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CASE REPORT article

Front. Immunol.

Sec. Autoimmune and Autoinflammatory Disorders : Autoimmune Disorders

Combined Biologic Therapy Targeting B Cells and Eosinophils in Relapsing Multiple Sclerosis and Severe Asthma: A Case Report of Ofatumumab and Mepolizumab

Provisionally accepted
Aurora  ZanghìAurora ZanghìPaola Sofia  Di FilippoPaola Sofia Di FilippoClaudia  RutiglianoClaudia RutiglianoCarlo  AvolioCarlo AvolioEMANUELE  D'AMICOEMANUELE D'AMICO*
  • University of Foggia, Foggia, Italy

The final, formatted version of the article will be published soon.

The management of multiple sclerosis (MS) in patients with significant comorbidities such as severe asthma presents unique therapeutic challenges. We report a case of successful combined biologic therapy with ofatumumab and mepolizumab in a patient with relapsing MS and pre-existing severe eosinophilic asthma, highlighting the feasibility and safety of dual biologic therapy. To our knowledge, this is the first report of concomitant use of ofatumumab and mepolizumab in a patient with MS and severe eosinophilic asthma, documenting the safety of a non-standard combination strategy in a real-world clinical scenario.

Keywords: Multiple Sclerosis, combination therapy, Ofatumumab, Mepolizumab, monoclonalantibodies

Received: 24 May 2025; Accepted: 28 Nov 2025.

Copyright: © 2025 Zanghì, Di Filippo, Rutigliano, Avolio and D'AMICO. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: EMANUELE D'AMICO

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