Evidence map›Paper›PMID 32994855›Full record

ArticleThe World Allergy Organization journal2020

Real-life effectiveness of mepolizumab in patients with severe refractory eosinophilic asthma and multiple comorbidities.

Claudia Crimi, Raffaele Campisi, Giulia Cacopardo, Rossella Intravaia, Santi Nolasco, Morena Porto, Corrado Pelaia, Nunzio Crimi

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in The World Allergy Organization journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05189613 (Mepolizumab Effectiveness in Patients With Severe Eosinophilic Asthma and Co-presence of Bronchiectasis), which is not on this map. Cited by 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
4.1field-weighted citation impact, top 5% 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.

NCT05189613 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Mepolizumab Effectiveness in Patients With Severe Eosinophilic Asthma and Co-presence of Bronchiectasis

TypeinterventionalSponsorPoliclinico Universitario, CataniaRan2021 to 2022Enrolled100ConditionsBronchial Asthma, BronchiectasisArmsMepolizumab
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Pooled it
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  5. Observational
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  11. Improving patient outcomes: Mepolizumab's impact in IL-5-mediated diseases.Lung India : official organ of Indian Chest Society · 2025
    Article
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  16. Observational
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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 at 3 institutions in 1 country.

Claudia CrimiRespiratory Medicine Unit, A.O.U. "Policlinico-Vittorio Emanuele", Catania, Italy.
Raffaele CampisiRespiratory Medicine Unit, A.O.U. "Policlinico-Vittorio Emanuele", Catania, Italy.
Giulia CacopardoRespiratory Medicine Unit, A.O.U. "Policlinico-Vittorio Emanuele", Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy.
Rossella IntravaiaRespiratory Medicine Unit, A.O.U. "Policlinico-Vittorio Emanuele", Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy.
Santi NolascoRespiratory Medicine Unit, A.O.U. "Policlinico-Vittorio Emanuele", Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy.
Morena PortoRespiratory Medicine Unit, A.O.U. "Policlinico-Vittorio Emanuele", Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy.
Corrado PelaiaDepartment of Medical and Surgical Sciences, University "Magna Graecia", Catanzaro, Italy.
Nunzio CrimiRespiratory Medicine Unit, A.O.U. "Policlinico-Vittorio Emanuele", Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy.
University of Catania · ITAzienda Ospedaliero-Universitaria Policlinico - Vittorio Emanuele · ITMagna Graecia University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData on mepolizumab in patients with severe eosinophilic asthma (EA) and comorbidities are needed to assess whether randomized controlled trial results are applicable in the real world.

objectiveTo evaluate real-life effectiveness and the presence/absence of predictors of treatment response in patients with one or more comorbidities (nasal polyps, allergic rhinitis, gastro-esophageal reflux disease, nonallergic rhinitis with eosinophilia syndrome, obesity, bronchiectasis) who received mepolizumab (MEPO) for the treatment of severe EA.

methodsWe performed a single-center retrospective study in patients with severe asthma and presence of comorbidities treated with mepolizumab at the respiratory outpatient clinic, Policlinico-Vittorio Emanuele, Catania, Italy. Health records of 31 severe asthmatic patients were retrieved and analyzed. Asthma control test (ACT) score, blood eosinophil count, forced expiratory volume in 1 s (FEV

results83.87% of patients were classified as responsive to MEPO treatment. Substantial depletion of the blood eosinophils (>80%) was found in 87.1% of patients, FEV

conclusionsMEPO in patients with severe EA is effective regardless of the presence of comorbidities.

Indexed as

ACT, Asthma Control TestBMI, Body Mass IndexDREAM, Dose Ranging Efficacy And safety with MepolizumabEA, Eosinophilic AsthmaECRS, Eosinophilic Chronic RhinosinusitisERS/ATS, European Respiratory Society/American Thoracic SocietyFEV1, Forced Expiratory Volume in 1 sFEV1/FVC, Forced Expiratory Volume in 1 s/Forced Vital Capacity ratioFVC, Forced Vital CapacityGERD, Gastro-Esophageal Reflux DiseaseGINA, Global INitiative for AsthmaIgG, Immunoglobulin GIL-5, Interleukin-5IQR, Interquartile RangeMepolizumabMEPO, MepolizumabMultiple comorbiditiesNARES, Non Allergic Rhinitis with Eosinophilia SyndromeOCS, Oral CorticosteroidRCTs, Randomized Controlled TrialsRV, Residual VolumeSD, Standard DeviationSEM, Standard Error MeanSevere eosinophilic asthmaT0, baselineT12, 12 months after baselineT1, 3 months after baselineT3, 6 months after baselineT6, 9 months after baseline

Identifiers

PMID32994855
PMCPMC7508691
OpenAlexW3087006406

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.