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Fasenra

Benralizumab

A biologic for severe eosinophilic asthma.

Generic name
Benralizumab
Brand name
Fasenra
Route
Subcutaneous
Marketed by
AstraZeneca
FDA pharmacologic class
Interleukin-5 Receptor alpha-directed Cytolytic Antibody; Interleukin 5 Receptor alpha-directed Antibody Interactions
First FDA approval
14 Nov 2017

Where Benralizumab is approved

All regulators →

Of the three regulators tracked here, the first to approve Benralizumab was the US, on 14 Nov 2017. It is approved in 3 of the 3 regulators tracked here.

USUnited States (FDA)
14 Nov 2017
Fasenra
BLA761070 on Drugs@FDA
First original NDA/BLA approval
EUEuropean Union (EMA)
8 Jan 2018
Fasenra
EMA product page
First centralised authorisation
CACanada (Health Canada)
22 Feb 2018
Fasenra
Notice of Compliance 20519
First new-drug NOC

From the regulators' own registers: FDA Drugs@FDA, the EMA medicines list and Health Canada's Notice of Compliance database. Dates are the first listed approval of a product containing only this substance; combination products and nationally authorised EU medicines are not counted.

What health systems spend on Benralizumab

All medicines →
ENNHS England
£12k
6 items dispensed, Aug 2025 to Jul 2026
-25% on the previous 12 months
Net ingredient cost, community prescriptions
USUS Medicaid
$178.6m
35,290 prescriptions in 2025 · Fasenra
+16% on 2024
Amount Medicaid reimbursed, before rebates

From NHSBSA Prescription Cost Analysis (Open Government Licence v3.0) and CMS State Drug Utilization Data. Both are gross amounts: neither system publishes its discounts or rebates per drug. Products combining several substances are not counted here.

How Benralizumab works

All drug targets →
  • Interleukin-5 receptor subunit alpha inhibitor Inhibitor
    Target: IL5RA interleukin 5 receptor subunit alpha
    ✓ In ChEMBL and the Guide to Pharmacology
Diseases it has been tested for in clinical trials, by furthest phase
  • DysphagiaPhase 3
  • Nasal polyposisPhase 3
  • BronchiectasisPhase 3
  • Bullous pemphigoidPhase 3
  • Chronic obstructive pulmonary diseasePhase 3
  • Chronic rhinosinusitis with nasal polypsPhase 3
  • Eosinophilic esophagitisPhase 3
  • Eosinophilic gastroenteritisPhase 3
  • Eosinophilic granulomatosis with polyangiitisPhase 3
  • Hypereosinophilic syndromePhase 3
15 diseases in all

Mechanisms and diseases from ChEMBL via the Open Targets Platform (release 26.09), ChEMBL record CHEMBL1742991, CC BY-SA 3.0. Targets checked against the IUPHAR/BPS Guide to PHARMACOLOGY (2026.3), ligand 7674, CC BY-SA 4.0. Trial phases are not approvals: approved uses are shown from the regulators' own records where we hold them.

NICE appraisals of Benralizumab

All NICE appraisals →

NICE, which decides whether the NHS in England should fund new medicines, has published 2 technology appraisals of Benralizumab. 2 are current, and 2 of these recommend it for at least some patients.

AppraisalNICE recommendationPublishedStatus
Benralizumab for treating relapsing or refractory eosinophilic granulomatosis with polyangiitis
NICE TA1096
Optimised3 Sep 2025Current
Benralizumab for treating severe eosinophilic asthma
NICE TA565
Optimised6 Mar 2019
Updated 3 Sep 2019
Current

NICE decisions apply to the NHS in England. In Ireland the HSE decides on reimbursement, advised by the National Centre for Pharmacoeconomics. Titles, categories and dates link to the guidance on nice.org.uk. © NICE 2026 technology appraisal guidance. Available from www.nice.org.uk/guidance. All rights reserved. Subject to Notice of rights. NICE guidance is prepared for the National Health Service in England. All NICE guidance is subject to regular review and may be updated or withdrawn. NICE accepts no responsibility for the use of its content in this product/publication.

