Publications

Research outputs from members of the Centre, and other relevant publications

2024

TitleAuthorsSummaryReference
Remission in the World of Severe Asthma.Pavord ID." ISAR analysis provides a valuable information on factors associated with the likelihood of achieving remission and it showed a higher likelihood of remission in patients with high biomarkers, lower OCS exposure, fewer comorbidities, fewer exacerbations, better lung function, and fewer symptoms."Am J Respir Crit Care Med. 2024 Oct 1;210(7):855-857. doi: 10.1164/rccm.202405-0894ED.PMID: 38861332 Free PMC article. No abstract available.
Denton E, Hew M, Peters MJ, Upham JW, et.al.

The degree to which patients responded to treatment with biologic or non-biologic therapies highlights asthma complexity. Response rates ranged from 49% to 59% across different outcomes in biologics initiators, and from 28% to 44% in non-initiators.

 

Allergy. 2024 Oct;79(10):2700-2716. doi: 10.1111/all.16178. Epub 2024 Jun 22.PMID: 38923444

 

 

Callanan S, Talaei M, Delahunt A, Shaheen SO, McAuliffe FM.

Low GI dietary intervention in pregnancy may reduce the risk of asthma in childhood, especially amongst those born to mothers with lower educational attainment, and further observational evidence that higher maternal sugar intake is associated with higher childhood asthma risk.

 

Br J Nutr. 2024 Oct 28:1-11. doi: 10.1017/S0007114524001612. Online ahead of print.PMID: 39466114
Identifying super-responders: A review of the road to asthma remission.Mailhot-Larouche S, Celis-Preciado C, Heaney LG, Couillard S.Biologics use and precision medicine significantly improved asthma treatment, enabling more ambitious goals such as achieving asthma remission on treatment and identifying super-responders, however lack of consensus on definitions and criteria hampers their broader application in clinical practice and trial design.Ann Allergy Asthma Immunol. 2024 Oct 9:S1081-1206(24)01559-X. doi: 10.1016/j.anai.2024.09.023. Online ahead of print.PMID: 39383944 Free article. Review.

 

Asthma and allergy trajectories in children based on combined parental report and register data.

 

Lisik D, Wennergren G, Kankaanranta H, Basna R, Shah SA, Alm B, Celind FS, Goksör E, Nwaru BI.Combined parental-reported and dispensed medication data enriches characterization of longitudinal trajectories of asthma and allergy in children by merging subjective experience of disease with healthcare utilization.Pediatr Allergy Immunol. 2024 Oct;35(10):e14254. doi: 10.1111/pai.14254.PMID: 39373071
Effectiveness of paediatric asthma hubs: a clinical pilot study.Hakizimana A, Lo DKH, Roland D, Rai VK, Danvers L, Rowlands R, Ahmed MI, Herzallah R, Gaillard EA.Study concluded that rapid referral paediatric asthma hubs providing 2 working days follow-up after treatment for an acute severe asthma attack are feasible and effective at identifying high-risk patients with ongoing acute severe asthma. Arch Dis Child. 2024 Oct 29:archdischild-2023-326635. doi: 10.1136/archdischild-2023-326635. Online ahead of print.PMID: 39472038
Perceptions Toward Using Artificial Intelligence and Technology for Asthma Attack Risk Prediction: Qualitative Exploration of Māori Views.Jayamini WKD, Mirza F, Bidois-Putt MC, Naeem MA, Chan AHY.The study revealed a need for greater exploration of AI and technology for Māori communities as people express trust issues relating to the use of technology..JMIR Form Res. 2024 Oct 30;8:e59811. doi: 10.2196/59811.PMID: 39475765 Free article.
Dupilumab Induces Long-Term On-Treatment Clinical Remission in Patients With Type 2 Asthma.Pavord ID, Rabe KF, Israel E, Szefler SJ, Brusselle G, Pandit-Abid N, Altincatal A, Chen Z, Amin N, Khan AH, Lederer DJ, Zhang Y, Rowe PJ, Deniz Y, Radwan A, Jacob-Nara JA, Busse WW."Dupilumab treatment enabled approximately one-third of patients with type 2 asthma to meet the multicomponent endpoint for on-treatment clinical asthma remission for up to 2 years.”J Allergy Clin Immunol Pract. 2024 Oct 16:S2213-2198(24)01063-8. doi: 10.1016/j.jaip.2024.10.009. Online ahead of print.PMID: 39424189 Free article.
Longitudinal assessment of glucocorticoid toxicity reduction in patients with severe asthma treated with biologic therapies.McDowell PJ, Busby J, Stone JH, Butler CA, Heaney LG.Study shows a substantial reduction in OCS exposure and on the third year of biologic therapy fewer than half the patients in the cohort experienced an asthma exacerbation and there was a significant improvement in lung function.J Allergy Clin Immunol Pract. 2024 Oct 28:S2213-2198(24)01079-1. doi: 10.1016/j.jaip.2024.10.024. Online ahead of print.PMID: 39477016 Free article.
Prevalence and predictors of annual asthma reviews in Scottish primary care data.Tibble H, Chung AMW.Aims of the study are to investigate the proportion of asthma patients with annual reviews identified in coded primary care data and to analyse the associations between having an annual review and patient factors as recorded in primary care.BJGP Open. 2024 Oct 2:BJGPO.2024.0062. doi: 10.3399/BJGPO.2024.0062. Online ahead of print.PMID: 39357905 Free article.
Long-term safety of mepolizumab for up to ∼10 years in patients with severe asthma: open-label extension study.Pavord I, Chan R, Brown N, Howarth P, Gilson M, Price RG, Maspero J.The long-term safety profile of mepolizumab did not identify any new safety concerns. A study group of patients, showed improvements in asthma control and reductions in blood eosinophil levels , as well as a strong and consistent reduction in asthma exacerbations.Ann Med. 2024 Dec;56(1):2417184. doi: 10.1080/07853890.2024.2417184. Epub 2024 Oct 28.PMID: 39465531 Free PMC article. Clinical Trial.
Rapid Access Diagnostics for Asthma (RADicA): protocol for a prospective cohort study to determine the optimum series of investigations to diagnose asthma using conventional and novel tests.Murray CS, Fowler S, Drake S, Wang R, Durrington HJ, Wardman H, Healy L, Bennett M, Simpson A, Barrett E, Roberts SA, Simpson A.The aim of the study is to determine the optimal cut-off values and series of investigations to diagnose asthma, as well as to explore the potential for novel tests of small airways function and biomarkers, which could be incorporated into future diagnostic pathways.BMJ Open. 2024 Oct 26;14(10):e083908. doi: 10.1136/bmjopen-2024-083908.PMID: 39461867 Free PMC article.

 


TitleAuthorsSummaryReference

 

Jackson DJ, Wechsler ME, Jackson DJ, Bernstein D, Korn S, Pfeffer PE, Chen R, Saito J, de Luíz Martinez G, Dymek L, Jacques L, Bird N, Schalkwijk S, Smith D, Howarth P, Pavord ID; SWIFT-1 and SWIFT-2 Investigators.Depemokimab reduced the rate of exacerbations among patients with eosinophilic phenotype of severe asthma N Engl J Med. 2024 Sep 9. doi: 10.1056/NEJMoa2406673. Online ahead of print.PMID: 39248309

Anti-inflammatory reliever therapy (AIR) for asthma.

 

 

Levy ML, Crooks MG.

SABA over-use is common in asthma and is a global phenomenon and regular use of SABA inhalers is associated with poor asthma control as well as asthma exacerbations.

In 2019, the Global Initiative for Asthma recommended two-in-one anti-inflammatory reliever inhalers (AIRs), containing a combination of ICS and the fast- and long-acting β2-agonist formoterol fumarate (ICS/formoterol) as a preferred reliever in asthma.

eCollection 2024 Sep.PMID: 39351389 Free PMC article.

Asthma Inception: Epidemiologic Risk Factors and Natural History Across the Life Course.

