Evidence map›Paper›PMID 39860330›Full record

ReviewJournal of clinical medicine2025

Efficacy Assessment of Biological Treatments in Severe Asthma.

Daniel Laorden, Javier Domínguez-Ortega, David Romero, Elena Villamañán, Pablo Mariscal-Aguilar, Paula Granda, Santiago Quirce, Rodolfo Álvarez-Sala, On Behalf Of Asmagrave-Hulp Group

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Review
  2. Article
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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

9 authors.

Daniel LaordenDepartment of Pneumology, Hospital La Paz, Universidad Autónoma de Madrid, IdiPAZ, and CIBER of Respiratory Diseases, 28046 Madrid, Spain.ORCID 0000-0001-9054-5925
Javier Domínguez-OrtegaDepartment of Allergy, Hospital La Paz, IdiPAZ, and CIBER of Respiratory Diseases, 28046 Madrid, Spain.ORCID 0000-0002-5397-2327
David RomeroDepartment of Pneumology, Hospital La Paz, Universidad Autónoma de Madrid, IdiPAZ, and CIBER of Respiratory Diseases, 28046 Madrid, Spain.
Elena VillamañánDepartment of Pharmacy, Hospital La Paz, IdiPAZ, 28029 Madrid, Spain.ORCID 0000-0001-6150-8471
Pablo Mariscal-AguilarDepartment of Pneumology, Hospital La Paz, Universidad Autónoma de Madrid, IdiPAZ, and CIBER of Respiratory Diseases, 28046 Madrid, Spain.ORCID 0000-0003-2459-3624
Paula GrandaPharmacy Department, Gómez Ulla Military Hospital, 28047 Madrid, Spain.ORCID 0000-0001-6967-460X
Santiago QuirceDepartment of Allergy, Hospital La Paz, IdiPAZ, and CIBER of Respiratory Diseases, 28046 Madrid, Spain.ORCID 0000-0001-8086-0921
Rodolfo Álvarez-SalaDepartment of Pneumology, Hospital La Paz, Universidad Autónoma de Madrid, IdiPAZ, and CIBER of Respiratory Diseases, 28046 Madrid, Spain.ORCID 0000-0001-5368-7537
On Behalf Of Asmagrave-Hulp Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Uncontrolled, severe asthma remains a significant clinical challenge, affecting a small proportion of asthma patients worldwide. Despite advancements in treatment options, a subset of patients continues to experience frequent exacerbations, uncontrolled symptoms, and impaired quality of life. The advent of biological therapies has revolutionized the management of severe asthma, offering targeted treatments that address specific inflammatory pathways. This review provides a comprehensive overview of the efficacy and response criteria of biological treatments in severe asthma, focusing on clinical, functional, and inflammatory markers used to help in the evaluation of the biologic treatment. Key response criteria include symptom control, reduction in exacerbations, improvement in lung function, and a reduction in or the discontinuation of oral corticosteroids. Biomarkers such as blood eosinophils and exhaled nitric oxide (FeNO) are essential tools in guiding treatment adjustments. Real-world studies underscore the importance of personalized treatment strategies, as variability in response to biological therapies can be significant. The emergence of tools such as the FEOS score and EXACTO questionnaire offer quantitative measures for assessing biological response and guiding clinical decisions. Additionally, predictive factors for better or poorer responses, such as pre-treatment lung function and comorbidities, like obesity and rhinosinusitis, are critical in patient selection. This review highlights the need for ongoing reassessments and potential modifications of therapy in cases of suboptimal response. Practical considerations for switching biological therapies are discussed, emphasizing the importance of tailoring treatments to individual patient profiles and disease phenotypes. With the continued development of personalized medicine, the outlook for patients with severe asthma is improving, selecting specific biomarkers to improve the selection of the biologic treatment.

Indexed as

biologicbiomarkersefficacy toolspersonalized medicinesevere asthma

Identifiers

PMID39860330
PMCPMC11766327

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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.