Evidence map›Paper›PMID 36463281›Full record

SynthesisScientific reports2022

Safety and efficacy of tezepelumab vs. placebo in adult patients with severe uncontrolled asthma: a systematic review and meta-analysis.

Mahmoud Shaban Abdelgalil, Asmaa Ahmed Elrashedy, Ahmed K Awad, Eman Reda Gad, Mahmoud M Ali, Ramadan Abdelmoez Farahat, Bassant Hassan Shawki, Mohamed Abd-ElGawad

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 33% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. 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

8 authors at 5 institutions in 1 country.

Mahmoud Shaban AbdelgalilFaculty of Medicine, Ain-Shams University, Cairo, Egypt.
Asmaa Ahmed ElrashedyFaculty of Medicine, Kafrelsheikh University, Kafrelsheikh, Egypt.
Ahmed K AwadFaculty of Medicine, Ain-Shams University, Cairo, Egypt.
Eman Reda GadFaculty of Medicine, Cairo University, Cairo, Egypt.
Mahmoud M AliFaculty of Pharmacy, Al-Azhar University, Assiut, Egypt.
Ramadan Abdelmoez FarahatFaculty of Medicine, Kafrelsheikh University, Kafrelsheikh, Egypt.
Bassant Hassan ShawkiFaculty of Medicine, Ain-Shams University, Cairo, Egypt.
Mohamed Abd-ElGawadFaculty of Medicine, Fayoum University, 5 Al-Touba Street, From Al-Fanya Street, Al-Hadka Road, Fayoum, Egypt. mm2953@fayoum.edu.eg.ORCID 0000-0003-4120-9161
Ain Shams University · EGKafrelsheikh University · EGAl-Azhar University · EGCairo University · EGFayoum University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with severe uncontrolled asthma still experience acute asthma symptoms and exacerbations, particularly those with non-eosinophilic inflammation who take the maximum amount of standard drug therapy. Tezepelumab, a human monoclonal antibody, can improve lung function and enhance control of asthma symptoms in those patients, regardless of the disease's baseline characteristics. This study aims to investigate the safety and efficacy of using tezepelumab in controlling severe symptoms of uncontrolled asthma. We performed a comprehensive literature search in several databases, including PubMed, Scopus, Web of Science, Cochrane Library, and clinicaltrial.gov, using a well-established search strategy to include all relevant publications. According to our inclusion criteria, we searched for randomized controlled trials comparing tezepelumab versus placebo in patients with severe, uncontrolled asthma. We analyzed the data using The Revman 5.4 program software. The search identified 589 potential articles. After excluding studies inconsistent with selection criteria, four studies were included and analyzed qualitatively and quantitatively. The pooled effect demonstrated the better performance of tezepelumab over the placebo regarding the decrease in annualized asthma exacerbation rate (MD = - 0.74, (95% CI [- 1.04, - 0.44], p < 0.00001)), asthma control questionnaire-6 (ACQ-6) Score MD = - 0.32, (95% CI [- 0.43, - 0.21], p < 0.00001)), blood eosinophil count (MD = - 139.38 cells/mcL, (95% CI [- 150.37, - 128.39], p < 0.00001)), feNO (MD = - 10 ppb, (95% CI [- 15.81, - 4.18], p = 0.0008)) and serum total IgE (MD = - 123.51 UI/ml, (95% CI [- 206.52, - 40.50], p = 0.004)). All tezepelumab groups had higher pre-bronchodilator forced expiratory volume in 1 s than the placebo group (MD = 0.16, (95% CI [0.10, 0.21], p < 0.00001)). Higher efficacy and safety profile was detected for tezepelumab to control the exacerbations of severe uncontrolled adult asthmatics.

Indexed as

AsthmaStatus AsthmaticusAdultAntibodies, Monoclonal, HumanizedEosinophilsHumansAntibodies, Monoclonal, Humanizedtezepelumab

Identifiers

PMID36463281
PMCPMC9719466
OpenAlexW4310777354

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.