 

Melén E, Zar HJ, Siroux V, Shaw D, Saglani S, Koppelman GH, Hartert T, Gern JE, Gaston B, Bush A, Zein J."Asthma is a descriptive label for an obstructive inflammatory disease in the lower airways manifesting with symptoms including breathlessness, cough, difficulty in breathing, and wheezing. From a clinician’s point of view, asthma symptoms can commence at any age, although most patients with asthma—regardless of their age of onset—seem to have had some form of airway problems during childhood.”Am J Respir Crit Care Med. 2024 Sep 15;210(6):737-754. doi: 10.1164/rccm.202312-2249SO.PMID: 38981012 Review.
Exploring Definitions and Predictors of Response to Biologics for Severe Asthma.Scelo G, Tran TN, Le TT, Fagerås M, Dorscheid D, et.al.Study findings have underscored the multimodal nature of response and it is important to facilitate optimal biologic use, ensuring timely, appropriate, and cost-effective treatment.J Allergy Clin Immunol Pract. 2024 Sep;12(9):2347-2361. doi: 10.1016/j.jaip.2024.05.016. Epub 2024 May 19.PMID: 38768896 Free article.
Choosing the Right Biologic for the Right Patient With Severe Asthma.Couillard S, Jackson DJ, Pavord ID, Wechsler ME.The development of multiple biologics in asthma has led to major benefits for patients and new therapeutic dilemmas for asthmatologists.Chest. 2024 Sep 6:S0012-3692(24)05139-0. doi: 10.1016/j.chest.2024.08.045. Online ahead of print.PMID: 39245321 Free article. Review.
Characterization of Moderate and Severe Asthma Exacerbations in the CAPTAIN Study.Oppenheimer J, Kerstjens HA, Boulet LP, Hanania NA, Kerwin E, Moore A, Nathan RA, Peachey G, Pizzichini E, Slade D, Zarankaite A, Pavord ID."Whereas severe events were associated with greater impact on symptoms, physical activity limitations, and SABA use, onset and time to resolution were generally similar for moderate and severe events."J Allergy Clin Immunol Pract. 2024 Sep;12(9):2372-2380.e5. doi: 10.1016/j.jaip.2024.05.019. Epub 2024 May 21.PMID: 38777124 Free article. Clinical Trial.
Understanding the impact of breathing pattern disorders in difficult-to-treat asthma.Hudson-Colby JJ, Lewis A, Varkonyi-Sepp J, Ainsworth B, Freeman A, Day A, Djukanovic R, Wei L, Haitchi HM, Kurukulaaratchy RJ"Qualitative research has shown that people who have comorbid BPD and difficult-to-treat asthma often report frustration and acknowledge that asthma treatments such as inhaled medications don’t fully resolve symptoms of ‘breathing difficulty.’Expert Rev Respir Med. 2024 Sep 16:1-12. doi: 10.1080/17476348.2024.2404673. Online ahead of print.PMID: 39268799 Review.
Children's Health in London and Luton (CHILL) cohort: a 12-month natural experimental study of the effects of the Ultra Low Emission Zone on children's travel to school.Xiao C, Scales J, Chavda J, Dove RE, Tsocheva I, Wood HE, Kalsi H, Sartori L, Colligan G, Moon J, Lie E, Petrovic K, Day B, Howett C, Keighley A, Mihaylova B, Toffolutti V, Grigg J, Randhawa G, Sheikh A, Fletcher M, Mudway I, Beevers S, Gauderman WJ, Griffiths CJ, van Sluijs E, Panter J."The Ultra-Low Emission Zone (ULEZ), introduced in Central London in April 2019, aims to enhance air quality and improve public health. The Children's Health in London and Luton (CHILL) study evaluates the impact of the ULEZ on children's health. This analysis focuses on the one-year impacts on the shift towards active travel to school”..Int J Behav Nutr Phys Act. 2024 Sep 5;21(1):89. doi: 10.1186/s12966-024-01621-7.PMID: 39232801 Free PMC article.
Development of the face-to-face component and recruitment strategy of a primary care digital social intervention for patients with asthma: Qualitative focus groups and interviews with stakeholders.Karampatakis GD, Kimber S, Wood HE, Griffiths CJ, Taylor SJC, Li X, Day B, Mant J, Relton C, Watson JS, Marsh V, Coulson NS, De Simoni A.The objective of the study is to develop together with stakeholders the content, delivery, and recruitment strategy of a digital social intervention to promote use of online peer support amongst asthma patients in primary care.Eur J Gen Pract. 2024 Dec;30(1):2407594. doi: 10.1080/13814788.2024.2407594. Epub 2024 Sep 27.PMID: 39329323 Free PMC article.
The new biologic drugs: Which children with asthma should get what?Hillson K, Saglani S, Bush A.With the present state of knowledge, choosing the right biologic for each child is constrained by the limited availability of suitable predictive biomarkers in children and a lack of head-to-head studies comparing different biologics in children with severe uncontrolled asthma.Pediatr Pulmonol. 2024 Sep 13. doi: 10.1002/ppul.27218. Online ahead of print.PMID: 39267467
Asthma diagnosis: a comparison of established diagnostic guidelines in adults with respiratory symptoms.Simpson AJ, Drake S, Healy L, Wang R, Bennett M, Wardman H, Durrington H, Fowler SJ, Murray CS, Simpson A.The heterogenous nature of asthma makes it unlikely that there will be a single diagnostic test for the condition, hence the need for diagnostic guidance and algorithms. Current guidance for diagnosing asthma also shows significant heterogeneity both in the tests included, the order of these tests and diagnostic thresholds recommended. “EClinicalMedicine. 2024 Sep 5;76:102813. doi: 10.1016/j.eclinm.2024.102813. eCollection 2024 Oct.PMID: 39296585 Free PMC article.
Early-pregnancy BMI, maternal gestational weight gain, and asthma and allergic diseases in children.Ojwang' V, Nwaru BI, Hanna-Mari T, Heli T, Kaila M, Ahonen S, Niemelä O, Haapala AM, Ilonen J, Toppari J, Hyöty H, Veijola R, Knip M, Virtanen SM.Association of early pregnancy BMI and maternal gestational weight gain with asthma and allergic disease in children is inconsistent, however high maternal GWG may be associated with increased odds of atopic eczema in children.Pediatr Allergy Immunol. 2024 Sep;35(9):e14240. doi: 10.1111/pai.14240.PMID: 39282918.

Variability in forced expiratory volume in 1 s in children with symptomatically well-controlled asthma.

 

 

Filipow N, Turner S, Petsky HL, Chang AB, Frischer T, Szefler S, Vermeulen F, Stanojevic S.Spirometry is used to monitor asthma in children but relatively little is understood about its variability over time, which is the aim of this study.Thorax. 2024 Sep 27:thorax-2024-221755. doi: 10.1136/thorax-2024-221755. Online ahead of print.PMID: 39332902
Developing theoretically underpinned primary care resources for patients with asthma: an exemplar from the IMP2ART trial.Barat A, Czyzykowska K, McClatchey K, Jackson T, Steed L, Sheringham J, Marsh V, Ehrlich E, Morgan N, Hammersley V, Holmes S, Delaney B, Taylor SJC, Pinnock H; IMP2ART Programme Group.To improve supported asthma self-management in UK primary care, the IMP2ART programme developed a whole-systems approach (patient resources, professional education, and organisational strategies)Prim Health Care Res Dev. 2024 Sep 20;25:e35. doi: 10.1017/S1463423624000197.PMID: 39300749

High-flow humidified oxygen as an early intervention in children with acute severe asthma: a feasibility randomised controlled trial.

 

 

Kapur A, Rojas-Anaya H, Roberts G, Roland D, Gupta A, Lazner M, Bayreuther J, Cantle F, Jones C, Pappachan J, Bremner S, James D, Fitzgerald S, Owens K, Asim L, Khaleva E, Seddon P."Treating children with acute severe asthma who fail to respond to first-line inhaled bronchodilators is problematic: use of intravenous agents is inconsistent and side-effects are common. High-flow humidified oxygen (HiFlo) has shown promise in other respiratory conditions and is increasingly used in ASA, but with little evidence.”ERJ Open Res. 2024 Oct 7;10(5):00168-2024. doi: 10.1183/23120541.00168-2024. eCollection 2024 Sep.PMID: 39377094 Free PMC article.

TitleAuthorsSummaryReference

Biomarker Predictors of Clinical Efficacy of the Anti-IgE Biologic Omalizumab in Severe Asthma in Adults: Results of the SoMOSA Study.

