Evidence map›Paper›PMID 41602869›Full record

ReviewFrontiers in allergy2025

Endotype-driven decisions in choosing a biologic for airway diseases.

Carmen Panaitescu, Laura Haidar, Maria-Roxana Buzan, Răzvan-Ionuț Zimbru, Valentin-Cristian Iovin, Elena-Larisa Zimbru, Alexandru Lăculiceanu, Ioana Agache

Abstract readReview
In one paragraph

Review in Frontiers in allergy, 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. 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

8 authors.

Carmen PanaitescuCenter of Immuno-Physiology and Biotechnologies, Department of Functional Sciences, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania.
Laura HaidarCenter of Immuno-Physiology and Biotechnologies, Department of Functional Sciences, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania.
Maria-Roxana BuzanCenter of Immuno-Physiology and Biotechnologies, Department of Functional Sciences, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania.
Răzvan-Ionuț ZimbruCenter of Immuno-Physiology and Biotechnologies, Department of Functional Sciences, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania.
Valentin-Cristian IovinResearch Center for Gene and Cellular Therapies in the Treatment of Cancer-OncoGen, "Pius Brinzeu" Timis County Emergency Clinical Hospital, Timisoara, Romania.
Elena-Larisa ZimbruCenter of Immuno-Physiology and Biotechnologies, Department of Functional Sciences, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania.
Alexandru LăculiceanuAllergy & Clinical Immunology, Transylvania University, Brasov, Romania.
Ioana AgacheAllergy & Clinical Immunology, Transylvania University, Brasov, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The increasing availability of biologic therapies for allergic diseases has highlighted the need for more precise, mechanism-based patient selection. Traditional approaches based on disease phenotypes often fall short in predicting therapeutic response. Escalating healthcare costs together with questions about the efficacy of the current management of allergic diseases prompt to a shift toward endotype-driven and biomarker-guided strategies. This review explores the role of endotypes, defined by distinct immunologic, molecular, or cellular mechanisms, in guiding the use of targeted biologics in asthma and in chronic rhinosinusitis with nasal polyps. Endotype classification based on the type 1, type 2 and type 3 immune response is critical for selecting biologics targeting the IgE, IL-5, IL-4/IL-13, or TSLP pathways. The endotype-driven approach in allergic diseases has tremendous potential if incorporated into comprehensive care pathways, with endotype identification playing a key role in the management decision tree, with improved outcomes and greater patient satisfaction. To this purpose this review provides decision algorithms for the endotype-guided approach at the point of care and discusses the unmet needs with potential practical solutions to support a personalized precision approach.

Indexed as

asthmabiologicsbiomarkerschronic rhinosinusitisendotype-driven therapyprecision medicinetype 2 immune response

Identifiers

PMID41602869
PMCPMC12832300

What OpenQuestion holds

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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.