Evidence map›Paper›PMID 40458676›Full record

ArticleThe journal of allergy and clinical immunology. Global2025

Dupilumab efficacy in patients with type 2 asthma and early Feno level reductions.

Ian D Pavord, Michael E Wechsler, William W Busse, Christian Domingo, Changming Xia, Rebecca Gall, Nami Pandit-Abid, Juby A Jacob-Nara, Amr Radwan, Paul J Rowe and 1 more

2 registry-linked trialsAbstract 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 2 registered trials, which are not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT02134028 phase3completednot on this map

Open-label Extension Study to Evaluate the Long-term Safety and Tolerability of Dupilumab in Patients With Asthma Who Participated in a Previous Dupilumab Asthma Clinical Study

TypeinterventionalSponsorSanofiRan2014 to 2019Enrolled2,282ConditionsAsthmaArmsDupilumab
NCT02414854 phase3completednot on this map

A Randomized, Double Blind, Placebo-Controlled, Parallel Group Study to Evaluate the Efficacy and Safety of Dupilumab in Patients With Persistent Asthma

TypeinterventionalSponsorSanofiRan2015 to 2017Enrolled1,902ConditionsAsthmaArmsDupilumab, Placebo, Inhaled corticosteroid (ICS) therapy, Albuterol/Salbutamol, Levalbuterol/Levosalbutamol
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

11 authors.

Ian D PavordNational Institute for Health and Care Research Biomedical Research Centre, University of Oxford, Oxford, United Kingdom.
Michael E WechslerDivision of Pulmonary, Critical Care and Sleep Medicine, National Jewish Health, Denver, Colo.
William W BusseUW Allergy, Pulmonary and Critical Care Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wis.
Christian DomingoPulmonary Service, Consorci Corporació Sanitària Parc Taulí (Sabadell), Universitat Autònoma de Barcelona, Barcelona, Spain.
Changming XiaRegeneron Pharmaceuticals Inc, Tarrytown, NY.
Rebecca GallRegeneron Pharmaceuticals Inc, Tarrytown, NY.
Nami Pandit-AbidSanofi, Morristown, NJ.
Juby A Jacob-NaraSanofi, Morristown, NJ.
Amr RadwanRegeneron Pharmaceuticals Inc, Tarrytown, NY.
Paul J RoweSanofi, Morristown, NJ.
Yamo DenizRegeneron Pharmaceuticals Inc, Tarrytown, NY.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The QUEST (ClinicalTrials.gov identifier NCT02414854) and TRAVERSE (NCT02134028) studies demonstrated the efficacy of dupilumab, 200 or 300 mg, versus placebo every 2 weeks for 52 weeks (QUEST) and dupilumab, 300 mg, for an additional 96 weeks (TRAVERSE) in patients with uncontrolled, moderate-to-severe asthma. Objective: This analysis assessed dupilumab efficacy in patients from QUEST who enrolled in TRAVERSE and were stratified by a reduction in fractional exhaled nitric oxide (Feno) level by week 2 of QUEST. Methods: Patients with an Feno level of at least 25 ppb at parent study baseline (PSBL) were defined as those with or without a minimally important Feno level reduction/response (a ≥20% reduction in patients with an Feno level of ≥50 ppb and a reduction of >10 ppb in those with an Feno level of <50 ppb at PSBL) by week 2 of QUEST. We assessed annualized severe exacerbation rates (AERs) and changes from PSBL in prebronchodilator FEV Results: During QUEST, dupilumab (compared with placebo) reduced AER by 58% to 59% across Feno response subgroups (unadjusted AER = 0.392-0.523 for dupilumab vs 1.052-1.280 for placebo) and improved prebronchodilator FEV Conclusion: Dupilumab sustained efficacy for up to 3 years in patients with and without a minimally important early reduction in Feno level. Greater improvements were seen in patients with an early reduction in Feno level, but patients without such a reduction also showed favorable outcomes during their treatment with dupilumab.

Indexed as

asthmaasthma controlasthma exacerbationasthma-related quality of lifeDupilumabearly responseFenolung function

Identifiers

PMID40458676
PMCPMC12127636

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.