 

 

Djukanović R, Brinkman P, Kolmert J, Gomez C, Schofield J, Brandsma J, Shapanis A, Skipp PJS, Postle A, Wheelock C, Dahlen SE, Sterk PJ, Brown T, Jackson DJ, Mansur A, Pavord I, Patel M, Brightling C, Siddiqui S, Bradding P, Sabroe I, Saralaya D, Chishimba L, Porter J, Robinson D, Fowler S, Howarth PH, Little L, Oliver T, Hill K, Stanton L, Allen A, Ellis D, Griffiths G, Harrison T, Akenroye A, Lasky-Su J, Heaney L, Chaudhuri R, Kurukulaaratchy R; SoMOSA study team and the U-BIOPRED study team.The study aimed to identify biomarkers that predict clinical improvement during 1 year of omalizumab treatment.Am J Respir Crit Care Med. 2024 Aug 1;210(3):288-297. doi: 10.1164/rccm.202310-1730OC.PMID: 38635834 Free PMC article.
Airway proteomics reveals broad residual anti-inflammatory effects of prednisolone in mepolizumab-treated asthma.Howell I, Yang F, Brown V, Cane J, Marchi E, Azim A, Busby J, McDowell PJ, Diver SE, Borg C, Heaney LG, Pavord ID, Brightling CE, Chaudhuri R, Hinks TSC.The study aimed to explore the corticosteroid responsiveness of airway inflammation after mepolizumab treatment to find potentially treatable inflammatory mechanisms beyond the IL-5 pathway.J Allergy Clin Immunol. 2024 Aug 1:S0091-6749(24)00777-2. doi: 10.1016/j.jaci.2024.07.020. Online ahead of print.PMID: 39097197 Free article.
IL-5 antagonism reverses priming and activation of eosinophils in severe eosinophilic asthma.Luo J, Chen W, Liu W, Jiang S, Ye Y, Shrimanker R, Hynes G, Klenerman P, Pavord ID, Xue L.“The anti-IL-5 antibody mepolizumab reduces eosinophil counts in the airway modestly but has a large beneficial effect on the frequency of exacerbations of severe eosinophilic asthma, suggesting that reduction in eosinophil priming and activation is of central mechanistic importance”.Mucosal Immunol. 2024 Aug;17(4):524-536. doi: 10.1016/j.mucimm.2024.03.005. Epub 2024 Mar 15.PMID: 38493955 Free article.
Patient-reported outcomes: missing in asthma remission.Chan AHY, Leong P, Politis J, McDonald VM, Bardin P.Patient experience, engagement, and shared decision making are crucial to successful care for people with asthma.Lancet Respir Med. 2024 Sep;12(9):665-666. doi: 10.1016/S2213-2600(24)00242-X. Epub 2024 Aug 8.PMID: 39128472 No abstract available.
Species-level, metagenomic and proteomic analysis of microbe-immune interactions in severe asthma.Jabeen MF, Sanderson ND, Tinè M, Donachie G, Barber C, Azim A, Lau LCK, Brown T, Pavord ID, Chauhan A, Klenerman P, Street TL, Marchi E, Howarth PH, Hinks TSC.Using long-read Nanopore sequencing, researchers identified: H. influenzae followed by M. catarrhalis and S. pneumoniae as the most prevalent pathogenic bacterial species.Allergy. 2024 Aug 11. doi: 10.1111/all.16269. Online ahead of print.PMID: 39127908
Physical activity, sedentary behaviour, and childhood asthma: a European collaborative analysis.Eijkemans M, Mommers M, Harskamp-van Ginkel MW, Vrijkotte TGM. et.alReduced physical activity and increased sedentary behaviour before 6 years of age are not associated with the presence of asthma later in childhood.BMJ Open Respir Res. 2024 Aug 15;11(1):e001630. doi: 10.1136/bmjresp-2023-001630.PMID: 39147399 Free PMC article.
UK Electronic Healthcare Records for Research: A Scientometric Analysis of Respiratory, Cardiovascular, and COVID-19 Publications.Massen GM, Blamires O, Grainger M, Matta M, Twumasi RMG, Joshi T, Laity A, Nakariakova E, Thavaranjan T, Sheikh A, Quint JK.Electronic health records have been and are increasingly used  to conduct respiratory research, and this was accelerated during the COVID-19 pandemic to conduct epidemiological research.Pragmat Obs Res. 2024 Aug 15;15:151-164. doi: 10.2147/POR.S469973. eCollection 2024.PMID: 39161588 Free PMC article. Review.
Machine learning-derived phenotypic trajectories of asthma and allergy in children and adolescents: protocol for a systematic review.Lisik D, Milani GP, Salisu M, Özuygur Ermis SS, Goksör E, Basna R, Wennergren G, Kankaanranta H, Nwaru BI.The aim of this review is to summarize the frequency, characteristics and associated risk factors and outcomes of identified trajectories and indicate potential directions for subsequent research in replicability, pathophysiology, risk stratification and personalised management. BMJ Open. 2024 Aug 30;14(8):e080263. doi: 10.1136/bmjopen-2023-080263.PMID: 39214659 Free PMC article.
Modelling Adverse Events in Patients Receiving Chronic Oral Corticosteroids in the UK.Gibson D, Branscombe N, Martin N, Menzies-Gow A, Jain P, Padgett K, Yeates F.A modelling approach that captures additional long-term health economic benefits from oral corticosteroids sparing. Collected results may help inform future decision making for emerging OCS-sparing therapeutics by comparing them against the cost of such treatments.Pharmacoecon Open. 2024 Aug 28. doi: 10.1007/s41669-024-00520-8. Online ahead of print.PMID: 39196476
Impact of comorbidities on EQ-5D quality-of-life index in severe asthma.Pfeffer PE, Brown T, Chaudhuri R, Faruqi S, Gore R, Heaney LG, Mansur AH, Pantin T, Patel M, Rupani H, Siddiqui S, Vyas A, Busby J; UK Severe Asthma Registry.“Both pulmonary and extrapulmonary treatable traits are important determinants of quality of life in severe asthma. “.J Allergy Clin Immunol Glob. 2024 May 31;3(3):100286. doi: 10.1016/j.jacig.2024.100286. eCollection 2024 Aug.PMID: 39071731 Free PMC article.
Treating severe paediatric asthma with mepolizumab or omalizumab: a protocol for the TREAT randomised non-inferiority trial.Cornelius V, Babalis D, Carroll WD, Cunningham S, Fleming L, Gaillard E, Gupta A, Janani L, Kennington E, Murray C, Nagakumar P, Roberts G, Seddon P, Sinha I, Streatfield C, Weir E, Saglani S.This trial will provide much needed evidence for the efficacy of mepolizumab compared with omalizumab in children and young people with true severe therapy resistant asthma and refractory difficult asthma.BMJ Open. 2024 Aug 21;14(8):e090749. doi: 10.1136/bmjopen-2024-090749.PMID: 39174059 Free PMC article.
The impact of time of day on the diagnostic performance of tests for asthma.Wang R, Fowler SJ, Maidstone R, Healy L, Drake S, Lowe L, Simpson A, Murray CS, Durrington HJ.“Performing fractional exhaled nitric oxide and bronchodilator reversibility tests in the morning is more likely to lead to a positive test result than when performed in the afternoon.”.ERJ Open Res. 2024 Aug 5;10(4):00916-2023. doi: 10.1183/23120541.00916-2023. eCollection 2024 Jul.PMID: 39104948 Free PMC article.
Impact of the COVID-19 Pandemic on Influenza Hospital Admissions and Deaths in Wales: Descriptive National Time Series Analysis.Alsallakh M, Adeloye D, Vasileiou E, Sivakumaran S, Akbari A, Lyons RA, Robertson C, Rudan I, Davies GA, Sheikh A."The COVID-19 pandemic and the ensuing implementation of control measures caused widespread societal disruptions, that may also have affected community transmission and seasonal circulation patterns of endemic respiratory viruses"JMIR Public Health Surveill. 2024 Aug 21;10:e43173. doi: 10.2196/43173.PMID: 39171430 Free PMC article.
Patient pathways for four major chronic respiratory diseases in England between 2008 and 2021.Ioannides AE, Morgan AD, Quint JK.“Current pathways demonstrate missed opportunities to diagnose and manage disease and to improve disease coding.”BMJ Open Respir Res. 2024 Aug 28;11(1):e002273. doi: 10.1136/bmjresp-2023-002273.PMID: 39209353 Free PMC article.
An international consensus on the use of asthma biologics in pregnancy.Naftel J, Jackson DJ, Coleman M, d'Ancona G, Heaney LG, Dennison P, Bossios A, Rupani H.141 panellists from 32 countries who were involved in the care of people with severe asthma completed two rounds of online surveys covering key areas surrounding the use of asthma biologics in pregnancy.Lancet Respir Med. 2024 Aug 28:S2213-2600(24)00174-7. doi: 10.1016/S2213-2600(24)00174-7. Online ahead of print.PMID: 39216499 Review.
Level of education, but not occupation, is differentially associated with asthma phenotypes in adults.Bashir MBA, Basna R, Wennergren G, Rådinger M, Backman H, Goksör E, Lötvall J, Ekerljung L, Kankaanranta H, Nwaru BI.Study shows that levels of education are differentially associated with specific asthma phenotypes in adults.Clin Transl Allergy. 2024 Aug;14(8):e12389. doi: 10.1002/clt2.12389.PMID: 39138137 Free PMC article.
Navigating uncertainty: asthma biologics during pregnancy.Howell I, Howell A, Pavord I.Continuation of biologics during conception, pregnancy, and breastfeeding is recommended as current asthma biologics are monoclonal IgG antibodies with a minimal transfer across the placenta in the first trimester and almost negligible transfer into breast milk.

