp-block-group has-global-padding is-layout-constrained wp-container-core-group-is-layout-153751c2 wp-block-group-is-layout-constrained\" style=\"padding-bottom:10px\">\n<h3 class=\"wp-block-heading has-text-align-center has-accent-1-color has-text-color has-link-color has-large-font-size wp-elements-9363713a6feba58457096f3ce3e67f32\">Stop Overpaying for Meds.<\/h3>\n\n\n\n<p>Coupons aren\u2019t your only option &#8211; see if safer, more effective, and lower-cost alternatives are available. It\u2019s fast, personalized, and 100% free. <strong><a href=\"https:\/\/getasecondopinion.ai\/intro-summary\" target=\"_blank\" rel=\"noreferrer noopener\">Learn More \u2192<\/a><\/strong><\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Sources (6)<\/strong><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>The American Journal of Managed Care (AJMC)<\/strong>\u00a0 &#8211;\u00a0 coverage of Exdensur approval and trial results. <a href=\"https:\/\/www.ajmc.com\/view\/fda-approves-depemokimab-for-severe-eosinophilic-asthma\">https:\/\/www.ajmc.com\/view\/fda-approves-depemokimab-for-severe-eosinophilic-asthma<\/a>\u00a0<\/li>\n\n\n\n<li><strong>FiercePharma<\/strong>\u00a0 &#8211;\u00a0 analysis of GSK\u2019s approval, market context, and dosing convenience. <a href=\"https:\/\/www.fiercepharma.com\/pharma\/gsk-rounds-out-year-approvals-fda-asthma-nod-long-acting-biologic-exdensur\">https:\/\/www.fiercepharma.com\/pharma\/gsk-rounds-out-year-approvals-fda-asthma-nod-long-acting-biologic-exdensur<\/a>\u00a0<\/li>\n\n\n\n<li><strong>Bloomberg<\/strong>\u00a0 &#8211;\u00a0 news report on FDA approval and GSK\u2019s commercial outlook for Exdensur. <a href=\"https:\/\/www.bloomberg.com\/news\/articles\/2025-12-17\/gsk-says-us-fda-approved-its-twice-annual-asthma-drug-exdensur\">https:\/\/www.bloomberg.com\/news\/articles\/2025-12-17\/gsk-says-us-fda-approved-its-twice-annual-asthma-drug-exdensur<\/a>\u00a0<\/li>\n\n\n\n<li><strong>GSK Press Release<\/strong>\u00a0 &#8211;\u00a0 official company announcement and SWIFT trial topline data. <a href=\"https:\/\/us.gsk.com\/en-us\/media\/press-releases\/exdensur-depemokimab-approved-by-us-fda-for-the-treatment-of-severe-asthma\/\">https:\/\/us.gsk.com\/en-us\/media\/press-releases\/exdensur-depemokimab-approved-by-us-fda-for-the-treatment-of-severe-asthma\/<\/a>\u00a0<\/li>\n\n\n\n<li><strong>PharmExec<\/strong>\u00a0 &#8211;\u00a0 explanation of mechanism, trial basis for approval, and clinical context. <a href=\"https:\/\/www.pharmexec.com\/view\/fda-gsk-exdensur-eosinophilic-severe-asthma\">https:\/\/www.pharmexec.com\/view\/fda-gsk-exdensur-eosinophilic-severe-asthma<\/a>\u00a0<\/li>\n<\/ol>\n\n\n\n<p><strong>Applied Clinical Trials<\/strong>&nbsp; &#8211;&nbsp; detailed summary of SWIFT Phase III data supporting approval. <a href=\"https:\/\/www.appliedclinicaltrialsonline.com\/view\/fda-approves-gsk-exdensur-severe-asthma-swift-data\">https:\/\/www.appliedclinicaltrialsonline.com\/view\/fda-approves-gsk-exdensur-severe-asthma-swift-data<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Severe asthma can be frightening: sudden attacks, emergency visits, and daily limits on what you can do. On December 16, 2025, the U.S. Food and Drug Administration (FDA) approved Exdensur (depemokimab\u2011ulaa) as an add\u2011on maintenance treatment for people aged 12 and older with severe asthma characterized by an eosinophilic phenotype&nbsp; &#8211;&nbsp; a type of asthma [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":737,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[35],"tags":[508,506,509,505,512,511,371,510,507,504],"class_list":["post-735","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-new-drugs","tag-asthma-biologics","tag-asthma-exacerbations","tag-asthma-treatment-2025","tag-depemokimab","tag-eosinophil-targeted-therapy","tag-exdensur","tag-fda-approval","tag-gsk-exdensur","tag-severe-eosinophilic-asthma","tag-twice-yearly-biologic"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - 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