Evidence map›Paper›PMID 23163316›Full record

ReviewBritish journal of clinical pharmacology2013

Stratified approaches to the treatment of asthma.

Stephen T Holgate

Abstract readReview
In one paragraph

Review in British journal of clinical pharmacology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Evaluating the Influence ofBiomolecules · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Broad perspectives of allergen specific immunotherapy.Human vaccines & immunotherapeutics · 2017
    Article
  8. Review
  9. Observational
  10. Article
  11. Future Research Directions in Asthma. An NHLBI Working Group Report.American journal of respiratory and critical care medicine · 2015
    Review
  12. Asthma.Nature reviews. Disease primers · 2015
    Review
  13. Review
  14. Review
  15. Review
  16. Article
  17. Mast cells in human airways: the culprit?European respiratory review : an official journal of the European Respiratory Society · 2014
    Review
  18. Review
  19. Asthma genetics and personalised medicine.The Lancet. Respiratory medicine · 2014
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Stephen T HolgateFaculty of Medicine, University of Southampton, Southampton, UK. sth@soton.ac.uk
University of Southampton · GB

Funding

Medical Research Council G0800766
6 · The paper itself

Abstract

While asthma is a chronic inflammatory disorder that is managed with inhaled controller and reliever drugs, there remains a large unmet need at the severe end of the disease spectrum. Here, a novel stratified approach to its treatment is reviewed, based upon identification of causal pathways, with a focus on biologics. A systematic search of the literature was made using Medline, and publications were selected on the basis of their relevance to the topic. Despite strong preclinical data for many of the more recently identified asthma targets, especially those relating to the T-helper 2 allergic pathway, clinical trials with specific biologics in moderate to severe asthma as a group have been disappointing. However, subgroup analyses based upon pathway-specific biomarkers suggest specific endotypes that are responsive. Application of hypothesis-free analytical approaches (the 'omics') to well-defined phenotypes is leading to the stratification of asthma along causal pathways. Refinement of this approach is likely to be the future for diagnosing and treating this group of diseases, as well as helping to define new causal pathways. The identification of responders and nonresponders to targeted asthma treatments provides a new way of looking at asthma diagnosis and management, especially with biologics that are costly. The identification of novel biomarkers linked to well-phenotyped patients provides a stratified approach to disease management beyond simple disease severity and involving causal pathways. In order to achieve this effectively, a closer interaction will be required between industry (therapeutic and diagnostic), academia and health workers.

Indexed as

Severity of Illness IndexAnti-Asthmatic AgentsAsthmaBiological ProductsBiomarkersClinical Trials as TopicHumansTreatment OutcomeAnti-Asthmatic AgentsBiological ProductsBiomarkersasthmabiologicsbiomarkersstratificationtreatment

Identifiers

PMID23163316
PMCPMC3731602
OpenAlexW1636130309

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.