Lancet Respir Med. 2024 28:S2213-2600(24)00248-0. doi: 10.1016/S2213-2600(24)00248-0. Online ahead of print.PMID: 39216498 No abstract available.

 

Enhancing Asthma Self-Management with Environmental Passive-Monitoring Data and Machine Learning-Based Predictions.Tsang KCH.The review describes a range of machine learning applications being used to support asthma management, in different areas such as developing novel technology or predicting acute attacks.Stud Health Technol Inform. 2024 Aug 22;316:700-704. doi: 10.3233/SHTI240510.PMID: 39176891
Deep Multi-Omic Profiling Reveals Molecular Signatures that Underpin Preschool Wheeze and Asthma.Macowan M, Pattaroni C, Bonner K, Chatzis R, Daunt C, Gore M, Custovic A, Shields MD, Power UF, Grigg J, Roberts G, Ghazal P, Schwarze J, Turner S, Bush A, Saglani S, Lloyd CM, Marsland BJ.The study highlighted distinctions between an inflammation-related phenotype in preschool wheeze, and the predominance of airway epithelial-related changes linked with the inferred trajectory toward asthma.J Allergy Clin Immunol. 2024 Aug 28:S0091-6749(24)00869-8. doi: 10.1016/j.jaci.2024.08.017. Online ahead of print.PMID:39214237 

Vaping in pregnancy: Caution required!

 

Bush A, Coutts J, Langley R.Nicotine has many adverse effects on fetal lung development and immune function and due to ethics limitations, many studies of the potential toxic effects of nicotine on human fetal development are extrapolated from animal studies.Addiction. 2024 Aug;119(8):1491-1492. doi: 10.1111/add.16510. Epub 2024 Apr 18.PMID: 38637903 No abstract available.
E-cigarettes: WHO knows best.Langley RJ, Dagli E, Bush A.WHO recommends to ban flavours, increase taxation and limiting the concentration of nicotine in e-cigarettes.Arch Dis Child. 2024 Aug 30:archdischild-2024-327395. doi: 10.1136/archdischild-2024-327395. Online ahead of print.PMID: 39214692 No abstract available.

TitleAuthorsSummaryReference
Biologics in Asthma: Role of Biomarkers.Lavoie G, Pavord ID.“Modern understanding of asthma mainly concerns identification of inflammatory endotype to guide management. The distinction mostly concerns identification of type-2 inflammation, for which different biomarkers have been well characterized.”Immunol Allergy Clin North Am. 2024 Nov;44(4):709-723. doi: 10.1016/j.iac.2024.08.003. Epub 2024 Sep 2.PMID: 39389719 Review

Antidiabetic Medication and Asthma Attacks.

 

Lee B, Man KKC, Wong E, Tan T, Sheikh A, Bloom CI.

 

Elevated BMI and type 2 diabetes are prevalent in asthma and are associated with an increase in the risk of asthma attacks. The objective of the study is to estimate the association of metformin and add-on antidiabetic medications with asthma attacks.

JAMA Intern Med. 2024 Nov 18:e245982. doi: 10.1001/jamainternmed.2024.5982. Online ahead of print.PMID: 39556360

Species-level, metagenomic and proteomic analysis of microbe-immune interactions in severe asthma.

 

Jabeen MF, Sanderson ND, Tinè M, Donachie G, Barber C, Azim A, Lau LCK, Brown T, Pavord ID, Chauhan A, Klenerman P, Street TL, Marchi E, Howarth PH, Hinks TSCThe airway microbiome in severe asthma has not been previously characterised at species-level.This species-level integrated analysis reveals central, but distinct associations between potentially pathogenic bacteria and airways inflammation in severe asthma.Allergy. 2024 Nov;79(11):2966-2980. doi: 10.1111/all.16269. Epub 2024 Aug 11.PMID: 39127908
Clinical remission attainment, definitions, and correlates among patients with severe asthma treated with biologics: a systematic review and meta-analysis. Shackleford A, Heaney LG, Redmond C, McDowell PJ, Busby J.“Clinical remission is an achievable goal for a minority of patients with severe asthma treated with biologics. Definitions of clinical remission varied substantially between studies, and materially affected attainment, suggesting an urgent need for further consensus-driven definitions.”Lancet Respir Med. 2024 Nov 13:S2213-2600(24)00293-5. doi: 10.1016/S2213-2600(24)00293-5. Online ahead of print.PMID: 39549709 

Assessment of Home-based Monitoring in Adults with Chronic Lung Disease. An Official American Thoracic Society Research Statement.

 

Khor YH, Poberezhets V, Buhr RG, Chalmers JD, Choi H, Fan VS, George M, Holland AE, Pinnock H, Ryerson CJ, Alder R, Aronson KI, Barnes T, Benzo R, Birring SS, Boyd J, Crossley B, Flewett R, Freedman M, Gibson T, Houchen-Wolloff L, Krishnaswamy UM, Linnell J, Martinez FJ, Moor CC, Orr H, Pappalardo AA, Saraiva I, Wadell K, Watz H, Wijsenbeek MS, Krishnan JA“The development of the PANACEA (test Performance, disease mANAgement, Cost, patient Experience, clinician Experience, researcher Experience, and Access) framework allows standardized evaluation of home-based monitoring in chronic lung diseases to support clinical application and future research.”Am J Respir Crit Care Med. 2024 Nov 25. doi: 10.1164/rccm.202410-2080ST. Online ahead of print.PMID: 39585746

The Reliever Reliance Test: evaluating a new tool to address SABA over-reliance.

 

 

Moon Z, Kaplan A, Mak V, Nannini L, Winders T, Chan AHY, Foot H, Horne R.This is the first study to show that completion of the Reliever Reliance Test encourages patients to review their asthma treatment with their doctor. It demonstrates the positive impact of brief tailored messages on attitudes towards asthma treatment and how this can address SABA over-reliance.NPJ Prim Care Respir Med. 2024 Nov 5;34(1):36. doi: 10.1038/s41533-024-00389-4.PMID: 39500901 

Variability in forced expiratory volume in 1 s in children with symptomatically well-controlled asthma.

 

Filipow N, Turner S, Petsky HL, Chang AB, Frischer T, Szefler S, Vermeulen F, Stanojevic S.“Given the wide limits of agreement of paired FEV1 measurements in symptomatically well-controlled children, asthma treatment should primarily be guided by symptoms and not by a change in spirometry”Thorax. 2024 Nov 14;79(12):1145-1150. doi: 10.1136/thorax-2024-221755.PMID: 39332902
Patient-centred composite scores as tools for assesment of response to biological therapy for paediatric and adult severe asthma.Khaleva E, Brightling C, Eiwegger T, Altraja A, Bégin P., et.al.Authors developed a novel patient-centred paediatric and adult tool which include quality of life measures and should allow a more holistic understanding of response for the patient and a standardised assessment of the effectiveness of biologics between studies.Eur Respir J. 2024 Nov 21:2400691. doi: 10.1183/13993003.00691-2024. Online ahead of print.PMID: 39510551 

Validating the recording of exacerbations of asthma in electronic health records: a systematic review protocol.

 

Moore E, Gassasse ZZ, Quint JK.Electronic health records can be used to understand exacerbations and outcomes, however due to significant heterogeneity in used algorithms, validation of asthma exacerbation definitions is required.BMJ Open. 2024 Nov 12;14(11):e088849. doi: 10.1136/bmjopen-2024-088849.PMID: 39532362 

Dupilumab Efficacy and Safety in Children With Moderate-to-Severe Asthma and High Blood Eosinophils: A Post Hoc Analysis of VOYAGE.

 

Jackson DJ, Hamelmann E, Roberts G, Bacharier LB, Xia C, Gall R, Ledanois O, Coleman A, Tawo K, Jacob-Nara JA, Radwan A, Rowe PJ, Deniz Y.Dupilumab significantly reduced severe exacerbations and improved lung function in children with moderate-to-severe asthma and baseline blood eosinophil counts.J Allergy Clin Immunol Pract. 2024 Nov 27:S2213-2198(24)01179-6. doi: 10.1016/j.jaip.2024.11.014. Online ahead of print.PMID: 39613097

Defining adherence phenotype and endotypes to personalise asthma management.

 

Chan AHY, De Keyser HH, Horne R, Szefler SJ.Currently, precision medicine focuses on biological and physiological markers thatgive information on the “what”, e.g. disease control, but do not give insights into the “why”, e.g. the reasons driving poor asthma control. In this Viewpoint, authors discuss expanding this idea of precision medicine to adherence.Eur Respir J. 2024 Nov 27:2401357. doi: 10.1183/13993003.01357-2024. Online ahead of print.PMID: 39603674 

 

Use and acceptability of an asthma diagnosis clinical decision support system for primary care clinicians: an observational mixed methods study.

