Evidence map›Paper›PMID 38093952›Full record

ArticleThe World Allergy Organization journal2023

A comparison of treatment response to biologics in asthma-COPD overlap and pure asthma: Findings from the PRISM study.

Ji-Su Shim, Hyunkyoung Kim, Jae-Woo Kwon, So-Young Park, Sujeong Kim, Byung-Keun Kim, Young-Hee Nam, Min-Suk Yang, Mi-Yeong Kim, Sae-Hoon Kim and 16 more

Open access · goldAbstract read
In one paragraph

Article in The World Allergy Organization journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
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

16 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
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  10. Persistent airway obstruction in severe eosinophilic asthma: targeting interleukin-5 and eosinophils.European respiratory review : an official journal of the European Respiratory Society · 2025
    Review
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  16. Differential Clinical Significance of FENOJournal of asthma and allergy · 2024
    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

26 authors at 13 institutions in 2 countries.

Ji-Su ShimDepartment of Internal Medicine, Ewha Womans University College of Medicine, Seoul, South Korea.
Hyunkyoung KimDepartment of Allergy and Clinical Immunology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
Jae-Woo KwonDepartment of Allergy and Clinical Immunology, Kangwon National University School of Medicine, Chuncheon, South Korea.
So-Young ParkDivision of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Chung-Ang University Gwangmyeong Hospital, Chung-Ang University College of Medicine, Seoul, South Korea.
Sujeong KimDepartment of Internal Medicine, School of Medicine, Kyungpook National University, Daegu, South Korea.
Byung-Keun KimDepartment of Internal Medicine, Korea University College of Medicine, Seoul, South Korea.
Young-Hee NamDepartment of Internal Medicine, Dong-A University College of Medicine, Busan, South Korea.
Min-Suk YangDepartment of Internal Medicine, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, South Korea.
Mi-Yeong KimDepartment of Internal Medicine, Busan Paik Hospital, Inje University College of Medicine, Busan, South Korea.
Sae-Hoon KimDepartment of Internal Medicine, Division of Allergy and Clinical Immunology, Seoul National University Bundang Hospital, Seongnam, South Korea.
Byung-Jae LeeDepartments of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Taehoon LeeDepartment of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, South Korea.
Sang-Ha KimDepartment of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, South Korea.
So Young ParkDepartment of Internal Medicine, Veterans Health Service Medical Center, Seoul, South Korea.
Young-Joo ChoDepartment of Internal Medicine, Ewha Womans University College of Medicine, Seoul, South Korea.
Chan Sun ParkDepartment of Internal Medicine, Haeundae Paik Hospital, Inje University College of Medicine, Busan, South Korea.
Jae-Woo JungDepartment of Internal Medicine, Chung-Ang University College of Medicine, Seoul, South Korea.
Han-Ki ParkDepartment of Internal Medicine, School of Medicine, Kyungpook National University, Daegu, South Korea.
Joo-Hee KimDepartment of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, South Korea.
Jeong-Hee ChoiDepartment of Pulmonology and Allergy, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, South Korea.
Ji-Yong MoonDepartment of Internal Medicine, Hanyang University College of Medicine, Seoul, South Korea.
Ian AdcockNational Heart and Lung Institute, Imperial College London, United Kingdom.
Kian Fan ChungNational Heart and Lung Institute, Imperial College London, United Kingdom.
Min-Hye KimDepartment of Internal Medicine, Ewha Womans University College of Medicine, Seoul, South Korea.
Tae-Bum KimDepartment of Allergy and Clinical Immunology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
Precision Intervention in Severe Asthma (PRISM) study investigatorsa
Ewha Womans University · KRUlsan College · KRYonsei University · KRHallym University Dongtan Sacred Heart Hospital · KRKyungpook National University Hospital · KRDong-A University · KRHanyang University · KRImperial College London · GBInje University Haeundae Paik Hospital · KRKangwon National University · KRKorea University · KRSeoul National University · KRVeterans Health Service Medical Center · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Despite the increasing use of biologics in severe asthma, there is limited research on their use in asthma-chronic obstructive pulmonary disease overlap (ACO). We compared real-world treatment responses to biologics in ACO and asthma. Methods: We conducted a multicenter, retrospective, cohort study using data from the Precision Medicine Intervention in Severe Asthma (PRISM). ACO was defined as post-bronchodilator forced expiratory volume in 1 s (FEV1)/forced vital capacity (FVC) <0.7 and a smoking history of >10 pack-years. Physicians selected biologics (omalizumab, mepolizumab, reslizumab, benralizumab, and dupilumab) based on each United States Food & Drug Administration (FDA) approval criteria. Results: After six-month treatment with biologics, both patients with ACO (N = 13) and asthma (N = 81) showed positive responses in FEV1 (10.69 ± 17.17 vs. 11.25 ± 12.87 %, P = 0.652), Asthma Control Test score (3.33 ± 5.47 vs. 5.39 ± 5.42, P = 0.290), oral corticosteroid use (-117.50 ± 94.38 vs. -115.06 ± 456.85 mg, P = 0.688), fractional exhaled nitric oxide levels (-18.62 ± 24.68 vs. -14.66 ± 45.35 ppb, P = 0.415), sputum eosinophils (-3.40 ± 10.60 vs. -14.48 ± 24.01 %, P = 0.065), blood eosinophils (-36.47 ± 517.02 vs. -363.22 ± 1294.59, P = 0.013), and exacerbation frequency (-3.07 ± 4.42 vs. -3.19 ± 5.11, P = 0.943). The odds ratio for exacerbation and time-to-first exacerbation showed no significant difference after full adjustments, and subgroup analysis according to biologic type was also showed similar results. Conclusions: Biologics treatment response patterns in patients with ACO and asthma were comparable, suggesting that biologics should be actively considered for ACO patients as well.

Indexed as

AsthmaAsthma-COPD overlapBiologicsMonoclonal antibodiesTreatment response

Identifiers

PMID38093952
PMCPMC10716772
OpenAlexW4389616081

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.