Evidence map›Paper›PMID 42861070›Full record

ArticleThe journal of allergy and clinical immunology. Global2026

Remission in moderate-to-severe pediatric asthma: Definitions, assessment, prevalence, predictors, and outcomes-a scoping review.

Cloé Laurier, Rébecca Fénélon-Dimanche, Sze Man Tse, Cristina Longo

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Article in The journal of allergy and clinical immunology. Global, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Cloé LaurierCentre de recherche Azrieli, Centre Hospitalier Universitaire Sainte-Justine, Montréal, Quebec, Canada.
Rébecca Fénélon-DimancheCentre de recherche Azrieli, Centre Hospitalier Universitaire Sainte-Justine, Montréal, Quebec, Canada.
Sze Man TseCentre de recherche Azrieli, Centre Hospitalier Universitaire Sainte-Justine, Montréal, Quebec, Canada.
Cristina LongoCentre de recherche Azrieli, Centre Hospitalier Universitaire Sainte-Justine, Montréal, Quebec, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Remission is emerging as a novel therapeutic target in asthma, particularly with the advent of biologic therapies. Although spontaneous remission is recognized in mild childhood asthma, little is known about the concept of remission in children with moderate-to-severe asthma. Objective: This study aimed to synthesize available evidence on definitions, assessment methods, prevalence, predictors, and long-term outcomes of remission in children with moderate-to-severe asthma. Methods: This scoping review followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidance. MEDLINE and EMBASE were searched from 2003 onward. Eligible studies included randomized clinical trials and observational studies involving children or adolescents with moderate-to-severe asthma that reported remission or remission-related subdomains. Results: Of 2076 records identified, 8 studies met inclusion criteria (1 trial, 7 observational). Definitions of remission varied substantially and predominantly relied on clinical criteria (absence of symptoms or medication use), with inconsistent incorporation of lung function and none including inflammatory biomarkers. Remission prevalence ranged widely, from 4% to 41.9%, with the highest rates observed in a recent biologic trial; however, assessment periods were highly variable, ranging from 24 weeks to 3 years. Predictors of a lower likelihood of remission included female sex, atopy, and older age at initial diagnosis. Available evidence suggests a persistent risk of subclinical inflammation and relapse despite achieving clinical remission. Conclusions: Evidence on remission in moderate-to-severe pediatric asthma remains limited and heterogeneous, often in the context of ongoing treatment. Standardized, multidomain definitions are urgently needed to inform treat-to-target strategies and future clinical trials.

Indexed as

airway inflammationbiologic therapiesclinical remissiondisease controllong-term outcomesmoderate-to-severe asthmaPediatric asthmapredictorsscoping reviewtreat-to-target

Identifiers

PMID42861070
PMCPMC13654021

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