 

 

Daines L, Canny A, Donaghy E, Murray V, Campbell L, Stonham C, Milne H, Price D, Buchner M, Nelson L, Mair FS, Sheikh A, Bush A, McKinstry B, Pinnock H.Authors developed a clinical decision support system (CDSS) to prevent mis-diagnosis of asthma in children and young people, particularly helpful for trainees and clinicians with less experience in diagnosing asthma.NPJ Prim Care Respir Med. 2024 Nov 27;34(1):40. doi: 10.1038/s41533-024-00401-x.PMID: 39604378 

Over-the-counter short-acting β2-agonist purchase and asthma-related health outcomes: a post hoc analysis of the SABINA III study.

 

Price D, Beekman MJHI, Mattarucco WJ, Barriga-Acevedo RM, Wang HC, Diaz DV, Khattab A, Pacheco Gallego M, Al Zaabi A, Farouk H, Attar-Zadeh D.The results of SABINA III study in over 4500 patients showed the incremental disease-related burden linked with any SABA OTC purchase among patients already prescribed SABAs, highlighting unregulated access to SABA OTC that is a global concern.NPJ Prim Care Respir Med. 2024 Nov 1;34(1):34. doi: 10.1038/s41533-024-00397-4.PMID: 39487159 

TitleAuthorsSummaryReference
Current technological advancement in asthma care.Hakizimana A, Devani P, Gaillard EA.Technological advancements have been shown to have the potential to improve asthma diagnosis, monitoring, management, and access to high-quality care, addressing issues such as non-adherence to preventer medication, poor engagement, and lack of objective tests to diagnose asthma."Expert Rev Respir Med. 2024 Jul 17:1-14. doi: 10.1080/17476348.2024.2380067. Online ahead of print.PMID: 38992946 Review.
International Variation in Severe Exacerbation Rates in Patients With Severe Asthma.Lee TY, Price D, Yadav CP, Roy R, Lim LHM, Wang E, Wechsler ME, Jackson DJ, Busby J, Heaney LG, Pfeffer PE, Mahboub B, Perng Steve DW, Cosio BG, Perez-de-Llano L, Al-Lehebi R, Larenas-Linnemann D, Al-Ahmad M, Rhee CK, Iwanaga T, Heffler E, Canonica GW, Costello R, Papadopoulos NG, Papaioannou AI, Porsbjerg CM, Torres-Duque CA, Christoff GC, Popov TA, Hew M, Peters M, Gibson PG, Maspero J, Bergeron C, Cerda S, Contreras-Contreras EA, Chen W, Sadatsafavi M. Asthma management guidelines should promote multivariable risk prediction, with country-level calibration, to optimize treatment strategies.Chest. 2024 Jul;166(1):28-38. doi: 10.1016/j.chest.2024.02.029. Epub 2024 Feb 21.PMID: 38395297 Free article.
Dupilumab Reduces Exacerbations Independent of Changes in Biomarkers in Moderate-to-Severe Asthma.Pavord ID, Casale TB, Corren J, FitzGerald MJ, Deniz Y, Altincatal A, Gall R, Pandit-Abid N, Radwan A, Jacob-Nara JA, Rowe PJ, Busse WW.Changes from baseline in fractional exhaled nitric oxide and blood eosinophil count were not associated with asthma exacerbation rate, regardless of treatment arm. However, changes in both biomarkers showed a predictive value for lung function improvement; for FeNO, this was specific to the dupilumab treatment arm.J Allergy Clin Immunol Pract. 2024 Jul;12(7):1763-1772. doi: 10.1016/j.jaip.2024.03.031. Epub 2024 Mar 29.PMID: 38555079 Free article. Clinical Trial.
Near-fatal and fatal asthma and air pollution: are we missing an opportunity to ask key questions?Varghese D, Clemens T, McMurray A, Pinnock H, Grigg J, Cunningham S.Increasing number of evidence support the link between asthma attacks and air pollution in children, however fatal and near-fatal attacks are not well understood, as measuring and interpreting personal exposure to air pollution is challenging.Arch Dis Child. 2024 Jul 18;109(8):616-619. doi: 10.1136/archdischild-2023-325548.PMID: 37949644 Review
Change is in the air: key questions on the 'Treatable Traits' model for chronic airway diseases in primary care.Agusti A, Gibson PG, Heaney LG, Thomas M.“The Treatable Traits approach aims to personalise and improve patient care through the identification and targeting of clinically relevant and modifiable pulmonary, extra-pulmonary and behavioural traits”.​​​​NPJ Prim Care Respir Med. 2024 Jul 18;34(1):21. doi: 10.1038/s41533-024-00381-y.PMID: 39025870 Free PMC article. Review.
Asthma Inception: Epidemiologic Risk Factors and Natural History Across the Life-Course.Melén E, Zar HJ, Siroux V, Shaw D, Saglani S, Koppelman GH, Hartert T, Gern JE, Gaston B, Bush A, Zein J.Asthma symptoms can debut at any age, however, most asthma patients – regardless of their age of onset – seem to have had some form of airway symptoms during childhood.Am J Respir Crit Care Med. 2024 Jul 9. doi: 10.1164/rccm.202312-2249SO. Online ahead of print.PMID: 38981012
Association between socioeconomic deprivation, ethnicity and health outcomes in preschool children with recurrent wheeze in England: a retrospective cohort study.Lo D, Lawson C, Gillies C, Shabnam S, Gaillard EA, Pinnock H, Quint JK.Study identified inequalities in wheeze/asthma treatment and morbidity in preschool children from more deprived, and non-white backgrounds and therefore a multifaceted approach to tackle health inequality at both the national and local levels is needed.Thorax. 2024 Jul 2:thorax-2023-221210. doi: 10.1136/thorax-2023-221210. Online ahead of print.PMID: 38955499 Free article.
Long-term impact of COVID-19 hospitalisation among individuals with pre-existing airway diseases in the UK: a multicentre, longitudinal cohort study - PHOSP-COVID.Elneima O, Hurst JR, Echevarria C, Quint JK, Walker S, Siddiqui S, Novotny P, Pfeffer PE, Brown JS, Shankar-Hari M, McAuley HJC, Leavy OC, Shikotra A, Singapuri A, Sereno M, Richardson M, Saunders RM, Harris VC, Houchen-Wolloff L, Greening NJ, Harrison EM, Docherty AB, Lone NI, Chalmers JD, Ho LP, Horsley A, Marks M, Poinasamy K, Raman B, Evans RA, Wain LV, Sheikh A, Brightling CE, De Soyza A, Heaney LG."Individuals with pre-existing airway diseases hospitalised due to COVID-19 were less likely to feel fully recovered, had lower physiological performance measurements and more burden of symptoms”ERJ Open Res. 2024 Jul 15;10(4):00982-2023. doi: 10.1183/23120541.00982-2023. eCollection 2024 Jul.PMID: 39010888 Free PMC article.
Clinical characterisation of exacerbations of severe eosinophilic asthma occurring on mepolizumab and placebo.Howell I, Bratton DJ, Hynes G, Yancey SW, Heaney LG, Pavord ID, Shrimanker R."Asthma exacerbations in people treated with mepolizumab result in less peak expiratory flow reduction than placebo but similar symptom scores. Symptoms recover slower, indicating these exacerbations may be less prednisolone responsive”ERJ Open Res. 2024 Jul 29;10(4):00196-2024. doi: 10.1183/23120541.00196-2024. eCollection 2024 Jul.PMID: 39076523 Free PMC article.
Assessing the Impact of Non-Exhaust Emissions on the Asthmatic Airway (IONA) Protocol for a Randomised Three-Exposure Crossover Study.Scales J, Hajmohammadi H, Priestman M, McIlvenna LC, de Boer IE, Hassan H, Tremper AH, Chen G, Wood HE, Green DC, Katsouyanni K, Mudway IS, Griffiths C.People living with asthma are disproportionately affected by air pollution that mainly focuses on exhaust emissions however traffic-related air pollution can also arise from the mechanical abrasion of tyres, brakes, and road surfaces. The aim of thia study is to investigate the acute impacts of non-exhaust emissions on the lung function and airway immune status of asthmatic adults.Int J Environ Res Public Health. 2024 Jul 9;21(7):895. doi: 10.3390/ijerph21070895.PMID: 39063472 Free PMC article. Clinical Trial.
Asthma: effect of excess short-acting β2-agonist (SABA) inhaler prescriptions on healthcare resource utilisation.Levy ML, Capstick TG, Antalffy T.Br"Reduced short-acting reliever prescribing, coupled with increased inhaled corticosteroid prescribing, will reduce preventable asthma attacks, deaths, and therefore unplanned healthcare resource utilisation, as well as workload and costs”.Br J Gen Pract. 2024 Jul 25;74(745):374-376. doi: 10.3399/bjgp24X739089. Print 2024 Aug.PMID: 39054088 No abstract available.

