Evidence map›Paper›PMID 41654320›Full record

ReviewAllergy2026

Update on Non-Biological and RNA-Based Therapeutics in Chronic Inflammatory Diseases: Precision Medicine Through Small Molecules: An EAACI Position Paper.

Franziska Roth-Walter, Ian M Adcock, Cristina Benito-Villalvilla, Rodolfo Bianchini, Leif Bjermer, Gaetano Caramori, Luigi Cari, Kian Fan Chung, Zuzana Diamant, Ibon Eguiluz-Gracia and 11 more

Abstract readReviewConsensus Statement
In one paragraph

Review in Allergy, 2026. 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

21 authors.

Franziska Roth-WalterDepartment of Biological Sciences and Pathobiology, University of Veterinary Medicine Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0001-5005-9228
Ian M AdcockNational Heart & Lung Institute, Imperial College London, London, UK.ORCID https://orcid.org/0000-0003-2101-8843
Cristina Benito-VillalvillaDepartment of Biochemistry and Molecular Biology, School of Chemistry, Complutense University of Madrid, Madrid, Spain.ORCID https://orcid.org/0000-0002-5544-0199
Rodolfo BianchiniDepartment of Biological Sciences and Pathobiology, University of Veterinary Medicine Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0003-0351-6937
Leif BjermerDepartment of Respiratory Medicine and Allergology, Lung and Allergy Research, Allergy, Asthma and COPD Competence Center, Lund University, Lund, Sweden.ORCID https://orcid.org/0000-0002-3441-8099
Gaetano CaramoriDepartment of Medicine and Surgery, Pulmonology, University of Parma, Parma, Italy.ORCID https://orcid.org/0000-0002-9807-327X
Luigi CariDepartment of Medicine, Section of Pharmacology, University of Perugia, Perugia, Italy.ORCID https://orcid.org/0000-0003-0698-3872
Kian Fan ChungExperimental Studies Medicine, National Heart & Lung Institute, Imperial College London & Royal Brompton & Harefield Hospital, Guys' and St Thomas' NHS Foundation Trust, London, UK.ORCID https://orcid.org/0000-0001-7101-1426
Zuzana DiamantDepartment of Clinical Pharmacy and Pharmacology, University Groningen, University Medical Center Groningen, Groningen, the Netherlands.ORCID https://orcid.org/0000-0003-0133-0100
Ibon Eguiluz-GraciaAllergy Unit, Hospital Regional Universitario de Malaga and IBIMA-Plataforma BIONAND, RICORS Inflammatory Diseases, Malaga, Spain.ORCID https://orcid.org/0000-0002-3774-931X
Edward F KnolDepartment of Immunology and Dermatology/Allergology, University Medical Center Utrecht, Utrecht, the Netherlands.ORCID https://orcid.org/0000-0001-7368-9820
Milos JesenakDepartment of Paediatrics, Department of Clinical Immunology and Medical Genetics, Comenius University in Bratislava, Jessenius Faculty of Medicine in Martin, University Teaching Hospital, Martin, Slovakia.ORCID https://orcid.org/0000-0001-7976-2523
Francesca Levi-SchafferPharmacology & Experimental Therapeutics Unit, Institute for Drug Research, School of Pharmacy, Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel.ORCID https://orcid.org/0000-0003-0620-2810
Giuseppe NocentiniDepartment of Medicine, Section of Pharmacology, University of Perugia, Perugia, Italy.ORCID https://orcid.org/0000-0002-5209-0488
Liam O'MahonyAPC Microbiome Ireland, University College Cork, Cork, Ireland.ORCID https://orcid.org/0000-0003-4705-3583
Oscar PalomaresDepartment of Biochemistry and Molecular Biology, School of Chemistry, Complutense University of Madrid, Madrid, Spain.ORCID https://orcid.org/0000-0003-4516-0369
Frank RedegeldDivision of Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Faculty of Science, Utrecht University, Utrecht, the Netherlands.ORCID https://orcid.org/0000-0001-8830-7960
Milena SokolowskaSwiss Institute of Allergy and Asthma Research (SIAF), University of Zürich, Davos, Switzerland.ORCID https://orcid.org/0000-0001-9710-6685
Betty Van EschDivision of Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Faculty of Science, Utrecht University, Utrecht, the Netherlands.ORCID https://orcid.org/0000-0001-9961-750X
Marco ZurloPharmacology & Experimental Therapeutics Unit, Institute for Drug Research, School of Pharmacy, Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel.ORCID https://orcid.org/0000-0003-4064-070X
Cristiana StellatoDepartment of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, Salerno, Italy.ORCID https://orcid.org/0000-0002-1294-8355

Funding

European Academy of Allergy and Clinical Immunology
6 · The paper itself

Abstract

In the last decades, critical advancements in research technology and knowledge on disease mechanisms steered therapeutic approaches for chronic inflammatory diseases towards unprecedented target specificity. For allergic and chronic lung diseases, biologic drugs pioneered this goal, acquiring on the way-through the clinical use of monoclonal antibodies-a deeper understanding of how inflammatory and immune pathways are configured in disease-specific patterns. In this biomarker-driven approach, synthetic small molecule drugs (SMDs) were perceived as lagging behind in innovation for their relative lack of specificity. This was, however, mostly due to a shift in focus towards biologics rather than true obsolescence of SMDs. In the same timeframe, in fact, advances in structural biology and medicinal chemistry, bioinformatics and artificial intelligence held steadily SMDs' innovation and relevance. The use of kinase inhibitors, well established in the treatment of cancer and rheumatological diseases, is now approved for some allergic skin diseases and is approaching asthma and COPD with several clinical trials; moreover, new therapeutics targeting mast cell receptors and molecules involved in innate immunity are entering preclinical and clinical testing. Alongside, the portfolio of biologics is harboring the expansion of RNA therapeutics, which gained global recognition during the COVID-19 pandemic due to RNA vaccines. Different types of RNA therapeutics, including those based on different non-coding RNAs, are advancing to agency approval and market, thanks to improvements in molecule stability and delivery systems. In summary, the evidence presented in this position paper illustrates that precision medicine is becoming a goal shared between synthetic SMDs and biologics, both protein/antibody-based and RNA therapeutics. We review the current state, unmet needs and opportunities within this evolving landscape, highlighting how small molecular species, both synthetic as SMDs and biologic in nature as RNA, can contribute to the precision medicine approach along with protein and antibody-based biologics and cell therapies.

Indexed as

InflammationPrecision MedicineRNAAnimalsChronic DiseaseCOVID-19COVID-19 Drug TreatmentHumansSARS-CoV-2RNAbiomarker‐driven drug developmentchronic inflammatory diseaseskinase inhibitorsprecision medicineRNA‐based therapiessmall molecule drugs

Identifiers

PMID41654320
PMCPMC13569649

What OpenQuestion holds

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Registered trials

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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.