Evidence map›Paper›PMID 40261563›Full record

SynthesisAdvances in therapy2025

Efficacy of Biologics in Reducing Exacerbations Requiring Hospitalization or an Emergency Department Visit in Patients with Moderate or Severe, Uncontrolled Asthma.

Reynold A Panettieri, Monica Kraft, Mario Castro, Magdalena Bober, Andrew W Lindsley, Max Shelkrot, Christopher S Ambrose

Abstract readMeta-AnalysisReview
In one paragraph

Synthesis in Advances in therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. The role of innate immune system in respiratory viral infection related asthma.Frontiers in cellular and infection microbiology · 2025
    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

7 authors.

Reynold A PanettieriRutgers Institute for Translational Medicine and Science, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA. rp856@rbhs.rutgers.edu.
Monica KraftDepartment of Medicine, Icahn School of Medicine, Mount Sinai Health System, New York, NY, USA.
Mario CastroDivision of Pulmonary, Critical Care and Sleep Medicine, University of Kansas School of Medicine, Kansas City, KS, USA.ORCID http://orcid.org/0000-0001-6328-8994
Magdalena BoberBiometrics, Late-Stage Development, Respiratory and Immunology, BioPharmaceuticals R&D, AstraZeneca, Warsaw, Poland.
Andrew W LindsleyUS Medical Affairs, Amgen, Thousand Oaks, CA, USA.ORCID http://orcid.org/0000-0003-2670-704X
Max ShelkrotUS Medical Affairs, AstraZeneca, Wilmington, DE, USA.
Christopher S AmbroseRespiratory and Immunology, BioPharmaceuticals Medical, AstraZeneca, Gaithersburg, MD, USA.ORCID http://orcid.org/0000-0003-4175-7336

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatients with moderate or severe, uncontrolled asthma are often prescribed biologic therapies to improve disease control and reduce asthma exacerbations. The efficacy of different biologics in reducing asthma exacerbations associated with hospitalization or an emergency department (ED) visit has varied across randomized controlled trials (RCTs). This study summarizes published US Food and Drug Administration-approved biologic efficacy data for exacerbations that required hospitalization or an ED visit in patients with moderate or severe, uncontrolled asthma.

methodsA PubMed literature search (24 May 2024) identified phase 2b/3 RCTs of omalizumab, mepolizumab, reslizumab, benralizumab, dupilumab, or tezepelumab. Annualized asthma exacerbation rate (AAER) ratios for exacerbations that required hospitalization or an ED visit, or hospitalization regardless of an ED visit, were extracted. A pooled efficacy estimate of the AAER ratio for exacerbations that required hospitalization or an ED visit across the RCTs was assessed using a meta-analysis based on a random effects model. The percentage of total variation across all included RCTs that was due to heterogeneity was calculated (I

resultsAmong 308 articles identified, nine publications describing 10 RCTs reported relevant AAER ratio data. No suitable omalizumab data were identified. In all trials, biologic treatment showed a reduction versus placebo in the AAER for exacerbations that required hospitalization or an ED visit, except in one of two benralizumab studies and both reslizumab studies. The pooled efficacy estimate showed a 56% reduction (95% CI 37-69) in the AAER for exacerbations requiring hospitalization or an ED visit (I

conclusionThese findings suggest that there may be differential effects of biologics in reducing exacerbations that require hospitalization or an ED visit in patients with moderate or severe, uncontrolled asthma.

Indexed as

Anti-Asthmatic AgentsAsthmaBiological ProductsEmergency Service, HospitalHospitalizationAntibodies, Monoclonal, HumanizedDisease ProgressionEmergency Room VisitsHumansRandomized Controlled Trials as TopicSeverity of Illness IndexAnti-Asthmatic AgentsAntibodies, Monoclonal, HumanizedBiological ProductsmepolizumabBiologicEfficacyEmergency departmentExacerbationsHospitalizationLiterature reviewModerate asthmaRandomized placebo-controlled trialSevere asthma

Identifiers

PMID40261563
PMCPMC12085395

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Registered trials

None linked

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.