TitleAuthorsSummaryReference
Cause of death coding in asthma.Chung A, Opoku-Pare GA, Tibble H.Study highlights the potential impact that bias can have on final cause of death reporting and coding.BMC Med Res Methodol. 2024 Jun 5;24(1):129. doi: 10.1186/s12874-024-02238-x.PMID: 38840045 Free PMC article
Preventing progression of preschool wheezing to asthma: Opportunities for intervention.Saglani S.“The benefits of inhaled corticosteroids in allergic/eosinophilic preschool wheeze are only apparent while they are being taken. Once stopped, they do not prevent the progression of preschool wheezing to asthma".Pediatr Allergy Immunol. 2024 Jun;35(6):e14180. doi: 10.1111/pai.14180.PMID: 38899625 Review.

 

Role of pharmacists in the care of adult asthma patients: A scoping review.

Mahmoud A, Abuhelwa AY, Owen T, Alazzawi A, Shara M, Alqudah MAY, ElHajj MS, Smith JR.“This review highlights a lack of research on pharmacist-led asthma interventions and identifies training needs to enable pharmacists to be involved in asthma care in GCC countries”

Res Social Adm Pharm. 2024 Jun 17:S1551-7411(24)00196-7. doi: 10.1016/j.sapharm.2024.06.005. Online ahead of print.PMID: 38918145 Free article. Review.

Healthcare Resource Utilization Associated with Intermittent Oral Corticosteroid Prescribing Patterns in Asthma.Tran TN, Heatley H, Bourdin A, Menzies-Gow A, Jackson DJ, Maslova E, Chapaneri J, Henley W, Carter V, Chan JSK, Ariti C, Haughney J, Price D.“Despite increased risk for adverse outcomes, the limited use recommended by guidelines, and the availability of novel therapies for the chronic treatment of asthma, recent data suggest that OCS are still widely used for the management of asthma. “J Asthma Allergy. 2024 Jun 21;17:573-587. doi: 10.2147/JAA.S452305. eCollection 2024.PMID: 38919734 
Efficacy of oral corticosteroids for acute preschool wheeze: a systematic review and individual participant data meta-analysis of randomised clinical trials.Lee B, Turner S, Borland M, Csonka P, Grigg J, Guilbert TW, Jartti T, Oommen A, Twynam-Perkins J, Lewis S, Cunningham S.IPD meta-analysis  shows that children with acute preschool wheeze who received oral corticosteroids had a significant improvement in wheezing severity score and length of hospital stay, particularly in children with moderate-to-severe wheeze.Lancet Respir Med. 2024 Jun;12(6):444-456. doi: 10.1016/S2213-2600(24)00041-9. Epub 2024 Mar 22.PMID: 38527486 Free article.
A Simulation Study of the Effect of Clinical Characteristics and Treatment Choice on Reliever Medication Use, Symptom Control and Exacerbation Risk in Moderate-Severe Asthma.Garcia G, van Dijkman SC, Pavord I, Singh D, Oosterholt S, Fulmali S, Majumdar A, Della Pasqua O."Simulation scenarios show that being a smoker, having higher baseline ACQ-5 and BMI, and long asthma history is associated with increased reliever medication use”.

Adv Ther. 2024 Jun 25. doi: 10.1007/s12325-024-02914-w. Online ahead of print.PMID: 38916810

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The UK Soft Drinks Industry Levy and childhood hospital admissions for asthma in England.Rogers NT, Cummins S, Jones CP, Mytton OT, Roberts CH, Shaheen SO, Shah SA, Sheikh A, White M, Adams J.Sugar sweetened beverage consumption has been suggested as a risk factor for childhood asthma symptoms, therefore the study examined whether the UK Soft Drinks Industry Levy (SDIL), announced in March 2016 and implemented in April 2018, was associated with changes in National Health Service hospital admission rates for asthma in children, 22 months post-implementation of SDIL.

Nat Commun. 2024 Jun 10;15(1):4934. doi: 10.1038/s41467-024-49120-4.PMID: 38858369 Free PMC article.

Real-world biologics response and super-response in the International Severe Asthma Registry cohort.Denton E, Hew M, Peters MJ, Upham JW, Bulathsinhala L, Tran TN, Martin N, Bergeron C, Al-Ahmad M, Altraja A, Larenas-Linnemann D, Murray R, Celis-Preciado CA, Al-Lehebi R, Belhassen M, Bhutani M, Bosnic-Anticevich SZ, Bourdin A, Brusselle GG, Busby J, Canonica GW, Heffler E, Chapman KR, Charriot J, Christoff GC, Chung LP, Cosio BG, Côté A, Costello RW, Cushen B, Fingleton J, Fonseca JA, Gibson PG, Heaney LG, Huang EW, Iwanaga T, Jackson DJ, Koh MS, Lehtimäki L, Máspero J, Mahboub B, Menzies-Gow AN, Mitchell PD, Papadopoulos NG, Papaioannou AI, Perez-de-Llano L, Perng DW, Pfeffer PE, Popov TA, Porsbjerg CM, Rhee CK, Roche N, Sadatsafavi M, Salvi S, Schmid JM, Sheu CC, Sirena C, Torres-Duque CA, Salameh L, Patel PH, Ulrik CS, Wang E, Wechsler ME, Price DB; ISAR LUMINANT Working Group“Adults with severe asthma who initiated biologics had greater baseline disease severity than those who did not, but similar biomarker levels. Clinical responses and super-responses to newly prescribed biologics were observed in all four domains of exacerbations, lung function, symptom control, and LTOCS use.”Allergy. 2024 Jun 22. doi: 10.1111/all.16178. Online ahead of print.PMID: 38923444
The FRESHAIR4Life study: Global implementation research on non-communicable disease prevention targeting adolescents' exposure to tobacco and air pollution in disadvantaged populations.Hoffman CM, Versluis A, Chirila S, Kirenga BJ, Khan A, Saeed S, Sooronbaev T, Tsiligianni I, Arvind DK, Bauld LC, van den Brand FA, Chavannes NH, Pinnock H, Powell PD, van der Schans J, Siddiqi K, Williams S, van der Kleij MJJRThe FRESHAIR4Life study aims to reduce the non-communicable disease burden by implementing preventive interventions targeting adolescents’ exposure to tobacco use and air pollution worldwide.NPJ Prim Care Respir Med. 2024 Jun 4;34(1):14. doi: 10.1038/s41533-024-00367-w.PMID: 38834570 Free PMC article. Review.
Clinical remission with biologic therapies in severe asthma: a matter of definition.UK Severe Asthma Registry; McDowell PJ, McDowell R, Busby J, Eastwood MC, Patel PH, Jackson DJ, Mansur A, Patel M, Burhan H, Doe S, Chaudhuri R, Gore R, Dodd JW, Subramanian D, Brown T, Heaney LG.“In this analysis of patients with severe asthma from a large national registry, 18% met the primary definition of remission, with distinct clinical and demographic characteristics seen in the remission versus non-remission cohorts.”.Eur Respir J. 2024 Jun 20;63(6):2400160. doi: 10.1183/13993003.00160-2024. Print 2024 Jun.PMID: 38901893
Exploring the perspectives of healthcare professionals on providing supported asthma self-management for Bangladeshi and Pakistani people in the UK.Ahmed S, Pinnock H, Steed L.Self-management support improves asthma outcomes and is widely recommended in guidelines, however it is poorly implemented in routine practice and might be additionally challenged in particular ethnic groups.

PLoS 2024 Jun 10;19(6):e0302357. doi: 10.1371/journal.pone.0302357. eCollection 2024.PMID: 38857297 Free PMC article.

