Evidence map›Paper›PMID 38910283›Full record

ArticleAllergy, asthma & immunology research2024

Real-World Effectiveness of Biologics in Patients With Severe Asthma: Analysis of the KoSAR.

So-Young Park, Sun-Kyung Lee, Woo-Jung Song, Min-Hye Kim, Ga-Young Ban, Joo-Hee Kim, Byung-Keun Kim, Jae-Woo Kwon, Kyoung-Hee Sohn, Hwa Young Lee and 17 more

Abstract read
In one paragraph

Article in Allergy, asthma & immunology research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Biologics in Severe Asthma: An Ideal Choice for Achieving Control.Allergy, asthma & immunology research · 2024
    Article
  8. Article
  9. 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

27 authors.

So-Young ParkDepartment of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-5224-3077
Sun-Kyung LeeDepartment of Mathematics, College of Natural Sciences, Hanyang University, Seoul, Korea.ORCID https://orcid.org/0000-0003-0033-1339
Woo-Jung SongDepartment of Allergy and Clinical Immunology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-4630-9922
Min-Hye KimDivision of Allergy and Clinical Immunology, Department of Internal Medicine, Ewha University Seoul Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-1775-3733
Ga-Young BanDivision of Pulmonary, Department of Internal Medicine, Allergy and Critical Care Medicine, Hallym University Gangdong Sacred Heart Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-7961-742X
Joo-Hee KimDivision of Pulmonary Medicine, Department of Internal Medicine, Hallym University Sacred Heart Hospital, Hallym University Medical School, Anyang, Korea.ORCID https://orcid.org/0000-0002-1572-5149
Byung-Keun KimDivision of Pulmonology, Allergy and Critical Care Medicine, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-5147-6306
Jae-Woo KwonDivision of Allergy and Clinical Immunology, Department of Internal Medicine, Gangwon National University Hospital, Chuncheon, Korea.ORCID https://orcid.org/0000-0003-1639-3606
Kyoung-Hee SohnDivision of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Kyung Hee University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0001-8407-8080
Hwa Young LeeDivision of Allergy, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.ORCID https://orcid.org/0000-0002-1582-2256
Jae-Woo JungDepartment of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-3411-735X
Chan-Sun ParkDepartment of Internal Medicine, Inje University of College of Medicine, Haeundae Paik Hospital, Busan, Korea.ORCID https://orcid.org/0000-0003-0113-8354
Sung-Yoon KangDepartment of Internal Medicine, Gachon University Gil Medical Center, Incheon, Korea.ORCID https://orcid.org/0000-0001-5505-3028
Min Suk YangDivision of Allergy and Clinical Immunology, Department of Internal Medicine, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, Korea.ORCID https://orcid.org/0000-0002-9861-0530
Jae Hyun LeeDivision of Allergy and Clinical Immunology, Department of Internal Medicine, Yonsei University Severance Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-0760-0071
An-Soo JangDivision of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Sunchunhyang University Bucheon Hospital, Bucheon, Korea.ORCID https://orcid.org/0000-0001-5343-023X
So Ri KimDepartment of Internal Medicine, Research Center for Pulmonary Disorders, Chonbuk National University Medical School, Jeonju, Korea.ORCID https://orcid.org/0000-0002-6074-9158
Taehoon LeeDivision of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Ulsan University Hospital, Ulsan, Korea.ORCID https://orcid.org/0000-0002-9224-0866
Chin Kook RheeDivision of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Catholic University St. Mary's Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-4533-7937
Heung-Woo ParkDivision of Allergy and Clinical Immunology, Department of Internal Medicine, Seoul National University, Seoul, Korea.ORCID https://orcid.org/0000-0002-6970-3228
Sang-Hoon KimDepartment of Internal Medicine, Eulji University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-4105-0552
Yoon-Seok ChangDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.ORCID https://orcid.org/0000-0003-3157-0447
Young-Il KohDepartment of Allergy and Clinical Immunology, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea.ORCID https://orcid.org/0000-0002-5100-9473
Byung-Jae LeeDivision of Allergy, Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-6940-0836
Hae-Sim ParkDepartment of Allergy and Clinical Immunology, Ajou University School of Medicine, Suwon, Korea.ORCID https://orcid.org/0000-0003-2614-0303
Sang-Heon KimDivision of Pulmonary Medicine and Allergy, Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea. sangheonkim@hanyang.ac.kr.ORCID https://orcid.org/0000-0001-8398-4444
You Sook ChoDepartment of Allergy and Clinical Immunology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. yscho@amc.seoul.kr.ORCID https://orcid.org/0000-0001-8767-2667

Funding

Korea National Institute of Health 2022-ER1205-00Ministry of Health and Welfare HC19C0318
6 · The paper itself

Abstract

purposeSevere asthma is associated with high morbidity and healthcare utilization; however, treatment options for these patients are limited. This study aimed to determine the therapeutic effects of biologics in clinical practice.

methodsThis multicenter, retrospective cohort study included 136 patients who received biologics for at least 4 months between September 2017 and July 2022 at 25 medical centers affiliated with the Korean Severe Asthma Registry (KoSAR). The study evaluated the treatment effects, including acute exacerbation rates, maintenance of oral corticosteroid dosages, lung function, quality of life, blood eosinophil count, and fractional exhaled nitric oxide (FeNO) levels, by comparing measurements before and after 4 months of biologic treatment. Responses for each medication was evaluated based on the Global Evaluation of Treatment Effectiveness score, and any adverse reactions were summarized.

resultsWith the administration of biologics over the course of 4 months, there was a reduction in asthma acute exacerbations, a significant improvement in lung function, and a significant decrease in daily maintenance dose of oral steroid. Blood eosinophil counts decreased in the mepolizumab and reslizumab groups, while FeNO levels decreased only in the dupilumab group. The Asthma Control Test, Quality of Life Questionnaire for Adult Korean Asthmatics, and the EuroQol-visual analogue scale scores showed a significant improvement. Most patients (80.15%) responded to the biologic treatment. Meanwhile, non-responders often had chronic rhinosinusitis as a comorbidity, exhibited lower lung function, and required higher doses of oral steroids. No severe adverse events were reported.

conclusionsBiologics are highly effective in Korean patients with Type 2 severe asthma, significantly reducing acute exacerbation rates and doses of oral corticosteroids, while also improving lung function. Therefore, it seems beneficial to administer biologics without any restrictions to patients exhibiting Type 2 severe asthma.

Indexed as

Asthmadupilumabeosinophilslung functionmepolizumabomalizumabreslizumabrhinosinusitis

Identifiers

PMID38910283
PMCPMC11199155

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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.