Evidence map›Paper›PMID 32765156›Full record

ArticlePragmatic and observational research2020

The CHRONICLE Study of US Adults with Subspecialist-Treated Severe Asthma: Objectives, Design, and Initial Results.

Christopher S Ambrose, Bradley E Chipps, Wendy C Moore, Weily Soong, Jennifer Trevor, Dennis K Ledford, Warner W Carr, Njira Lugogo, Frank Trudo, Trung N Tran and 1 more

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in Pragmatic and observational research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03373045 (The CHRONICLE Study), which is not on this map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.8field-weighted citation impact, top 15% 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.

NCT03373045 completednot on this map

The CHRONICLE Study: A Longitudinal Prospective Observational Study of the Characteristics, Treatment Patterns and Health Outcomes of Individuals With Severe Asthma in the United States

Typeobservational_patient_registrySponsorAstraZenecaRan2018 to 2025Enrolled18ConditionsAsthma
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 23 citations in OpenAlex.

  1. Trial
  2. Biologic effectiveness increases with earlier biologic initiation after severe asthma onset.The journal of allergy and clinical immunology. Global · 2026
    Article
  3. Article
  4. Observational
  5. Observational
  6. Asthma biologic effectiveness by age and sex in the US CHRONICLE study.The journal of allergy and clinical immunology. Global · 2026
    Article
  7. Article
  8. Article
  9. Anti-IL-5 and anti-IL-5 receptor therapy significantly improves quality of life and FEV1 values in patients with severe asthma.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2025
    Article
  10. On-treatment clinical remission of severe asthma with real-world longer-term biologic use.The journal of allergy and clinical immunology. Global · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Adult Severe Asthma Registries: A Global and Growing Inventory.Pragmatic and observational research · 2023
    Article
  17. Article
  18. Review
  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

11 authors at 9 institutions in 1 country.

Christopher S AmbroseUS Medical Affairs, AstraZeneca, Gaithersburg, MD, USA.ORCID 0000-0003-4175-7336
Bradley E ChippsCapital Allergy & Respiratory Disease Center, Sacramento, CA, USA.
Wendy C MoorePulmonary, Critical Care, Allergy, and Immunologic Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Weily SoongAlabama Allergy & Asthma Center, Birmingham, AL, USA.
Jennifer TrevorPulmonary, Allergy, & Critical Care Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Dennis K LedfordDivision of Allergy and Immunology, University of South Florida, Tampa, FL, USA.
Warner W CarrAllergy & Asthma Associates of Southern California, Mission Viejo, CA, USA.
Njira LugogoPulmonary & Critical Care Medicine, University of Michigan, Ann Arbor, MI, USA.
Frank TrudoUS Medical Affairs, AstraZeneca, Wilmington, DE, USA.
Trung N TranBiopharmaceuticals Medical, Respiratory and Immunology, AstraZeneca, Gaithersburg, MD, USA.
Reynold A PanettieriInstitute for Translational Medicine and Science, Rutgers, The State University of New Jersey, New Brunswick, NJ, USA.
AstraZeneca (United States) · USAllergy, Asthma and Clinical Research Center · USCalifornia Allergy and Asthma Medical Group · USCapital Allergy and Respiratory Disease Center · USRutgers, The State University of New Jersey · USUniversity of Alabama at Birmingham · USUniversity of Michigan · USUniversity of South Florida · USWake Forest University · US

Funding

Translational Research Support CoreP30ES005022 · NIEHS · UNIV OF MED/DENT NJ-R W JOHNSON MED SCH · PI ROBERT John LAUMBACH · 1988 to 2026
$47.4M
NIEHS NIH HHS P30 ES005022
6 · The paper itself

Abstract

backgroundApproximately 5-10% of patients with asthma have severe disease. High-quality real-world studies are needed to identify areas for improved management.

objectiveAligned with the International Severe Asthma Registry, the CHRONICLE study (ClinicalTrials.gov: NCT03373045) was developed to address this need in the US. STUDY

designLearnings from prior studies were applied to develop a real-world, prospective, noninterventional study of US patients with confirmed severe asthma who are treated by subspecialist physicians and require biologic or maintenance systemic immunosuppressant therapy or who are uncontrolled by high-dosage inhaled corticosteroids and additional controllers. Target enrollment is 4000 patients, with patient observation for ≥3 years. A geographically diverse sample of allergist/immunologist and pulmonologist sites approach all eligible patients under their care and report patient characteristics, treatment, and health outcomes every 6 months. Patients complete online surveys every 1-6 months. INITIAL

resultsFrom February 2018 to February 2019, 102 sites screened 1428 eligible patients; 936 patients enrolled. Study sites (40% allergist/immunologist, 42% pulmonologist, 18% both) were similar to other US asthma subspecialist samples. Enrolled patients were 67% female with median ages at enrollment and diagnosis of 55 (range: 18-89) and 26 (0-80) years, respectively. Median body mass index was 31 kg/m

conclusionCHRONICLE will provide high-quality provider- and patient-reported data from a large, real-world cohort of US adults with subspecialist-treated severe asthma.

Indexed as

allergistsasthma exacerbationsbiologic therapylongitudinal studiespulmonologists

Identifiers

PMID32765156
PMCPMC7371434
OpenAlexW3042487759

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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.