 

Deploying an asthma dashboard to support quality improvement across a nationally representative sentinel network of 7.6 million people in England.Mukherjee M, Okusi C, Jamie G, Byford R, Ferreira F, Fletcher M, de Lusignan S, Sheikh A.“Evidence-based guidelines for asthma management and effective medications are available to inform clinical practice. Yet thousands of people with asthma still suffer unnecessary symptoms and potentially preventable asthma exacerbations. It is known that there can be better asthma outcomes by addressing clinical guideline adherence, guided self-management, and the provision of personal asthma action plans”NPJ Prim Care Respir Med. 2024 Jun 29;34(1):18. doi: 10.1038/s41533-024-00377-8.PMID: 38951547 Free PMC article
Remission in the World of Severe Asthma.Pavord ID.International Severe Asthma Registry was investigating remission in 3717 patients with severe asthma recruited from 23 countries.Am J Respir Crit Care Med. 2024 Jun 11. doi: 10.1164/rccm.202405-0894ED. Online ahead of print.PMID: 38861332 No abstract available.
Real-world severe COVID-19 outcomes associated with use of antivirals and neutralising monoclonal antibodies in Scotland.Tibble H, Mueller T, Proud E, Hall E, Kurdi A, Robertson C, Bennie M, Woolford L, Laidlaw L, Sterniczuk K, Sheikh A.The study is investigating the incidence of severe COVID-19 outcomes after treatment with antivirals and neutralising monoclonal antibodies, and estimating the comparative effectiveness of treatments in community-based individuals. NPJ Prim Care Respir Med. 2024 Jun 28;34(1):17. doi: 10.1038/s41533-024-00374-x.PMID: 38942748 Free PMC article.

TitleAuthorsSummaryReference
Exploring Definitions and Predictors of Severe Asthma Clinical Remission Post-Biologic in Adults.

Perez-de-Llano L, Scelo G, Tran TN, Le TT, Fagerås M, Cosio BG, Peters M, Pfeffer PE, Al-Ahmad M, Al-Lehebi RO, Altraja A, Bergeron C, Bjermer LH, Bjerrum AS, Bulathsinhala L, Busby J, Cano Rosales DJ, Canonica GW, Carter VA, Charriot J, Christoff GC, Denton EJ, Dorscheid DR, Fernandez Sanchez MJ, Fonseca JA, Gibson PG, Goh CYY, Heaney LG, Heffler E, Hew M, Iwanaga , Katial R, Koh MS, Kuna P, Larenas-Linnemann DES, Lehtimäki L, Mahboub B, Martin N, Matsumoto H, Menzies-Gow AN, Papadopoulos NG, Popov TA, Porsbjerg CM, Patel P, Rhee CK, Sadatsafavi M, Taillé C, Torres-Duque CA, Tsai MJ, Ulrik CS, Upham JW, von Bülow A, Wang E, Wechsler ME, Price DB.

 

The study tested sensitivity of asthma remission definitions in the largest severe asthma cohort in the world and showed that  it occurs in a relatively small proportion of patients treated with current biologics.Am J Respir Crit Care Med. 2024 May 3. doi: 10.1164/rccm.202311-2192OC. Online ahead of print.PMID: 38701495
Impact of pre-biologic impairment on meeting domain-specific biologic responder definitions in patients with severe asthma.Perez-de-Llano L, Scelo G, Canonica GW, Chen W, Henley W, Larenas-Linnemann D, Peters MJ, Pfeffer PE, Tran TN, Ulrik CS, Popov TA, Sadatsafavi M, Hew M, Máspero J, Gibson PG, Christoff GC, Fitzgerald JM, Torres-Duque CA, Porsbjerg CM, Papadopoulos NG, Papaioannou AI, Heffler E, Iwanaga T, Al-Ahmad M, Kuna P, Fonseca JA, Al-Lehebi R, Rhee CK, Koh MS, Cosio BG, Perng Steve DW, Mahboub B, Menzies-Gow AN, Jackson DJ, Busby J, Heaney LG, Patel PH, Wang E, Wechsler ME, Altraja A, Lehtimäki L, Bourdin A, Bjermer L, Bulathsinhala L, Carter V, Murray R, Beastall A, Denton E, Price DB.Results of the study provide realistic outcome-specific post-biologic expectations for both physicians and patients, presenting that the percentage of biologic responders varied by domain and increased with greater pre-biologic impairment.Ann Allergy Asthma Immunol. 2024 May (5):610-622.e7. doi: 10.1016/j.anai.2023.12.023. Epub 2023 Dec 25.PMID: 38151100 
Baseline Characteristics and ICS/LAMA/LABA Response in Asthma: Analyses From the CAPTAIN Study.Boulet LP, Abbott C, Brusselle G, Edwards D, Oppenheimer J, Pavord ID, Pizzichini E, Sagara H, Slade D, Wechsler ME, Gibson PG.Finding of the study suggest that treatment response to fluticasone furoate/umeclidinium/vilanterol differs according to baseline type 2 inflammation markers in patients with moderate to severe asthma. 

J Allergy Clin Immunol Pract. 2024 May;12(5):1244-1253.e8. doi: 10.1016/j.jaip.2024.01.039. Epub 2024 Feb 1.PMID: 38309696 

 

Component-specific clusters for diagnosis and prediction of allergic airway diseases.​​Howard R, Fontanella S, Simpson A, Murray CS, Custovic A, Rattray M.Previous studies which applied machine learning on multiplex component-resolved diagnostics arrays identified clusters of allergen components which are biologically plausible and show that sensitization to different clusters is associated with different clinical outcomes.Clin Exp Allergy. 2024 May;54(5):339-349. doi: 10.1111/cea.14468. Epub 2024 Mar 12.PMID: 38475973
DIGIPREDICT: physiological, behavioural and environmental predictors of asthma attacks-a prospective observational study using digital markers and artificial intelligence-study protocol.Chan AHY, Te Ao B, Baggott C, Cavadino A, Eikholt AA, Harwood M, Hikaka J, Gibbs D, Hudson M, Mirza F, Naeem MA, Semprini R, Chang CL, Tsang KCH, Shah SA, Jeremiah A, Abeysinghe BN, Roy R, Wall C, Wood L, Dalziel S, Pinnock H, van Boven JFM, Roop P, Harrison J.The study aims to generate a comprehensive risk prediction model for asthma attacks by adopting a data-driven approach using multiple data streams collected in real time from digital technologies. The findings will have implications for alerting individuals to their personal risk of an imminent attack and providing individuals with insights into changes in their medium-term risk of an asthma attack to inform their asthma self-management.BMJ Open Respir Res. 2024 May 22 (1):e002275. doi: 10.1136/bmjresp-2023-002275.PMID: 38777583 
Disentangling difficult-to-treat from severe asthma: What is the true prevalence?Quint JK.Difficult-to-treat and severe asthma are important to recognize in order to maximize management, reduce individual-level morbidity and mortality as well as healthcare burden and cost.Respirology May 27. doi: 10.1111/resp.14762. Online ahead of print.PMID: 38802287 
Direct and indirect costs of paediatric asthma in the UK: a cost analysis.Kennedy CT, Scotland GS, Cotton S, Turner SW.This study provides detailed estimates of the cost of paediatric asthma from both the NHS and societal perspective, for a population prone to attacks, followed up mainly in secondary care, showing the expected annual cost of asthma attacks at £59.2 million.Arch Dis Child. 2024 May 27:archdischild-2023-326306. doi: 10.1136/archdischild-2023-326306. Online ahead of print.PMID: 3880217
Longitudinal patterns of intermittent oral corticosteroid therapy for asthma in the United Kingdom.Tran TN, Heatley H, Rowell J, Chan JSK, Bourdin A, Chapaneri J, Emmanuel B, Gibson D, Jackson DJ, Menzies-Gow AN, Murray R, Skinner D, Price DB.The aim of the study is to describe the evolution and trajectory of intermittent OCS prescription patterns in patients with asthma and investigate risk factors independently associated with transitioning to a frequent prescription pattern.

J Allergy Clin Immunol Glob. 2024 Feb 2;3(2):100225. doi: 10.1016

 

