Evidence map›Paper›PMID 38327518›Full record

ArticleFrontiers in immunology2024

Features of severe asthma response to anti-IL5/IL5r therapies: identikit of clinical remission.

Giovanna Elisiana Carpagnano, Andrea Portacci, Santi Nolasco, Aikaterini Detoraki, Alessandro Vatrella, Cecilia Calabrese, Corrado Pelaia, Francesca Montagnolo, Giulia Scioscia, Giuseppe Valenti and 5 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
8.5field-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

17 citing papers in PubMed, 26 citations in OpenAlex.

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  11. Achieving remission in severe asthma.Chinese medical journal pulmonary and critical care medicine · 2025
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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

15 authors at 8 institutions in 1 country.

Giovanna Elisiana CarpagnanoDepartment of Translational Biomedicine and Neuroscience, Institute of Respiratory Disease, University "Aldo Moro", Bari, Italy.
Andrea PortacciDepartment of Translational Biomedicine and Neuroscience, Institute of Respiratory Disease, University "Aldo Moro", Bari, Italy.
Santi NolascoRespiratory Medicine Unit, Policlinico "G. Rodolico-San Marco" University Hospital, Catania, Italy.
Aikaterini DetorakiDivision of Internal Medicine and Clinical Immunology, Department of Internal Medicine and Clinical Complexity, Azienda Ospedaliera Universitaria Federico II, Napoli, Italy.
Alessandro VatrellaDepartment of Medicine, Surgery and Dentistry, University of Salerno, Salerno, Italy.
Cecilia CalabreseUnitá Operativa (UO) Clinica Pneumologica SUN, Dipartimento Pneumologia ed Oncologia, Azienda Ospedaliera Specialistica dei Colli, Napoli, Italy.
Corrado PelaiaDepartment of Health Sciences, University "Magna Graecia" of Catanzaro, Catanzaro, Italy.
Francesca MontagnoloDepartment of Translational Biomedicine and Neuroscience, Institute of Respiratory Disease, University "Aldo Moro", Bari, Italy.
Giulia SciosciaDepartment of Medical and Surgical Sciences, University of Foggia, Foggia, Italy.
Giuseppe ValentiAllergology and Pulmonology Unit, Provincial Outpatient Center of Palermo, Palermo, Italy.
Maria D'AmatoUnitá Operativa Semplice Dipartimentale (UOSD) Malattie Respiratorie "Federico II", Ospedale Monaldi, Azienda Ospedaliera (AO) Dei Colli, Naples, Italy.
Maria Filomena CaiaffaDepartment of Medical and Surgical Sciences, School and Chair of Allergology and Clinical Immunology, University of Foggia, Foggia, Italy.
Massimo TriggianiDivision of Allergy and Clinical Immunology, University of Salerno, Salerno, Italy.
Nicola ScichiloneDivision of Respiratory Diseases, Department of Health Promotion Sciences, Maternal and Infant Care, Internal Medicine and Medical Specialties (PROMISE), University of Palermo, Palermo, Italy.
Claudia CrimiRespiratory Medicine Unit, Policlinico "G. Rodolico-San Marco" University Hospital, Catania, Italy.
Neuroscience Institute · ITMarconi University · ITUniversity of Foggia · ITUniversity of Palermo · ITUniversity of Salerno · ITFederico II University Hospital · ITMagna Graecia University · ITOspedale Monaldi · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Clinical remission (CliR) achievement has been recognized as a new potential outcome in severe asthma. Nevertheless, we still lack a detailed profile of what features could better identify patients undergoing clinical remission. In this study, we aim to address this issue, tracing a possible identikit of patients fulfilling remission criteria. Methods: We enrolled 266 patients with severe eosinophilic asthma (SEA) treated with a 12-month course of anti-IL5/IL5 receptor (IL5r) monoclonal antibodies. Patients with no exacerbation, OCS withdrawal, ACT ≥ 20 and FEV Results: 30.5% of the enrolled patients achieved remission after biologic administration. CliR group showed a lower number of baseline asthma exacerbations and better lung function parameters, with a trend for higher ACT scores and a less frequent history of a positive skin prick test. CliR achievement was unlikely in presence of a higher BMI, a positive skin prick test, an increased number of asthma exacerbations before biologic treatment, anti-muscarinic administration, and a previous diagnosis of EGPA, bronchiectasis or osteoporosis. In contrast, a better lung function, an increased blood eosinophilic count, the presence of chronic rhinosinusitis with nasal polyps and a more frequent use of reliever therapy predicts remission development. Changes in exacerbations number, OCS use, ACT scores and FEV Discussion: anti-IL5/IL5r biologics can induce CliR in a proportion of patients with SEA. Patients achieving remission demonstrate specific clinical, functional and inflammatory features, as well as a specific moment of improvement in all the CliR items.

Indexed as

AsthmaBronchiectasisNasal PolypsOsteoporosisPulmonary EosinophiliaHumansReceptors, Interleukin-5Receptors, Interleukin-5anti-IL5anti-IL5 receptorbiologicsclinical remissioncorticosteroidsexacerbationsFEV1severe asthma

Identifiers

PMID38327518
PMCPMC10848329
OpenAlexW4391144167

What OpenQuestion holds

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LicenceCC BY
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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.