Evidence map›Paper›PMID 27016472›Full record

ArticleThe Journal of allergy and clinical immunology2016

Assessing differences in inhaled corticosteroid response by self-reported race-ethnicity and genetic ancestry among asthmatic subjects.

Karen E Wells, Sonia Cajigal, Edward L Peterson, Brian K Ahmedani, Rajesh Kumar, David E Lanfear, Esteban G Burchard, L Keoki Williams

Open access · greenAbstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

17 citing papers in PubMed, 28 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Heterogeneity of Treatment Response to Asthma.Advances in experimental medicine and biology · 2023
    Article
  6. An Overview of Health Disparities in Asthma.The Yale journal of biology and medicine · 2021
    Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. How does race and ethnicity effect the precision treatment of asthma?Expert review of precision medicine and drug development · 2019
    Article
  13. Review
  14. Predictors of emergency department use in children with persistent asthma in metropolitan Atlanta, Georgia.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2017
    Article
  15. Article
  16. Review
  17. Anxiety Contributes to Poorer Asthma Outcomes in Inner-City Black Adolescents.The journal of allergy and clinical immunology. In practice
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Karen E WellsDepartment of Public Health Sciences, Henry Ford Health System, Detroit, Mich. Electronic address: kewells1@aol.com.
Sonia CajigalDepartment of Internal Medicine, Henry Ford Health System, Detroit, Mich.
Edward L PetersonDepartment of Public Health Sciences, Henry Ford Health System, Detroit, Mich.
Brian K AhmedaniCenter for Health Policy and Health Services Research, Henry Ford Health System, Detroit, Mich.
Rajesh KumarDepartment of Pediatrics, The Ann and Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Ill.
David E LanfearDepartment of Internal Medicine, Henry Ford Health System, Detroit, Mich.
Esteban G BurchardDepartment of Bioengineering & Therapeutic Sciences, University of California San Francisco, San Francisco, Calif; Department of Medicine, University of California San Francisco, San Francisco, Calif.
L Keoki WilliamsDepartment of Internal Medicine, Henry Ford Health System, Detroit, Mich; Center for Health Policy and Health Services Research, Henry Ford Health System, Detroit, Mich.
Henry Ford Health System · USLurie Children's Hospital · USUniversity of California, San Francisco · US

Funding

Understanding Asthma EndotypesU19AI077439 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PRESCOTT G WOODRUFF · 2008 to 2026
$41.1M
Gene-environments and Admixture in Latino Asthmatics (GALA 2)R01ES015794 · NIEHS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BURCHARD, ESTEBAN GONZALEZ · 2008 to 2012
$5.4M
PHARMACOGENOMICS OF INHALED CORTICOSTEROID RESPONSIVENESS IN PATIENTS WITH ASTHMAR01AI079139 · NIAID · HENRY FORD HEALTH SYSTEM · PI WILLIAMS, KEOKI · 2009 to 2013
$3.9M
Whole Genome Analyses for Asthma in Latino PopulationsR01HL088133 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BURCHARD, ESTEBAN GONZALEZ · 2008 to 2012
$3.8M
Impact of Race and Genetic Factors on Beta-blocker Effectiveness in Heart FailureR01HL103871 · NHLBI · HENRY FORD HEALTH SYSTEM · PI LANFEAR, DAVID E · 2011 to 2015
$3.5M
Mechanism of Endotoxin's Effect On Allergy RiskR01AI061774 · NIAID · HENRY FORD HEALTH SYSTEM · PI WILLIAMS, KEOKI · 2004 to 2008
$2.9M
Combined Transcriptomics and Genomics to Find Asthma Genes in Admixed PopulationsR01HL118267 · NHLBI · HENRY FORD HEALTH SYSTEM · PI WILLIAMS, KEOKI · 2014 to 2017
$2.9M
VALIDATION OF ADHERENCE DATA--USE IN CLINICAL PRACTICER01DK064695 · NIDDK · HENRY FORD HEALTH SYSTEM · PI WILLIAMS, KEOKI · 2003 to 2010
$2.7M
Case-control Association Studies and Genetic ConfoundingR01HL078885 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BURCHARD, ESTEBAN GONZALEZ · 2005 to 2009
$1.9M
USING INFORMATION TECHNOLOGY TO IMPROVE ASTHMA ADHERENCER01HL079055 · NHLBI · HENRY FORD HEALTH SYSTEM · PI WILLIAMS, KEOKI · 2005 to 2008
$1.4M
Role of Prenatal Factors and Gene-Environment Interactions in Recurrent WheezingK23HL093023 · NHLBI · LURIE CHILDREN'S HOSPITAL OF CHICAGO · PI KUMAR, RAJESH · 2008 to 2012
$672k
NHLBI NIH HHS K23 HL093023NHLBI NIH HHS R01 HL078885NHLBI NIH HHS R01 HL079055NHLBI NIH HHS R01 HL088133NHLBI NIH HHS R01 HL103871NHLBI NIH HHS R01 HL118267NIAID NIH HHS R01 AI061774NIAID NIH HHS R01 AI079139NIAID NIH HHS U19 AI077439NIDDK NIH HHS R01 DK064695NIEHS NIH HHS R01 ES015794
6 · The paper itself

Abstract

backgroundInhaled corticosteroids (ICSs) are the preferred treatment for achieving asthma control. However, little is known regarding the factors contributing to treatment response and whether treatment response differs by population group.

objectiveWe sought to assess behavioral, sociodemographic, and genetic factors related to ICS response among African American and European American subjects with asthma.

methodsStudy participants were part of the Study of Asthma Phenotypes and Pharmacogenomic Interactions by Race-ethnicity (SAPPHIRE). The analytic sample included asthmatic subjects aged 12 to 56 years with greater than 12% bronchodilator reversibility and percent predicted FEV1 of between 40% and 90%. Participants received 6 weeks of inhaled beclomethasone dipropionate. The primary measure of ICS response was a change in Asthma Control Test (ACT) score; the secondary measure was a change in prebronchodilator FEV1. Adherence was measured with electronic monitors. Genetic ancestry was estimated for African American participants by using genome-wide genotype data.

resultsThere were 339 study participants; 242 self-identified as African American and 97 as European American. Baseline ACT score, percent predicted FEV1, degree of bronchodilator response, and ICS adherence were significantly associated with ICS response. A baseline ACT score of 19 or less was useful in identifying those who would respond, as evidenced by the significant dose-response relationship with ICS adherence. Neither self-reported race-ethnicity among all participants nor proportion of African ancestry among African American participants was associated with ICS responsiveness.

conclusionsOur findings suggest that baseline lung function measures and self-reported asthma control predict ICS response, whereas self-reported race-ethnicity and genetic ancestry do not.

Indexed as

Administration, InhalationAdolescentAdrenal Cortex HormonesAdultAnti-Asthmatic AgentsAsthmaBlack or African AmericanChildFemaleForced Expiratory VolumeHumansMaleMiddle AgedSelf ReportTreatment OutcomeWhite PeopleAdrenal Cortex HormonesAnti-Asthmatic AgentsAdherenceAfrican Continental Ancestry GroupasthmaInhaled corticosteroidsmedicationrespiratory function tests

Identifiers

PMID27016472
PMCPMC5313277
OpenAlexW2307399300

What OpenQuestion holds

Textmetadata
LicenceTDM
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.