Patient leaflets for Benralizumab

The package leaflet is the official guide for patients that comes with every medicine. These links go to the regulators that publish it.

  • IE
    Ireland: 1 product on the HPRA list
    Each product record links to the HPRA, which publishes the leaflet and SmPC.
  • EU
    European Union: Fasenra
    EMA product information: package leaflet and summary of product characteristics in every EU language.
  • UK
    United Kingdom: Search MHRA Products
    Patient information leaflets and SmPCs for UK-licensed products.
  • US
    United States: Search DailyMed
    FDA-approved labels, including patient and medication guides.

Leaflets differ between brands and countries; always read the one that comes with your own medicine. This is regulatory information, not medical advice.

Reference identifiers for Benralizumab

ATC code
R03DX10
ChEMBL
CHEMBL1742991
DrugBank
DB12023
CAS number
1044511-01-4
FDA UNII
71492GE1FX
Wikidata
Q3638304
Wikipedia
Benralizumab

Codes that identify this medicine in other databases, from Wikidata (CC0), matched by its ChEMBL ID. The ATC code is the WHO classification of what the medicine is used for.

What Fasenra is used for

FASENRA is an interleukin-5 receptor alpha-directed cytolytic monoclonal antibody (IgG1, kappa) indicated for: • add-on maintenance treatment of adult and pediatric patients aged 6 years and older with severe asthma, and with an eosinophilic phenotype. ( 1.1 ) • treatment of adult patients with eosinophilic granulomatosis with polyangiitis (EGPA). ( 1.2 ) • treatment of adult and pediatric patients aged 12 years and older with hypereosinophilic syndrome (HES) without an identifiable non-hematologic secondary cause. ( 1.3 ) Limitations of Use : Not for relief of acute bronchospasm or status asthmaticus. (1.1) 1.1 Asthma FASENRA is indicated for the add-on maintenance treatment of adult and pediatric patients aged 6 years and older with severe asthma, and with an eosinophilic phenotype. Limitations of Use: • FASENRA is not indicated for the relief of acute bronchospasm or status asthmatic…

How it works

12.1 Mechanism of Action Benralizumab is a humanized afucosylated, monoclonal antibody (IgG1, kappa) that directly binds to the alpha subunit of the human interleukin-5 receptor (IL-5Rα) with a dissociation constant of 11 pM. The IL-5 receptor is expressed on the surface of eosinophils and basophils. In an in vitro setting, the absence of fucose in the Fc domain of benralizumab facilitates binding (45.5 nM) to FcɣRIII receptors on immune effector cells, such as natural killer (NK) cells, leading to apoptosis of eosinophils and basophils through antibody-dependent cell-mediated cytotoxicity (ADCC). Inflammation is an important component in the pathogenesis of asthma, EGPA, and HES. Multiple …

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How this page is built

The facts on this page are pulled directly from official U.S. FDA datasets — they are not written from memory. Each field below names the dataset it came from, so you can check it yourself.

Plain-English summaries and drug-class explainers are written and reviewed by Sreepriya Prasannan (MSc Digital Transformation of Life Sciences (Innopharma Education / Griffith College); MSc & BSc Botany). Data is retrieved automatically from the sources above and cross-checked with AI-assisted verification (Anthropic's Claude) — brand and generic names are matched against the exact FDA product record so that a combination product or a different formulation cannot be mistaken for the drug on this page. An editor reviews the result before publication. We describe this in full in our editorial standards and corrections policy. The FDA data on this page was last retrieved on 10 Oct 2026. How every register is built: methodology · fixes we have made: corrections log.

Please verify before you rely on this. This page is general information for life-science and pharmaceutical professionals. It is not medical advice, and it has not been reviewed by a clinician — our editorial team holds life-science qualifications, not clinical ones. It is not exhaustive and may not reflect the most recent label change. Always check the official prescribing information (US Prescribing Information or EU SmPC) and speak to your doctor or pharmacist before acting on anything here. Drugs in the same class are not automatically interchangeable, and approvals, brand names and indications differ between the US, the EU/Ireland (EMA/HPRA) and other regions. Spotted an error? Tell us — we correct promptly and log it.