Evidence map›Paper›PMID 36538979›Full record

SynthesisThe Journal of allergy and clinical immunology2023

Comparative efficacy of tezepelumab to mepolizumab, benralizumab, and dupilumab in eosinophilic asthma: A Bayesian network meta-analysis.

Tanawin Nopsopon, Grace Lassiter, Ming-Li Chen, G Caleb Alexander, Corinne Keet, Hwanhee Hong, Ayobami Akenroye

Open access · greenAbstract readSystematic ReviewNetwork Meta-Analysis
In one paragraph

Synthesis in The Journal of allergy and clinical immunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 3 pooled it
6.7field-weighted citation impact, top 2% 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

45 citing papers in PubMed, 3 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Efficacy of different biologics for treating chronic rhinosinusitis with nasal polyps: a network meta-analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Pooled it
  4. Trial
  5. Article
  6. Pediatric spontaneous-reporting patterns for biologics approved or used for asthma: Analysis of the FDA adverse event reporting system.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Article
  7. Review
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  11. [Mendelian Randomization Analysis of Potential Molecular Targets for Type 2 Airway Inflammatory Diseases].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2026
    Article
  12. Review
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  14. Article
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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

7 authors at 6 institutions in 3 countries.

Tanawin NopsoponDivision of Allergy and Clinical Immunology, Brigham and Women's Hospital and Harvard Medical School, Boston, Mass; Harvard T.H. Chan School of Public Health, Boston, Mass; Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Grace LassiterDepartment of Anesthesiology, NewYork-Presbyterian/Weill Cornell Medical Center.
Ming-Li ChenHarvard T.H. Chan School of Public Health, Boston, Mass; Chung Shan Medical University, Taichung, Taiwan.
G Caleb AlexanderDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Md; Center for Drug Safety and Effectiveness, Baltimore, Md; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Md.
Corinne KeetDivision of Pediatric Allergy and Immunology, University of North Carolina, Chapel Hill, NC.
Hwanhee HongDepartment of Biostatistics and Bioinformatics, Duke University, Durham, NC.
Ayobami AkenroyeDivision of Allergy and Clinical Immunology, Brigham and Women's Hospital and Harvard Medical School, Boston, Mass; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Md; Channing Division of Network Medicine, Brigham and Women's Hospital, Boston, Mass. Electronic address: aakenroye@bwh.harvard.edu.
Brigham and Women's Hospital · USCornell University · USDuke University · USHarvard University · USJohns Hopkins University · USUniversity of North Carolina at Chapel Hill · US

Funding

Synthesizing Trial and Real-world Data on the Use of Biologics in Patients with Severe AsthmaR00MD015767 · NIMHD · BRIGHAM AND WOMEN'S HOSPITAL · PI AKENROYE, AYOBAMI T · 2023 to 2025
$677k
Synthesizing Trial and Real-world Data on the Use of Biologics in Patients with Severe AsthmaK99MD015767 · NIMHD · JOHNS HOPKINS UNIVERSITY · PI AKENROYE, AYOBAMI T · 2021 to 2022
$196k
NIMHD NIH HHS K99 MD015767NIMHD NIH HHS R00 MD015767
6 · The paper itself

Abstract

backgroundIt is unclear how the efficacy of tezepelumab, approved for the treatment of type 2 high and low asthma, compares to the efficacy of other biologics for type 2-high asthma.

objectivesWe sought to conduct an indirect comparison of tezepelumab to dupilumab, benralizumab, and mepolizumab in the treatment of eosinophilic asthma.

methodsThe investigators conducted a systematic review and Bayesian network meta-analyses. They identified randomized controlled trials indexed in PubMed, Embase, or Cochrane Central Register of Controlled Trials (CENTRAL) between January 1, 2000, and August 12, 2022. Outcomes included exacerbation rates, prebronchodilator FEV

resultsTen randomized controlled trials (n = 9201) met eligibility. Tezepelumab (relative risk: 0.63; 95% credible interval [CI]: 0.46-0.86) was associated with significantly lower exacerbation rates than benralizumab and larger improvements in FEV

conclusionsIn individuals with eosinophilic asthma, tezepelumab and dupilumab were associated with greater improvements (although below clinical thresholds) in exacerbation rates and lung function than benralizumab or mepolizumab.

Indexed as

Anti-Asthmatic AgentsAsthmaBiological ProductsPulmonary EosinophiliaAntibodies, Monoclonal, HumanizedBayes TheoremHumansAnti-Asthmatic AgentsAntibodies, Monoclonal, HumanizedbenralizumabBiological ProductsdupilumabmepolizumabtezepelumabAsthmaBayesianbenralizumabcomparative effectivenessdupilumabeosinophilicmAbmepolizumabnetwork meta-analysistezepelumab

Identifiers

PMID36538979
PMCPMC9992307
OpenAlexW4313398497

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.