Evidence map›Paper›PMID 42548408›Full record

ArticleCHEST pulmonary2025

Long-Term Efficacy of Dupilumab in Moderate-to-Severe Asthma Phenotyped by Blood Eosinophils and Exhaled Nitric Oxide.

Michael E Wechsler, Ian D Pavord, Alberto Papi, Kenneth R Chapman, Arman Altincatal, Nami Pandit-Abid, Juby A Jacob-Nara, Paul J Rowe, Yamo Deniz, Elizabeth Laws and 5 more

2 registry-linked trialsAbstract read
In one paragraph

Article in CHEST pulmonary, 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. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

15 authors.

Michael E WechslerDivision of Pulmonary, Critical Care and Sleep Medicine, National Jewish Health, Denver, CO.
Ian D PavordNIHR Oxford Biomedical Research Centre, University of Oxford, Oxford, England.
Alberto PapiRespiratory Medicine Unit, University of Ferrara, S. Anna University Hospital, Ferrara, Italy.
Kenneth R ChapmanUniversity of Toronto, Toronto, ON, Canada.
Arman AltincatalSanofi, Cambridge, MA.
Nami Pandit-AbidSanofi, Bridgewater, NJ.
Juby A Jacob-NaraSanofi, Bridgewater, NJ.
Paul J RoweSanofi, Bridgewater, NJ.
Yamo DenizRegeneron Pharmaceuticals Inc., Tarrytown, NY.
Elizabeth LawsSanofi, Bridgewater, NJ.
Bolanle AkinladeRegeneron Pharmaceuticals Inc., Tarrytown, NY.
Nikhil AminRegeneron Pharmaceuticals Inc., Tarrytown, NY.
Heribert W StaudingerSanofi, Bridgewater, NJ.
David J LedererRegeneron Pharmaceuticals Inc., Tarrytown, NY.
Megan HardinSanofi, Cambridge, MA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Asthma treatment aims to reduce symptom severity and exacerbation risk. Dupilumab, a human monoclonal antibody, blocks the shared receptor for IL-4/IL-13, key drivers of type 2 inflammation. In the Evaluation of Dupilumab in Patients With Persistent Asthma (QUEST) study (NCT02414854), add-on dupilumab every 2 weeks vs placebo was shown to significantly reduce severe asthma exacerbations and improve prebronchodilator (BD) FEV Research Question: What is dupilumab's long-term efficacy (up to 3 years) in patients with moderate-to-severe type 2 asthma? Study Design and Methods: Patients enrolled in QUEST (receiving placebo or dupilumab), who completed 96 weeks of dupilumab treatment in the open-label extension Long-Term Safety Evaluation of Dupilumab in Patients With Asthma (TRAVERSE) study (NCT02134028), were included. This prespecified analysis evaluated long-term efficacy in patient populations identified by baseline type 2 biomarker level. End points were annualized exacerbation rate (AER) and change from baseline in pre-BD FEV Results: A total of 663 patients were included. AER was 1.72 to 2.24 at QUEST baseline in dupilumab groups across type 2 populations. AER decreased in populations with elevated type 2 biomarkers to 0.36 to 0.49 during QUEST's 52-week treatment period, which was sustained over 96 weeks in TRAVERSE. In patients with low type 2 biomarker levels, there was no clinically meaningful AER reduction in QUEST or TRAVERSE, but rates remained below parent study baseline. Similar trends were seen with improvements in pre-BD FEV Intrepretation: This study suggests that long-term dupilumab treatment results in sustained and clinically meaningful efficacy in patients with moderate-to-severe type 2 asthma characterized by elevated blood eosinophil count and/or fractional exhaled nitric oxide. Clinical Trial Registration: ClinicalTrials.gov; No.: NCT02134028; URL: www.clinicaltrials.gov.

Indexed as

asthmabiomarkersdupilumabeosinophil countfractional exhaled nitric oxide

Identifiers

PMID42548408
PMCPMC13418902

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

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.