Evidence map›Paper›PMID 38575162›Full record

Observational studyThe European respiratory journal2024

Benralizumab in severe eosinophilic asthma by previous biologic use and key clinical subgroups: real-world XALOC-1 programme.

David J Jackson, Girolamo Pelaia, Benjamin Emmanuel, Trung N Tran, David Cohen, Vivian H Shih, Anat Shavit, Douglas Arbetter, Rohit Katial, Adrian Paul J Rabe and 9 more

Open access · greenAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in The European respiratory journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
16.7field-weighted citation impact, top 1% 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Pooled it
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  6. One size does not fit all: uncontrolled T2 inflammation on tezepelumab-a case series.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2026
    Article
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  8. Early and Sustained Asthma Control and Remission in Real-World Patients With Severe Eosinophilic Asthma Treated With Benralizumab: XALOC-2.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2026
    Observational
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  19. Anti-IL-5 and anti-IL-5 receptor therapy significantly improves quality of life and FEV1 values in patients with severe asthma.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2025
    Article
  20. Advancing Remission in Severe Asthma With Benralizumab: Latest Findings, Current Perspectives and Future Direction.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2025
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 13 institutions in 6 countries.

David J JacksonGuy's Severe Asthma Centre, Guy's and Thomas' NHS Trust, London, UK david.jackson@gstt.nhs.uk.
Girolamo PelaiaDepartment of Health Sciences, "Magna Graecia" University of Catanzaro, Catanzaro, Italy.
Benjamin EmmanuelAstraZeneca, Gaithersburg, MD, USA.
Trung N TranAstraZeneca, Gaithersburg, MD, USA.
David CohenAstraZeneca, Gaithersburg, MD, USA.
Vivian H ShihAstraZeneca, Gaithersburg, MD, USA.ORCID https://orcid.org/0000-0003-0853-4210
Anat ShavitAstraZeneca, Cambridge, UK.
Douglas ArbetterAstraZeneca, Boston, MA, USA.
Rohit KatialAstraZeneca, Denver, CO, USA.
Adrian Paul J RabeAstraZeneca, Cambridge, UK.ORCID https://orcid.org/0000-0001-5237-0677
Esther Garcia GilAstraZeneca, Barcelona, Spain.
Marisa PardalAstraZeneca, Lisbon, Portugal.
Javier NuevoAstraZeneca, Madrid, Spain.
Michael WattAstraZeneca, London, UK.
Silvia BoarinoAstraZeneca, Milan, Italy.
Sheena KayaniyilAstraZeneca, Mississauga, ON, Canada.
Cláudia Chaves LoureiroPneumology Unit, Hospitais da Universidade de Coimbra, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.ORCID https://orcid.org/0000-0003-0438-6126
Alicia Padilla-GaloUnidad de Asma, Hospital Costa del Sol, Marbella, Málaga, Spain.
Parameswaran NairDivision of Respirology, McMaster University, Hamilton, ON, Canada.
AstraZeneca (United States) · USAstraZeneca (United Kingdom) · GBAlmirall (Spain) · ESAstraZeneca (Canada) · CAAstraZeneca (Italy) · ITAstraZeneca (Portugal) · PTAstraZeneca (Spain) · ESHospitais da Universidade de Coimbra · PTHospital Costa del Sol · ESKing's College London · GBMagna Graecia University · ITMcGill University · CANational Jewish Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPivotal phase 3 trials and real-world studies have demonstrated benralizumab's overall efficacy and safety in severe eosinophilic asthma (SEA). Additional large-cohort data are needed to confirm its real-world effectiveness in SEA according to previous biologic use and key baseline characteristics important for treatment selection.

methodsXALOC-1 is a large, multinational, retrospective, observational, real-world study programme of benralizumab in adults with SEA. This 48-week integrated analysis assessed annualised exacerbation rate (AER), maintenance oral corticosteroid (mOCS) use, asthma symptom control and lung function during a 12-month baseline period and up to 48 weeks after benralizumab initiation. Subgroup analyses were based on previous biologic use and key baseline clinical characteristics (mOCS use, blood eosinophil count, exacerbation history, age at asthma diagnosis, fractional exhaled nitric oxide level and presence of atopy and chronic rhinosinusitis with nasal polyps).

resultsOut of 1002 patients analysed, 380 were biologic-experienced. At week 48, 71.3% were exacerbation-free (

conclusionIn this large, real-world programme, SEA patients treated with benralizumab had substantial improvements in clinical outcomes irrespective of previous biologic use and key clinical characteristics important to therapeutic decision-making in clinical practice.

Indexed as

Anti-Asthmatic AgentsAntibodies, Monoclonal, HumanizedAsthmaAdrenal Cortex HormonesAdultAgedEosinophiliaEosinophilsFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeAdrenal Cortex HormonesAnti-Asthmatic AgentsAntibodies, Monoclonal, Humanizedbenralizumab

Identifiers

PMID38575162
PMCPMC11237372
OpenAlexW4393931572

What OpenQuestion holds

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LicenceCC BY-NC
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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.