Evidence map›Paper›PMID 38476213›Full record

ArticleJournal of asthma and allergy2024

Impact of Exacerbation History on Dupilumab Efficacy in Children with Uncontrolled Moderate-to-Severe Asthma: LIBERTY ASTHMA VOYAGE Study.

Theresa W Guilbert, Alberto Tolcachier, Alessandro G Fiocchi, Constance H Katelaris, Wanda Phipatanakul, Philippe Begin, Inés de Mir, Arman Altincatal, Rebecca Gall, Olivier Ledanois and 4 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of asthma and allergy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02948959 (A Randomized, Double-blind, Placebo-controlled, Parallel Group Study to Evaluate the Efficacy and Safety of Dupilumab in Children 6 to <12 Years of Age With Uncontrolled Persistent Asthma), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 26% 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.

NCT02948959 phase3completednot on this map

A Randomized, Double-blind, Placebo-controlled, Parallel Group Study to Evaluate the Efficacy and Safety of Dupilumab in Children 6 to <12 Years of Age With Uncontrolled Persistent Asthma

TypeinterventionalSponsorSanofiRan2017 to 2020Enrolled408ConditionsAsthmaArmsDupilumab, Placebo, Asthma Controller Therapies, Asthma Reliever Therapies
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Update on biologic and small molecules treatments in pediatric allergic diseases.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Review
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

14 authors at 9 institutions in 6 countries.

Theresa W GuilbertDepartment of Pediatrics, Cincinnati Children's Hospital and University of Cincinnati, Cincinnati, OH, USA.
Alberto TolcachierCenter for Allergy and Respiratory Diseases, Buenos Aires, Argentina.
Alessandro G FiocchiBambino Gesù Children's Hospital IRCCS, Rome, Italy.
Constance H KatelarisDepartment of Medicine, Campbelltown Hospital, Campbelltown, NSW, Australia.
Wanda PhipatanakulDepartment of Allergy and Immunology, Boston Children's Hospital, Boston, MA, USA.
Philippe BeginCentre Hospitalier Universitaire (CHU) Sainte-Justine, Montreal, QC, Canada.
Inés de MirPediatric Pulmonary Unit, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Arman AltincatalSanofi, Cambridge, MA, USA.
Rebecca GallRegeneron Pharmaceuticals Inc., Tarrytown, NY, USA.
Olivier LedanoisSanofi, Paris, France.
Amr RadwanRegeneron Pharmaceuticals Inc., Tarrytown, NY, USA.
Juby A Jacob-NaraSanofi, Bridgewater, NJ, USA.
Yamo DenizRegeneron Pharmaceuticals Inc., Tarrytown, NY, USA.
Paul J RoweSanofi, Bridgewater, NJ, USA.
Regeneron (United States) · USSanofi (United States) · USBambino Gesù Children's Hospital · ITCamden and Campbelltown Hospitals · AUCentre Hospitalier Universitaire Sainte-Justine · CAHarvard University · USSanofi (France) · FRUniversity of Cincinnati · USVall d'Hebron Hospital Universitari · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Dupilumab, a fully human monoclonal antibody, blocks the shared receptor component for interleukins-4/-13, key and central drivers of type 2 inflammation in multiple diseases. This post hoc analysis of the Phase 3 LIBERTY ASTHMA VOYAGE study (NCT02948959) evaluated the efficacy of dupilumab in children aged 6 to 11 years with moderate-to-severe asthma with a type 2 inflammatory phenotype (blood eosinophil count ≥150 cells/µL or fractional exhaled nitric oxide [FeNO] ≥20 ppb) and a history of 1, 2, or ≥3 prior exacerbations. The impact of baseline type 2 biomarker levels on the efficacy of dupilumab in this population was also investigated. Patients and Methods: Patients were stratified by the number of exacerbations in the prior year (1, 2, or ≥3) and level of FeNO or blood eosinophil count at baseline. Endpoints included rate of severe exacerbations, percentage of non-exacerbators, and change from baseline in both lung function parameters (pre- and post-bronchodilator [BD] percent predicted forced expiratory volume in 1 s (ppFEV Results: A total of 350 patients were included in this analysis. Across patients with 1, 2, or ≥3 prior exacerbations and different levels of type 2 biomarkers, dupilumab reduced the risk of severe asthma exacerbations vs placebo by 53.0-96.0% and improved both pre-BD ppFEV Conclusion: In children with uncontrolled, moderate-to-severe asthma with a type 2 phenotype, dupilumab consistently reduced the risk of asthma exacerbations, improved lung function, and reduced ACQ-7-IA scores, regardless of exacerbation history.

Indexed as

anti-interleukin-4 and -13asthma controlbiologicslung functionpediatric asthmatype 2 asthma

Identifiers

PMID38476213
PMCPMC10928922
OpenAlexW4392377136

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.