Evidence map›Paper›PMID 37015988›Full record

ArticleScientific reports2023

Real-world efficacy of anti-IL-5 treatment in patients with allergic bronchopulmonary aspergillosis.

Katsuyoshi Tomomatsu, Hirotaka Yasuba, Takashi Ishiguro, Shiro Imokawa, Johsuke Hara, Seiko Soeda, Norihiro Harada, Naomi Tsurikisawa, Naohiro Oda, Shigeki Katoh and 9 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
7.0field-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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Review
  4. International journal of molecular sciences · 2026
    Review
  5. Review
  6. Trans-Kingdom dsRNA Sensing:bioRxiv : the preprint server for biology · 2026
    Article
  7. High total serum IgE level at diagnosis was associated with a progressive decline in lung function in asthmatic patients with allergic bronchopulmonary mycosis.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2026
    Article
  8. Eosinophilic pediatric ABPM lacking fungal sensitization responsive to anti-IL-5.The journal of allergy and clinical immunology. Global · 2026
    Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. Review
  15. Trends in the Treatment of Allergic Bronchopulmonary Aspergillosis.Annals of the American Thoracic Society · 2025
    Article
  16. Treatment of allergic bronchopulmonary aspergillosis with biologics.Chinese medical journal pulmonary and critical care medicine · 2025
    Review
  17. Allergic Bronchopulmonary Mycosis Caused byRespirology case reports · 2025
    Article
  18. Review
  19. Asthma and respiratory comorbidities.The Journal of allergy and clinical immunology · 2025
    Review
  20. 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

19 authors at 14 institutions in 1 country.

Katsuyoshi TomomatsuDivision of Pulmonary Medicine, Department of Medicine, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa, 259-1193, Japan.
Hirotaka YasubaDepartment of Airway Medicine, Mitsubishi Kyoto Hospital, Kyoto, Japan.
Takashi IshiguroDepartment of Respiratory Medicine, Saitama Cardiovascular and Respiratory Center, Saitama, Japan.
Shiro ImokawaDepartment of Respiratory Medicine, Iwata City Hospital, Shizuoka, Japan.
Johsuke HaraDepartment of Respiratory Medicine, Kanazawa University Hospital, Ishikawa, Japan.
Seiko SoedaDepartment of Allergy and Respiratory Medicine, The Fraternity Memorial Hospital, Tokyo, Japan.
Norihiro HaradaDepartment of Respiratory Medicine, Faculty of Medicine and Graduate School of Medicine, Juntendo University, Tokyo, Japan.
Naomi TsurikisawaDepartment of Pulmonology, Yokohama City University Graduate School of Medicine, Kanagawa, Japan.
Naohiro OdaDepartment of Internal Medicine, Fukuyama City Hospital, Hiroshima, Japan.
Shigeki KatohDepartment of General Medicine, Kawasaki Medical School, Okayama, Japan.
Takanori NumataDivision of Respiratory Diseases, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan.
Yasuteru SuginoDepartment of Respiratory Medicine, Toyota Memorial Hospital, Aichi, Japan.
Mitsuhiro YamadaDepartment of Respiratory Medicine, Tohoku University Graduate School of Medicine, Miyagi, Japan.ORCID 0000-0002-0832-1939
Mitsuhiro KamimuraDepartment of Pulmonology, National Hospital Organization Disaster Medical Center, Tokyo, Japan.
Takeshi TerashimaDepartment of Respiratory Medicine, Tokyo Dental College Ichikawa General Hospital, Chiba, Japan.
Naoki OkadaDivision of Pulmonary Medicine, Department of Medicine, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa, 259-1193, Japan.
Jun TanakaDivision of Pulmonary Medicine, Department of Medicine, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa, 259-1193, Japan.
Tsuyoshi OgumaDivision of Pulmonary Medicine, Department of Medicine, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa, 259-1193, Japan.
Koichiro AsanoDivision of Pulmonary Medicine, Department of Medicine, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa, 259-1193, Japan. ko-asano@tokai-u.jp.
Tokai University · JPFukuyama City Hospital · JPIwata City Hospital · JPJikei University School of Medicine · JPJuntendo University · JPKanazawa University Hospital · JPKawasaki Medical School · JPMitsubishi Kyoto Hospital · JPNational Hospital Organization · JPSaitama Prefecture · JPTohoku University · JPTokyo Dental College Ichikawa General Hospital · JPToyota Memorial Hospital · JPYokohama City University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite standard treatment with systemic corticosteroids and/or antifungal triazoles, a substantial proportion of patients with allergic bronchopulmonary aspergillosis (ABPA) experience frequent relapses and require long-term treatment despite unfavorable adverse effects. We investigated the efficacy and safety of anti-interleukin (IL)-5/IL-5 receptor α chain (Rα) monoclonal antibodies (mAbs) in patients with ABPA complicated by asthma. ABPA cases treated with anti-IL-5/IL-5Rα mAbs were collected from 132 medical institutes in 2018 and published case reports in Japan. Clinical outcomes, laboratory and physiological data, and radiographic findings during 32 weeks before and after treatment were retrospectively evaluated. We analyzed 29 cases of ABPA: 20 treated with mepolizumab and nine with benralizumab. Treatment with anti-IL-5/IL-5Rα mAbs reduced the frequency of exacerbations (p = 0.03), decreased the dose of oral corticosteroids (p < 0.01), and improved pulmonary function (p = 0.01). Mucus plugs in the bronchi shrank or diminished in 18 patients (82%). Despite the clinical/radiographical improvement, serum levels of total IgE, the key biomarker for the pharmacological response in ABPA, were unchanged. Anti-IL-5/IL-5Rα mAbs that directly target eosinophils are promising candidates for the treatment of patients with ABPA, especially those with mucus plugs in the bronchi.

Indexed as

Aspergillosis, Allergic BronchopulmonaryAsthmaAdrenal Cortex HormonesAntibodies, MonoclonalAntifungal AgentsHumansRetrospective StudiesAdrenal Cortex HormonesAntibodies, MonoclonalAntifungal Agents

Identifiers

PMID37015988
PMCPMC10073186
OpenAlexW4362555083

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.