Most patients with asthma are managed with a stepwise protocol in which therapy is escalated as disease severity worsens.1 Two recent additions to the asthma armamentarium, omalizumab and mepolizumab, are monoclonal antibodies to IgE and IL-5, respectively, that are aimed at asthma that remains inadequately controlled despite Global Initiative for Asthma (GINA) 2002 step 4
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