Evidence map›Paper›PMID 35287231›Full record

ArticleAdvances in therapy2022

Clinical Remission in Severe Asthma: A Pooled Post Hoc Analysis of the Patient Journey with Benralizumab.

Andrew Menzies-Gow, Flavia L Hoyte, David B Price, David Cohen, Peter Barker, James Kreindler, Maria Jison, Christopher L Brooks, Peggy Papeleu, Rohit Katial

3 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in Advances in therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 67 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 1 pooled it
14.5field-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.

NCT01914757 phase3completednot on this map

A Multicentre, Randomized, Double-blind, Parallel Group, Placebocontrolled, Phase 3 Study to Evaluate the Efficacy and Safety of Benralizumab in Asthmatic Adults and Adolescents Inadequately Controlled on Inhaled Corticosteroid Plus Long-acting β2 Agonist (CALIMA)

TypeinterventionalSponsorAstraZenecaRan2013 to 2016Enrolled2,508ConditionsAsthmaArmsBenralizumab, Placebo
NCT01928771 phase3completednot on this map

A Multicentre, Randomized, Double-blind, Parallel Group, Placebo-controlled, Phase III Efficacy and Safety Study of Benralizumab (MEDI-563) Added to High-dose Inhaled Corticosteroid Plus Long-acting β2 Agonist in Patients With Uncontrolled Asthma

TypeinterventionalSponsorAstraZenecaRan2013 to 2016Enrolled2,681ConditionsAsthmaArmsBenralizumab, Placebo
NCT02075255 phase3completednot on this map

A Multicenter, Randomized, Double-blind, Parallel Group, Placebo-controlled, Phase 3 Efficacy and Safety Study of Benralizumab (MEDI-563) to Reduce Oral Corticosteroid Use in Patients With Uncontrolled Asthma on High Dose Inhaled Corticosteroid Plus Long-acting β2 Agonist and Chronic Oral Corticosteroid Therapy (ZONDA)

TypeinterventionalSponsorAstraZenecaRan2014 to 2016Enrolled220ConditionsAsthmaArmsBenralizumab, Placebo
3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 1 synthesis or guideline pooled it, 131 citations in OpenAlex.

  1. Guideline
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  13. Early and Sustained Asthma Control and Remission in Real-World Patients With Severe Eosinophilic Asthma Treated With Benralizumab: XALOC-2.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2026
    Observational
  14. Observational
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7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 3 countries.

Andrew Menzies-GowDepartment of Respiratory Medicine, Royal Brompton Hospital, Sydney St, London, SW3 6NP, UK. a.menzies-gow@rbht.nhs.uk.
Flavia L HoyteDivision of Allergy and Clinical Immunology, Department of Medicine, National Jewish Health, Denver, CO, USA.
David B PriceObservational and Pragmatic Research Institute, Midview City, Singapore.
David CohenBioPharmaceuticals Medical, AstraZeneca, Gaithersburg, MD, USA.
Peter BarkerBioPharmaceuticals Medical, AstraZeneca, Gaithersburg, MD, USA.
James KreindlerBioPharmaceuticals Medical, AstraZeneca, Gaithersburg, MD, USA.
Maria JisonBioPharmaceuticals Medical, AstraZeneca, Gaithersburg, MD, USA.
Christopher L BrooksBioPharmaceuticals Medical, AstraZeneca, Cambridge, UK.
Peggy PapeleuAstraZeneca, Groot-Bijgaarden, Belgium.
Rohit KatialBioPharmaceuticals Medical, AstraZeneca, Gaithersburg, MD, USA.
AstraZeneca (United States) · USAstraZeneca (United Kingdom) · GBNational Jewish Health · USRoyal Brompton Hospital · GBUniversity of Aberdeen · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionConsensus definitions for clinical remission and super-response were recently established for severe asthma. Benralizumab is an interleukin-5 (IL-5) receptor α-directed monoclonal antibody for severe, uncontrolled asthma; efficacy and safety were demonstrated in previous pivotal phase 3 trials (SIROCCO, CALIMA, ZONDA). This analysis applied a composite remission definition to characterize individual responses to benralizumab after 6 and 12 months.

methodsIn previous phase 3 studies, eligible patients were those with severe, uncontrolled asthma receiving medium- or high-dosage inhaled corticosteroids plus long-acting β

resultsOverall, 609 patients (N = 301 and N = 308) and 586 patients (N = 293 and N = 293) receiving benralizumab in SIROCCO and CALIMA were included at 6 and 12 months, respectively; 40 ZONDA patients were included after 6 months. In SIROCCO/CALIMA, similar to 6-month findings,  approx. 83% and approx. 49% receiving benralizumab, and 77% and 37% on placebo achieved ≥ 2 and ≥ 3 remission components after 12 months; 14.5% (85/586) on benralizumab and 7.7% (48/620) on placebo achieved clinical remission at 12 months. Among ZONDA patients, 75% and approx. 48% on benralizumab and 35% and 20% on placebo achieved ≥ 2 and ≥ 3 remission components at 6 months, respectively; 22.5% (9/40) on benralizumab and 7.5% on placebo achieved clinical remission.

conclusionsThis analysis demonstrates clinical remission is achievable by targeting the underlying drivers of inflammation. Precision medicines can help shift treatment paradigms toward treat-to-target, with clinical remission as the ultimate therapeutic goal in severe asthma. CLINICAL

trial registrationSIROCCO (NCT01928771); CALIMA (NCT01914757); ZONDA (NCT02075255).

Indexed as

Anti-Asthmatic AgentsAsthmaAdrenal Cortex HormonesAntibodies, Monoclonal, HumanizedBronchodilator AgentsClinical Trials, Phase III as TopicDisease ProgressionDouble-Blind MethodEosinophilsHumansAdrenal Cortex HormonesAnti-Asthmatic AgentsAntibodies, Monoclonal, HumanizedbenralizumabBronchodilator AgentsBenralizumabBiologic therapiesOral corticosteroids (OCS)Precision medicineRemissionSevere eosinophilic asthmaSuper-responseTreat-to-target

Identifiers

PMID35287231
PMCPMC9056458
OpenAlexW4220967255

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.