Evidence map›Paper›PMID 26226215›Full record

Trial reportChest2015

Biomarker Profiles in Asthma With High vs Low Airway Reversibility and Poor Disease Control.

William W Busse, Stephen T Holgate, Sally W Wenzel, Paul Klekotka, Yun Chon, JingYuan Feng, Edward P Ingenito, Ajay Nirula

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Chest, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–field-weighted citation impact
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

28 citing papers in PubMed.

  1. Trial
  2. Inflammatory and Comorbid Features of Patients with Severe Asthma and Frequent Exacerbations.American journal of respiratory and critical care medicine · 2017
    Trial
  3. Review
  4. Signature Proteins in Small Extracellular Vesicles of Granulocytes and CD4International journal of molecular sciences · 2024
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Promising treatment biomarkers in asthma.Frontiers in drug safety and regulation · 2023
    Review
  10. Article
  11. Article
  12. Article
  13. Worsening of asthma control after COVID-19.Frontiers in medicine · 2022
    Article
  14. Article
  15. The endogenous circadian system worsens asthma at night independent of sleep and other daily behavioral or environmental cycles.Proceedings of the National Academy of Sciences of the United States of America · 2021
    Article
  16. Article
  17. Review
  18. Article
  19. Article
  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

8 authors.

William W BusseUniversity of Wisconsin, Madison, WI.
Stephen T HolgateClinical and Experimental Sciences, Facility of Medicine, University of Southhampton, Highfield, Southhampton, England.
Sally W WenzelUniversity of Pittsburgh Medical Center, Pittsburgh, PA.
Paul KlekotkaAmgen Inc, Thousand Oaks, CA.
Yun ChonAmgen Inc, Thousand Oaks, CA.
JingYuan FengAmgen Inc, Thousand Oaks, CA.
Edward P IngenitoAmgen Inc, Thousand Oaks, CA. Electronic address: ingenito@amgen.com.
Ajay NirulaAmgen Inc, Thousand Oaks, CA.

Funding

Medical Research Council G0800766
6 · The paper itself

Abstract

backgroundHigh bronchodilator reversibility in adult asthma is associated with distinct clinical characteristics. This analysis compares lung function, biomarker profiles, and disease control in patients with high reversibility (HR) and low reversibility (LR) asthma.

methodsA retrospective analysis was performed with data from two completed clinical trials of similar design. Patients were divided into HR and LR subgroups based on their response to bronchodilators (HR = ΔFEV1 postbronchodilator ≥ 20%). Blood eosinophil count, serum IgE level, and fraction of exhaled nitric oxide concentration, biomarkers commonly used to stratify patients into T-helper (Th)-2-high vs Th2-low phenotypes, were measured in patients with not well controlled (1.5 ≤ Asthma Control Questionnaire [ACQ] ≤ 2.143) and very poorly controlled (ACQ > 2.143) disease.

resultsThe majority of patients in the HR and LR subgroups displayed Th2-low biomarker profiles and very poor disease control. HR was more frequently associated with Th2-high biomarker profiles (40.1% vs 29.4%, P = .006), lower lung function (FEV1, 63.5 ± 7.7% predicted vs 67.9 ± 8.4% predicted; P < .001), and atopy (93.7% vs 86.5%, P = .005).

conclusionsHR is a physiologic indicator of reduced lung function and is more often associated with elevations in Th2 biomarkers than LR in moderate to severe asthma. However, the majority of patients with HR and LR asthma in this analysis had a Th2-low biomarker profile. Moreover, a Th2-high biomarker profile was not associated with worse disease control.

Indexed as

AsthmaRespiratory SystemAdultBiomarkersBreath TestsBronchodilator AgentsDrug MonitoringEosinophilsFemaleGlucocorticoidsHumansImmunoglobulin ELeukocyte CountMaleMiddle AgedNitric OxideBiomarkersBronchodilator AgentsGlucocorticoidsImmunoglobulin ENitric OxideProstaglandin D2

Identifiers

PMID26226215
PMCPMC4665740

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.