Evidence map›Paper›PMID 33326352›Full record

ReviewAmerican journal of respiratory and critical care medicine2021

Severe Adult Asthmas: Integrating Clinical Features, Biology, and Therapeutics to Improve Outcomes.

Sally E Wenzel

2 registry-linked trialsOpen access · greenAbstract readReview
In one paragraph

Review in American journal of respiratory and critical care medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 80 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 1 pooled it
8.9field-weighted citation impact, top 1% 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.

NCT06272370 phase4completednot on this mapstarted 2024, after this paper: background citation

Individualizing Treatment for Asthma in Primary Care

TypeinterventionalSponsorDARTNet InstituteRan2024 to 2024Enrolled103ConditionsAsthma, Bronchial Diseases, Respiratory Tract Infections, Lung Diseases, ObstructiveArmsAsthma Symptom Monitoring online tools, Inhaled Steroids, Azithromycin Pill
NCT07052942 phase4recruitingnot on this mapstarted 2025, after this paper: background citation

Individualizing Treatment for Asthma in Primary Care (Full Study)

TypeinterventionalSponsorDARTNet InstituteRan2025 to 2029Enrolled3,200ConditionsAsthma, Asthma Attack, Asthma ExacerbationsArmsInhaled corticosteroid (ICS), Azithromycin, Asthma Symptom Monitoring Web-based Application
3 · Its place in the literature

Who cites it

80 citing papers in PubMed, 1 synthesis or guideline pooled it, 134 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Nasal Microbiota Associated with the Lung Radiomic Features in Asthma.International journal of general medicine · 2026
    Article
  10. Precision Medicine Advances in Chronic Lung Diseases.International journal of molecular sciences · 2025
    Article
  11. Multi-omics identifies severe asthma endotypes linked toThe World Allergy Organization journal · 2025
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Review

20 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Sally E WenzelDepartment of Environmental and Occupational Health, Graduate School of Public Health, University of Pittsburgh Asthma and Environmental Lung Health Institute at UPMC, University of Pittsburgh, Pittsburgh, Pennsylvania.ORCID 0000-0002-4242-0164
University of Pittsburgh · US

Funding

Project 2 Impact of Innate and Adaptive Immunity At the Airway Epithelium in Severe AsthmaP01AI106684 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Anuradha Ray, Sally E Wenzel · 2015 to 2026
$18.9M
Rapid saliva antigen test for SARS-CoV-2 detectionU01HL146002 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI ARONICA, MARK A, CASTRO, MARIO · 2019 to 2023
$17.3M
Protein-Oxidized Phospholipid Interactions Determine Epithelial Cell Fate and Asthma Control  R01AI145406 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Sally E Wenzel · 2020 to 2026
$2.9M
Mucin sialylation drives epithelial cell senescence and severe asthmaR01HL153058 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BOUCHER, RICHARD CHARLES, WENZEL, SALLY E · 2020 to 2023
$2.8M
NHLBI NIH HHS R01 HL153058NHLBI NIH HHS U01 HL146002NIAID NIH HHS P01 AI106684NIAID NIH HHS R01 AI145406
6 · The paper itself

Abstract

Evaluation and effective management of asthma, and in particular severe asthma, remains at the core of pulmonary practice. Over the last 20-30 years, there has been increasing appreciation that "severe asthma" encompasses multiple different subgroups or phenotypes, each with differing presentations. Using clinical phenotyping, in combination with rapidly advancing molecular tools and targeted monoclonal antibodies (human knockouts), the understanding of these phenotypes, and our ability to treat them, have greatly advanced. Type-2 (T2)-high and -low severe asthmas are now easily identified. Fractional exhaled nitric oxide and blood eosinophil counts can be routinely employed in clinical settings to identify these phenotypes and predict responses to specific therapies, meeting the initial goals of precision medicine. Integration of molecular signals, biomarkers, and clinical responses to targeted therapies has enabled identification of critical molecular pathways and, in certain phenotypes, advanced them to near-endotype status. Despite these advances, little guidance is available to determine which class of biologic is appropriate for a given patient, and current "breakthrough" therapies remain expensive and even inaccessible to many patients. Many of the most severe asthmas, with and without T2-biomarker elevations, remain poorly understood and treated. Nevertheless, conceptual understanding of "the severe asthmas" has evolved dramatically in a mere 25 years, leading to dramatic improvements in the lives of many.

Indexed as

Molecular Targeted TherapyAdultAgedAged, 80 and overAnti-Asthmatic AgentsAntibodies, MonoclonalAsthmaBiomarkersFemaleHumansMaleMiddle AgedPhenotypeSeverity of Illness IndexAnti-Asthmatic AgentsAntibodies, MonoclonalBiomarkersasthmabiologic therapycytokineseosinophilstype 2 asthma

Identifiers

PMID33326352
PMCPMC8017568
OpenAlexW3112077281

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.