Evidence map›Paper›PMID 40091885›Full record

ArticleThe journal of allergy and clinical immunology. Global2025

Clinical remission of mild-to-moderate asthma: Rates, contributing factors, and stability.

Mana Ishizuka, Naoya Sugimoto, Konomi Kobayashi, Yuri Takeshita, Sahoko Imoto, Yuta Koizumi, Yusuke Togashi, Yutaro Tanaka, Maki Nagata, Saya Hattori and 5 more

Registry-linked trialAbstract read
In one paragraph

Article in The journal of allergy and clinical immunology. Global, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07351916 (Remission in Adults With Mild-to-moderate Asthma in Thailand), which is not on this 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.

NCT07351916 recruitingnot on this mapstarted 2026, after this paper: background citation

Remission in Adults With Mild-to-moderate Asthma in Thailand

TypeobservationalSponsorThammasat UniversityRan2026 to 2026Enrolled289ConditionsAsthma, Mild-to-moderate Asthma, Asthma Control LevelArmsGlobal Initiative for Asthma (GINA) and Asthma Control Test (ACT) questionnaires, Spirometry, Fractional exhaled nitric oxide (FeNO) test, Blood eosinophil count (BEC)
3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Article
  7. 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

15 authors.

Mana IshizukaDepartment of Medicine, Division of Respiratory Medicine and Allergology, Teikyo University School of Medicine, Tokyo, Japan.
Naoya SugimotoDepartment of Medicine, Division of Respiratory Medicine and Allergology, Teikyo University School of Medicine, Tokyo, Japan.
Konomi KobayashiDepartment of Medicine, Division of Respiratory Medicine and Allergology, Teikyo University School of Medicine, Tokyo, Japan.
Yuri TakeshitaDepartment of Medicine, Division of Respiratory Medicine and Allergology, Teikyo University School of Medicine, Tokyo, Japan.
Sahoko ImotoDepartment of Medicine, Division of Respiratory Medicine and Allergology, Teikyo University School of Medicine, Tokyo, Japan.
Yuta KoizumiDepartment of Medicine, Division of Respiratory Medicine and Allergology, Teikyo University School of Medicine, Tokyo, Japan.
Yusuke TogashiDepartment of Medicine, Division of Respiratory Medicine and Allergology, Teikyo University School of Medicine, Tokyo, Japan.
Yutaro TanakaDepartment of Medicine, Division of Respiratory Medicine and Allergology, Teikyo University School of Medicine, Tokyo, Japan.
Maki NagataDepartment of Medicine, Division of Respiratory Medicine and Allergology, Teikyo University School of Medicine, Tokyo, Japan.
Saya HattoriDepartment of Medicine, Division of Respiratory Medicine and Allergology, Teikyo University School of Medicine, Tokyo, Japan.
Yuki UeharaDepartment of Medicine, Division of Respiratory Medicine and Allergology, Teikyo University School of Medicine, Tokyo, Japan.
Yuki SuzukiDepartment of Medicine, Division of Respiratory Medicine and Allergology, Teikyo University School of Medicine, Tokyo, Japan.
Hikaru ToyotaDepartment of Medicine, Division of Respiratory Medicine and Allergology, Teikyo University School of Medicine, Tokyo, Japan.
Satoru IshiiDepartment of Medicine, Division of Respiratory Medicine and Allergology, Teikyo University School of Medicine, Tokyo, Japan.
Hiroyuki NagaseDepartment of Medicine, Division of Respiratory Medicine and Allergology, Teikyo University School of Medicine, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Although clinical remission (CR) of severe asthma has been extensively investigated, CR of mild-to-moderate asthma remains unexplored. Objective: This study aimed to determine CR rates, contributing factors, and stability in patients with mild-to-moderate asthma. Methods: We retrospectively analyzed 263 patients with asthma. Three-component CR was defined as no exacerbation, no daily oral corticosteroid receipt, and an Asthma Control Test score equivalent to that of the well control; 4-component CR included these parameters plus forced expiratory volume in 1 second of ≥80% predicted. CR during the 1 year and stability of CR over 10 years were retrospectively analyzed in patients with mild-to-moderate and severe asthma. Results: The CR rates were significantly higher (4-component, 73.2%; 3-component, 81.0%) in patients with mild-to-moderate asthma compared with the CR rate in patients with severe asthma (4-component, 33.9%; and 3-component, 30.6%). A lower smoking index contributed to 3- and 4-component CR. Lower body mass index contributed to 3-component remission, and later onset and shorter asthma duration contributed to 4-component remission. In patients experiencing 4-component remission 10 years before, 80.3% maintained disease in remission; 89.1% of patients experiencing 3-component remission maintained disease in remission. In patients with disease that did not maintain 4-component CR after 10 years, predicted forced expiratory volume decreased, but no differences in inhaled corticosteroid and long-acting β-agonists/long-acting muscarinic antagonists receipt were detected between 10 years ago and the present. The current muscarinic antagonist receipt remained low, at 16.7%. Conclusion: CR, including normalized forced expiratory volume, is obtainable and sustainable in most Japanese patients with mild-to-moderate asthma. Assessing CR in these patients may help avoid undertreatment and reduce future risks.

Indexed as

Clinical remissionmild asthmamoderate asthmapractical guidelines for asthma managementpulmonary functionstability

Identifiers

PMID40091885
PMCPMC11909757

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.