Evidence map›Paper›PMID 41334606›Full record

ArticlePediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology2025

Prognostic utility of pre-biologic treatment correlates of childhood severe asthma exacerbation risk: Real world evidence.

Arthur H Owora, Bowen Jiang, Yash Shah, Benjamin Gaston, Erick Forno

Abstract read
In one paragraph

Article in Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology, 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. Prognostic utility of pre-biologic treatment correlates of childhood severe asthma exacerbation risk: Real world evidence.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2025
    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

5 authors.

Arthur H OworaDivision of Pediatric Pulmonology, Allergy/Immunology and Sleep Medicine, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana, USA.ORCID https://orcid.org/0000-0002-4580-7428
Bowen JiangDivision of Pediatric Pulmonology, Allergy/Immunology and Sleep Medicine, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Yash ShahDivision of Pediatric Pulmonology, Allergy/Immunology and Sleep Medicine, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Benjamin GastonDivision of Pediatric Pulmonology, Allergy/Immunology and Sleep Medicine, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Erick FornoDivision of Pediatric Pulmonology, Allergy/Immunology and Sleep Medicine, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana, USA.

Funding

Developing a Childhood Asthma Risk Passive Digital MarkerK01HL166436 · NHLBI · TRUSTEES OF INDIANA UNIVERSITY · PI OWORA, ARTHUR HAMIE · 2023 to 2024
$324k
AHRQ HHS R03 HS029088NHLBI NIH HHS K01 HL166436NIH HHS
6 · The paper itself

Abstract

backgroundBiologics have been shown to substantially reduce the risk of severe asthma exacerbations (SAEs) among children with moderate or severe asthma; however, not all eligible patients who initiate biologic treatment experience a reduced risk of SAEs.

methodsUsing a longitudinal study design, we analyzed data from 122 children with moderate/severe asthma treated with a biologic by pediatric subspecialists between December 2019 and December 2024. We used logistic and Cox proportional hazards models to identify and quantify the prognostic utility of clinical correlates of increased SAE risk among children with moderate or severe asthma prior to biologic treatment initiation.

resultsBiologic agents (dupilumab, omalizumab, and mepolizumab) had differential effects on the risk of SAE depending on a child's sex (p = .024), age of treatment initiation (p = .010), lung function (% FEF

conclusionBeyond biologic treatment eligibility, using routinely collected clinical parameters to stratify pre-treatment SAE risk could improve prognostic accuracy and aid clinicians in tailoring therapy based on a patient's individual risk factors and likelihood of responding to a specific agent to maximize treatment effectiveness.

Indexed as

Anti-Asthmatic AgentsAsthmaBiological ProductsAdolescentAntibodies, Monoclonal, HumanizedChildChild, PreschoolDisease ProgressionFemaleHumansLongitudinal StudiesMaleOmalizumabPrognosisRisk FactorsSeverity of Illness IndexAnti-Asthmatic AgentsAntibodies, Monoclonal, HumanizedBiological ProductsmepolizumabOmalizumabbiologicschildhood asthmaprognostic modelsevere asthma exacerbationstreatment response

Identifiers

PMID41334606
PMCPMC12673514

What OpenQuestion holds

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LicenceCC BY
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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.