Evidence map›Paper›PMID 33705484›Full record

Trial reportPloS one2021

Identification of distinct phenotypes related to benralizumab responsiveness in patients with severe eosinophilic asthma.

Hideyasu Yamada, Masayuki Nakajima, Masashi Matsuyama, Yuko Morishima, Naoki Arai, Norihito Hida, Taisuke Nakaizumi, Hironori Masuko, Yohei Yatagai, Takefumi Saito and 1 more

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

8 citing papers in PubMed, 18 citations in OpenAlex.

  1. Review
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  3. Article
  4. Article
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  6. Review
  7. Promising treatment biomarkers in asthma.Frontiers in drug safety and regulation · 2023
    Review
  8. 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 4 institutions in 1 country.

Hideyasu YamadaFaculty of Medicine, Department of Pulmonary Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.ORCID 0000-0002-5489-2062
Masayuki NakajimaFaculty of Medicine, Department of Pulmonary Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
Masashi MatsuyamaFaculty of Medicine, Department of Pulmonary Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
Yuko MorishimaFaculty of Medicine, Department of Pulmonary Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
Naoki AraiDepartment of Respiratory Medicine, National Hospital Organization, Ibarakihigashi National Hospital, Tokaimura, Ibaraki, Japan.
Norihito HidaDivision of Respiratory Medicine, Hitachi Ltd, Hitachinaka General Hospital, Hitachinaka, Ibaraki, Japan.
Taisuke NakaizumiDivision of Respiratory Medicine, Hitachi Ltd, Hitachinaka General Hospital, Hitachinaka, Ibaraki, Japan.
Hironori MasukoFaculty of Medicine, Department of Pulmonary Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
Yohei YatagaiDivision of Respiratory Medicine, Tsukuba Gakuen Hospital, Tsukuba, Ibaraki, Japan.
Takefumi SaitoDepartment of Respiratory Medicine, National Hospital Organization, Ibarakihigashi National Hospital, Tokaimura, Ibaraki, Japan.
Nobuyuki HizawaFaculty of Medicine, Department of Pulmonary Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
University of Tsukuba · JPHitachi General Hospital · JPNational Hospital Organization · JPTsukuba Memorial Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo characterize the clinical phenotypes of severe eosinophilic asthma based on early responsiveness to benralizumab in terms of forced expiratory volume in 1 second (FEV1) improvement. PATIENTS AND

methodsSixty-four participants diagnosed with severe eosinophilic asthma and who had completed 4 months of benralizumab treatment were included in this analysis. Pre-treatment clinical factors were compared between responders and non-responders according to improvements in ACT or FEV1. Correlations between the sums of increased Type 2-related inflammatory parameters and changes of ACT or FEV1 were also evaluated before and after the 4-month treatment. A two-step cluster analysis was performed to identify distinct phenotypes related to benralizumab responsiveness in terms of FEV1.

resultsAt the 4-month timepoint, all parameters, except for FeNO, were significantly improved after benralizumab treatment. FEV1 responders were associated with higher levels of Type 2-related inflammatory parameters. An improvement in FEV1 but not in ACT was clearly associated with increases in the sums of increased type 2-related inflammation parameters (p = 0.0001). The cluster analysis identified 5 distinct phenotypes of severe eosinophilic asthma according to the variable FEV1 responsiveness to benralizumab. The greatest response was found in the distinct phenotype of severe eosinophilic asthma, which was characterized by modest increase in total IgE and FeNO relative to blood eosinophils with least exposure to smoking.

conclusionThis study, to the best of our knowledge, is the first cluster analysis to report distinct phenotypes related to clinical benralizumab response in a real-world population with severe eosinophilic asthma. These results may help to predict responsiveness to benralizumab in patients with severe eosinophilic asthma.

Indexed as

AgedAnti-Asthmatic AgentsAntibodies, Monoclonal, HumanizedAsthmaFemaleForced Expiratory VolumeHumansMaleMiddle AgedPulmonary EosinophiliaSeverity of Illness IndexAnti-Asthmatic AgentsAntibodies, Monoclonal, Humanizedbenralizumab

Identifiers

PMID33705484
PMCPMC7951858
OpenAlexW3135683706

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.