Evidence map›Paper›PMID 38020567›Full record

ArticleERJ open research2023

Benralizumab in severe eosinophilic asthma in real life: confirmed effectiveness and contrasted effect on sputum eosinophilia

Florence Schleich, Catherine Moermans, Laurence Seidel, Céline Kempeneers, Gilles Louis, Florence Rogister, Sophie Tombu, Laurence Pottier, Anne-Lise Poirrier, Stéphanie Ziant and 6 more

Open access · goldAbstract read
In one paragraph

Article in ERJ open research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.8field-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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Observational
  6. Article
  7. Review
  8. Article
  9. Article
  10. Biologics in severe asthma: a state-of-the-art review.European respiratory review : an official journal of the European Respiratory Society · 2025
    Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Observational
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

16 authors at 2 institutions in 1 country.

Florence SchleichDepartment of Pulmonary Medicine, CHU Sart-Tilman, Liege, Belgium.ORCID https://orcid.org/0000-0002-2678-1373
Catherine MoermansDepartment of Pulmonary Medicine, CHU Sart-Tilman, Liege, Belgium.ORCID https://orcid.org/0000-0002-9558-5878
Laurence SeidelIGIGA Research Group, University of Liege, Liege, Belgium.
Céline KempeneersBiostatistics and Research Method Center (B-STAT), University of Liege and CHU Liege, Liege, Belgium.ORCID https://orcid.org/0000-0001-9681-3978
Gilles LouisDepartment of Pulmonary Medicine, CHU Sart-Tilman, Liege, Belgium.
Florence RogisterDivision of Respirology, Department of Pediatrics, CHU Liege, Liege, Belgium.
Sophie TombuDepartment of Ear, Nose and Throat, CHU Sart-Tilman, Liege, Belgium.
Laurence PottierDepartment of Ear, Nose and Throat, CHU Sart-Tilman, Liege, Belgium.
Anne-Lise PoirrierDepartment of Ear, Nose and Throat, CHU Sart-Tilman, Liege, Belgium.ORCID https://orcid.org/0000-0002-1247-2334
Stéphanie ZiantDepartment of Pulmonary Medicine, CHU Sart-Tilman, Liege, Belgium.
Monique HenketDepartment of Pulmonary Medicine, CHU Sart-Tilman, Liege, Belgium.
Carole SanchezDepartment of Pulmonary Medicine, CHU Sart-Tilman, Liege, Belgium.
Virginie PaulusDepartment of Pulmonary Medicine, CHU Sart-Tilman, Liege, Belgium.
Françoise GuissardDepartment of Pulmonary Medicine, CHU Sart-Tilman, Liege, Belgium.
Anne-Françoise DonneauBiostatistics and Research Method Center (B-STAT), University of Liege and CHU Liege, Liege, Belgium.
Renaud LouisDepartment of Pulmonary Medicine, CHU Sart-Tilman, Liege, Belgium.
University of Liège · BECentre Hospitalier Universitaire de Liège · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Randomised controlled trials have shown that benralizumab, an anti-interleukin-5 receptor monoclonal antibody, reduces exacerbations and oral corticosteroid dose and improves asthma control and lung function in severe eosinophilic asthma. The aim of this study was to confirm results of randomised controlled trials in real life in a population of 73 patients with severe eosinophilic asthma treated with benralizumab for at least 12 months. Methods: Patients underwent careful monitoring of asthma exacerbations, exhaled nitric oxide fraction, lung function, asthma control and quality of life questionnaire responses and sputum induction, and gave a blood sample at baseline, after 6 months and then every year. Results: We found significant reductions in exacerbations (by 92%, p<0.0001) and oral corticosteroid dose (by 83%, p<0.001) after 6 months that were maintained over time, with 78% of patients able to stop oral corticosteroid therapy. Patients improved their Asthma Control Test (ACT) score (from 11.7±5.1 to 16.9±5.35, p<0.0001), Asthma Control Questionnaire (ACQ) score (from 2.88±1.26 to 1.77±1.32, p<0.0001) and Asthma Quality of Life Questionnaire score (+1.04, p<0.0001) at 6 months and this was maintained during follow-up. Only 35% and 43% of patients reached asthma control according to an ACT score ≥20 and ACQ score <1.5, respectively. We observed stable post-bronchodilation lung function over time and a significant reduction in sputum eosinophil count, with 85% of patients exhibiting sputum eosinophil counts <3% after 6 months (p<0.01) with no effect on exhaled nitric oxide fraction. Conclusion: In our real-life study, we confirm the results published in randomised controlled trials showing a sharp reduction in exacerbations and oral corticosteroid therapy, an improvement in asthma control and quality of life, and a dramatic reduction in sputum eosinophil count.

Identifiers

PMID38020567
PMCPMC10680030
OpenAlexW4389060133

What OpenQuestion holds

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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.