Evidence map›Paper›PMID 35167955›Full record

ReviewThe journal of allergy and clinical immunology. In practice2022

Controversies in Allergy: The Potential Role of Biologics as First-Line Therapy in Eosinophilic Disorders.

Evan S Dellon, Dagmar Simon, Michael E Wechsler

Open access · bronzeAbstract readReview
In one paragraph

Review in The journal of allergy and clinical immunology. In practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 9% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Review
  6. Article
  7. Approach to the patient with suspected hypereosinophilic syndrome.Hematology. American Society of Hematology. Education Program · 2022
    Review
  8. Article
  9. Review
  10. Review
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

3 authors at 3 institutions in 2 countries.

Evan S DellonCenter for Esophageal Diseases and Swallowing, and Center for Gastrointestinal Biology and Diseases, Division of Gastroenterology and Hepatology, University of North Carolina School of Medicine, Chapel Hill, NC. Electronic address: edellon@med.unc.edu.
Dagmar SimonDepartment of Dermatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Michael E WechslerDivision of Pulmonary, Critical Care and Sleep Medicine, National Jewish Health, Denver, Colo.
University Hospital of Bern · CHUniversity of Colorado Denver · USUniversity of North Carolina at Chapel Hill · US

Funding

Epidemiologic identification and mechanistic investigation of early life environmental risk factors for eosinophilic esophagitisR01ES031940 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DELLON, EVAN SAMUEL, JENSEN, ELIZABETH T · 2021 to 2025
$3.2M
Molecular and epigenetic predictors and mechanisms of treatment response to topical steroids in eosinophilic esophagitisR21DK122297 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DELLON, EVAN SAMUEL · 2020 to 2021
$441k
NIDDK NIH HHS R21 DK122297NIEHS NIH HHS R01 ES031940
6 · The paper itself

Abstract

With advances in understanding the role of eosinophils in disease pathogenesis, particularly in the airways, gastrointestinal tract, and skin, targeting eosinophils or the cytokines that lead to their production, activation, and survival has become an increasingly pursued therapeutic approach. Newly developed biologic agents target eosinophils directly, other cells interacting with or activating eosinophils, or cytokines in the type 2 inflammatory pathway with specific antibodies. Current treatment paradigms reserve therapy with biologics for patients refractory to or intolerant of corticosteroids or immunosuppressants. Given accumulating data for safety and efficacy of these biologics, however, there is the question of whether targeted treatments should be used earlier in the treatment algorithm. In this article, we discuss the pros and cons of using biologics as first-line therapy for eosinophilic diseases of the airways, gastrointestinal tract, and skin. We highlight emerging biologic agents and future directions for research, as well as a rationale for the early use of some biologics to prevent tissue damage, disease progression, and organ dysfunction in selected conditions.

Indexed as

Biological ProductsHypersensitivityBiological FactorsCytokinesEosinophilsHumansBiological FactorsBiological ProductsCytokinesAsthmaAtopic dermatitisEosinophilic esophagitisEosinophilic gastrointestinal diseaseEosinophilic granulomatosis with polyangiitisHypereosinophilic syndromeTherapuetic

Identifiers

PMID35167955
PMCPMC9086115
OpenAlexW4211159075

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.