Exploring Definitions and Predictors of Severe Asthma Clinical Remission after Biologic Treatment in Adults Article Swipe
Luis Pérez de Llano
,
Ghislaine Scélo
,
Trung N. Tran
,
Tham Le
,
Malin Fagerås
,
Borja G. Cosío
,
Matthew Peters
,
Paul Pfeffer
,
Mona Al‐Ahmad
,
Riyad Al‐Lehebi
,
Alan Altraja
,
Céline Bergeron
,
Leif Bjermer
,
Anne Sofie Bjerrum
,
Lakmini Bulathsinhala
,
John Busby
,
Diana Jimena Cano Rosales
,
Giorgio Walter Canonica
,
Victoria Carter
,
Jérémy Charriot
,
George Christoff
,
Eve Denton
,
Delbert R. Dorscheid
,
María José Fernández Sánchez
,
João Fonseca
,
Peter G. Gibson
,
Celine Goh
,
Liam G. Heaney
,
Enrico Heffler
,
Mark Hew
,
Takashi Iwanaga
,
Rohit Katial
,
Mariko Siyue Koh
,
Piotr Kuna
,
Désirée Larenas‐Linnemann
,
Lauri Lehtimäki
,
Bassam Mahboub
,
Neil Martin
,
Hisako Matsumoto
,
Andrew Menzies‐Gow
,
Nikolaos G. Papadopoulos
,
Todor A. Popov
,
Celeste Porsbjerg
,
Pujan Patel
,
Chin Kook Rhee
,
Mohsen Sadatsafavi
,
Camille Taillé
,
Carlos A. Torres‐Duque
,
Ming‐Ju Tsai
,
Charlotte Suppli Ulrik
,
John W. Upham
,
Anna von Bülow
,
Eileen Wang
,
Michael E. Wechsler
,
David Price
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1164/rccm.202311-2192oc
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1164/rccm.202311-2192oc
Rationale: There is no consensus on criteria to include in an asthma remission definition in real life. Factors associated with achieving remission after biologic initiation remain poorly understood. Objectives: To quantify the proportion of adults with severe asthma achieving multidomain-defined remission after biologic initiation and identify prebiologic characteristics associated with achieving remission that may be used to predict it. Methods: This was a longitudinal cohort study using data from 23 countries from the International Severe Asthma Registry. Four asthma outcome domains were assessed in the 1 year before and after biologic initiation. A priori-defined remission cutoffs were: 0 exacerbations/yr, no long-term oral corticosteroid (LTOCS), partly/well-controlled asthma, and percent predicted FEV1 ⩾ 80%. Remission was defined using two (exacerbations + LTOCS), three (+control or +lung function), and four of these domains. The association between prebiologic characteristics and postbiologic remission was assessed by multivariable analysis. Measurements and Main Results: A total of 50.2%, 33.5%, 25.8%, and 20.3% of patients met criteria for two-, three- (+control), three- (+lung function), and four-domain remission, respectively. The odds of achieving four-domain remission decreased by 15% for every additional 10 years of asthma duration (odds ratio, 0.85; 95% confidence interval, 0.73-1.00). The odds of remission increased in those with fewer exacerbations per year, lower LTOCS daily dose, better control, and better lung function before biologic initiation. Conclusions: One in five patients achieved four-domain remission within 1 year of biologic initiation. Patients with less severe impairment and shorter asthma duration at initiation had a greater chance of achieving remission after biologic treatment, indicating that biologic treatment should not be delayed if remission is the goal.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1164/rccm.202311-2192oc
- OA Status
- green
- Cited By
- 72
- References
- 47
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4396601798
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4396601798Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1164/rccm.202311-2192ocDigital Object Identifier
- Title
-
Exploring Definitions and Predictors of Severe Asthma Clinical Remission after Biologic Treatment in AdultsWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-05-03Full publication date if available
- Authors
-
Luis Pérez de Llano, Ghislaine Scélo, Trung N. Tran, Tham Le, Malin Fagerås, Borja G. Cosío, Matthew Peters, Paul Pfeffer, Mona Al‐Ahmad, Riyad Al‐Lehebi, Alan Altraja, Céline Bergeron, Leif Bjermer, Anne Sofie Bjerrum, Lakmini Bulathsinhala, John Busby, Diana Jimena Cano Rosales, Giorgio Walter Canonica, Victoria Carter, Jérémy Charriot, George Christoff, Eve Denton, Delbert R. Dorscheid, María José Fernández Sánchez, João Fonseca, Peter G. Gibson, Celine Goh, Liam G. Heaney, Enrico Heffler, Mark Hew, Takashi Iwanaga, Rohit Katial, Mariko Siyue Koh, Piotr Kuna, Désirée Larenas‐Linnemann, Lauri Lehtimäki, Bassam Mahboub, Neil Martin, Hisako Matsumoto, Andrew Menzies‐Gow, Nikolaos G. Papadopoulos, Todor A. Popov, Celeste Porsbjerg, Pujan Patel, Chin Kook Rhee, Mohsen Sadatsafavi, Camille Taillé, Carlos A. Torres‐Duque, Ming‐Ju Tsai, Charlotte Suppli Ulrik, John W. Upham, Anna von Bülow, Eileen Wang, Michael E. Wechsler, David PriceList of authors in order
- Landing page
-
https://doi.org/10.1164/rccm.202311-2192ocPublisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
-
https://qmro.qmul.ac.uk/xmlui/handle/123456789/96731Direct OA link when available
- Concepts
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Medicine, Asthma, Intensive care medicine, MEDLINE, Pediatrics, Internal medicine, Political science, LawTop concepts (fields/topics) attached by OpenAlex
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72Total citation count in OpenAlex
- Citations by year (recent)
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2025: 54, 2024: 18Per-year citation counts (last 5 years)
- References (count)
-
47Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| referenced_works | https://openalex.org/W2463528997, https://openalex.org/W3088914529, https://openalex.org/W2606504549, https://openalex.org/W2167511520, https://openalex.org/W2994812624, https://openalex.org/W2963700394, https://openalex.org/W2206432491, https://openalex.org/W2945417637, https://openalex.org/W4389425944, https://openalex.org/W4366090622, https://openalex.org/W4385621521, https://openalex.org/W4387781980, https://openalex.org/W4386516328, https://openalex.org/W4220967255, https://openalex.org/W4365145268, https://openalex.org/W4379878826, https://openalex.org/W4383371485, https://openalex.org/W4310183478, https://openalex.org/W4387374259, https://openalex.org/W4386188364, https://openalex.org/W4388296224, https://openalex.org/W3009157520, https://openalex.org/W3039993240, https://openalex.org/W4205763276, https://openalex.org/W2889371006, https://openalex.org/W1980843762, https://openalex.org/W2109373190, https://openalex.org/W2991287546, https://openalex.org/W2357940608, https://openalex.org/W3026239379, https://openalex.org/W4385635211, https://openalex.org/W4224282312, https://openalex.org/W4323037691, https://openalex.org/W2750584686, https://openalex.org/W2039930386, https://openalex.org/W2888063502, https://openalex.org/W4386819346, https://openalex.org/W4289637709, https://openalex.org/W3092058242, https://openalex.org/W3072545100, https://openalex.org/W2616424562, https://openalex.org/W2111609315, https://openalex.org/W3152894658, https://openalex.org/W4390187836, https://openalex.org/W4226210743, https://openalex.org/W4207019981, https://openalex.org/W4387783968 |
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| abstract_inverted_index.0.85; | 189 |
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| abstract_inverted_index.before | 87, 216 |
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