CHARACTERIZATION OF MODERATE AND SEVERE ASTHMA EXACERBATIONS IN THE CAPTAIN STUDY. Oppenheimer J, Kerstjens HA, Boulet LP, Hanania NA, Kerwin E, Moore A, Nathan RA, Peachey G, Pizzichini E, Slade D, Zarankaite A, Pavord ID.Moderate and severe exacerbations have similar characteristics in terms of onset and time to resolution, although severe events have a slightly greater impact on symptoms, physical activity limitation, and SABA use than moderate events.J Allergy Clin Immunol Pract. 2024 May 20:S2213-2198(24)00533-6. doi: 10.1016/j.jaip.2024.05.019. Online ahead of print.PMID: 38777124
Investigating Machine Learning Techniques for Predicting Risk of Asthma Exacerbations: A Systematic Review.Darsha Jayamini WK, Mirza F, Asif Naeem M, Chan AHY.JIn asthma management, machine learning excels in performing well-defined tasks, such as diagnosis, prediction, medication, and management. This study aimed to review recent  applications of machine learning techniques in predicting risk of asthma attacks to assist asthma control and management.J Med Syst. 2024 May 13;48(1):49. doi: 10.1007/s10916-024-02061-3.PMID: 38739297 
Modifiable risk factors for asthma exacerbations during the COVID-19 pandemic: a population-based repeated cross-sectional study using the Research and Surveillance Centre primary care database.Mukherjee M, Okusi C, Jamie G, Byford R, Ferreira F, Agarwal U, Weatherill D, Fletcher M, Quint JK, Romel Bhuia M, de Lusignan S, Sheikh SA.There were substantial reductions in asthma exacerbations during the COVID-19 pandemic, therefore the changes in modifiable risk factors which might explain that reduction were investigated in the study.Lancet Reg Health Eur. 2024 May 24;42:100938. doi: 10.1016/j.lanepe.2024.100938. eCollection 2024 Jul.PMID: 38846423 
ERS International Congress 2023: highlights from the Respiratory Clinical Care and Physiology Assembly.Gonsard A, Mekov E, Barron S, Castellana G, Khurtsidze E, Vontetsianos A, Pennati F, Sivapalan P, Latimer LE, Marillier M, Hui CY, Kaltsakas G, Kolekar S, Vagheggini G, Vicente C, Drummond D, Poberezhets V, Bayat S, Franssen FME, Vogiatzis I, Gille T.The article contains an overview of laboratory-based science, clinical trials and qualitative research that were presented during the 2023 European Respiratory Society International Congress within the sessions from the five groups in Respiratory Clinical Care and Physiology.ERJ Open Res. 2024 May 20;10(3):00178-2024. doi: 10.1183/23120541.00178-2024. eCollection 2024 May.PMID: 38770003 
Impact of patient support programmes among patients with severe asthma treated with biological therapies: a systematic literature review and indirect treatment comparison.

Rabe APJ, Loke WJ, Kielar D, Morris T, Shih VH, Olinger L, Musat MG, Lan Z, Harricharan S, Fulton O, Majeed A , Heaney LG.

 

Patient Support Programmes contribute to positive clinical outcomes in patients with severe asthma on biological treatment in terms of medication adherence and persistence, asthma control and improved quality of life.BMJ Open Respir Res. 2024 May 2;11(1):e001799. doi: 10.1136/bmjresp-2023-001799.PMID: 38697674 
Qualitative research influencing guideline and policy: An exemplar of the development of a national school asthma guideline in Malaysia.Ramdzan SN, Khoo EM, Cunningham S, Hussein N, Ramli R, Senawi SA, Ahad AM, Sukri N, Nathan JJ, Kassim A, Pinnock H; RESPIRE collaborators.  The article outlined how the processes of dissemination and stakeholder engagement using findings of qualitative studies led to the development of a national school asthma guideline in Malaysia.J Glob Health. 2024 May 17;14:03027. doi: 10.7189/jogh.14.03027.PMID: 38751315 
Patient and public involvement workshop to shape artificial intelligence-supported connected asthma self-management research.Hui CY, Shenton AV, Martin C, Weatherill D, Moylan D, Hayes M, Rienda LG, Kinley E, Eck S, Pinnock H.The PPI workshop discussion provided advice on the technology features that should be included in the next digital intervention, as well as the AI-related and research topics for further discussions.PLOS Digit Health. 2024 May 30;3(5):e0000521. doi: 10.1371/journal.pdig.0000521. eCollection 2024 May.PMID: 38814854 
Tobacco control policies and respiratory conditions among children presenting in primary care.Faber T, Coffeng LE, Sheikh A, Reiss IK, Mackenbach JP, Been JV.The study examined if introduction of the tobacco control policies was associated with reductions in the incidence of general practitioner  diagnoses of wheezing and asthma.NPJ Prim Care Respir Med. 2024 May 16;34(1):11. doi: 10.1038/s41533-024-00369-8.PMID: 38755181 
Lung function trajectories from school age to adulthood and their relationship with markers of cardiovascular disease risk.Granell R, Haider S, Deliu M, Ullah A, Mahmoud O, Fontanella S, Lowe L, Simpson A, Dodd JW, Arshad SH, Murray CS, Roberts G, Hughes A, Park C, Holloway JW, Custovic A; STELAR/UNICORN investigators.The study showed that  Childhood lung function trajectories may serve as predictors in the development of not only future lung disease, but also the cardiovascular disease and multimorbidity in adulthood.Thorax. 2024 May 2:thorax-2023-220485. doi: 10.1136/thorax-2023-220485. Online ahead of print.PMID: 38697843 

TitleAuthorsSummaryReference
Exhaled Volatile Organic Compounds for Asthma Control Classification in Children with Moderate to Severe Asthma: Results from the SysPharmPediA Study.Shahbazi Khamas S, Van Dijk Y, Abdel-Aziz MI, Neerincx AH, Blankestijn J, Vijverberg SJH, Hashimoto S, Bush A, Kraneveld AD, Hedman AM, Toncheva AA, Almqvist C, Wolff C, Murray CS, Hedlin G, Roberts G, Adcock IM, Korta-Murua J, Bønnelykke K, Fleming LJ, Pino-Yanes M, Gorenjak M, Kabesch M, Sardón-Prado O, Montuschi P, Singer F, Corcuera-Elosegui P, Fowler SJ, Brandstetter S, Harner S, Dahlén SE, Potočnik U, Frey U, van Aalderen W, Brinkman P, Maitland-van der Zee AH Early identification of children with poorly controlled asthma is crucial for optimizing treatment strategies, and the analysis of exhaled volatile organic compounds is a promising approach for identification of prognostic and diagnostic biomarkers.Am J Respir Crit Care Med. 2024 Apr 22. doi: 10.1164/rccm.202312-2270OC. Online ahead of print.PMID: 38648186

The airway epithelium: an orchestrator of inflammation, a key structural barrier and a therapeutic target in severe asthma.

 

Russell RJ, Boulet LP, Brightling CE, Pavord ID, Porsbjerg C, Dorscheid D, Sverrild A.Epithelial disruption is an early manifestation of asthma pathogenesis, but further research is needed to identify biomarkers of early epithelial dysfunctionEur Respir J. 2024 Apr 4;63(4):2301397. doi: 10.1183/13993003.01397-2023. Print 2024 Apr.PMID: 38453256 Free PMC article. Review.
Recommendations for asthma monitoring in children: A PeARL document endorsed by APAPARI, EAACI, INTERASMA, REG, and WAO.Papadopoulos NG, Custovic A, Deschildre A, Gern JE, et.al.Pediatric Asthma Monitoring recommendation were created to help systematize and harmonize asthma monitoring based on the declared needs of their target users.Pediatr Allergy Immunol. 2024 Apr;35(4):e14129. doi: 10.1111/pai.14129.PMID: 38664926 Review.
Asthma deaths in children in the UK the last straw!Levy ML, Fleming L, Bush A.​​Asthma is the most common chronic childhood disease and has relatively low priority on the national agenda. Moreover, UK has the highest number of asthma deaths in CYP in Europe.J Gen Pract. 2024 Apr 29:bjgp24X738201. doi: 10.3399/bjgp24X738201. Online ahead of print.PMID: 38684376

The carbon footprint of as-needed budesonide-formoterol in mild asthma: a post hoc analysis.

 

Hatter L, Holliday M, Eathorne A, Bruce P, Pavord ID, Reddel HK, Hancox RJ, Papi A, Weatherall M, Beasley R“It is possible that a reduction in carbon footprint could be achieved by switching patients with mild asthma from salbutamol pMDI reliever therapy to inhaled corticosteroid-formoterol dry powder inhaler reliever therapy, as recommended by the Global Initiative for Asthma Eur Respir J. 2024 Apr 12:2301705. doi: 10.1183/13993003.01705-2023. Online ahead of print.PMID: 38609096
Long-term air pollution exposure and risk of SARS-CoV-2 infection: A UK-wide cohort study.Hajmohammadi H, Talaei M, Fecht D, Wang W, Vivaldi G, Faustini SE, Richter AG, Shaheen SO, Martineau AR, Sheikh A, Mudway IS, Griffiths CJ.Long-term burden of air pollution increases the risks of SARS-CoV-2 infection, which has important implications for future pandemic preparedness.Respir Med. 2024 Apr;224:107567. doi: 10.1016/j.rmed.2024.107567. Epub 2024 Feb 27.PMID: 38423343

Barriers to clinical remission in severe asthma.

 

Farinha I, Heaney LG.Clinical remission in severe asthma is an achievable goal  for a minority of patients. Early intervention is crucial to reduce the onset of significant corticosteroid toxicity, delay disease progression and the development of structural changes. Respir Res. 2024 Apr 24;25(1):178. doi: 10.1186/s12931-024-02812-3.PMID: 38658975 
Biomarker Predictors of Clinical Efficacy of the Anti-IgE Biologic, Omalizumab, in Severe Asthma in Adults: Results of the SoMOSA Study.Djukanović R, Brinkman P, Kolmert J, Gomez C, Schofield J, Brandsma J, Shapanis A, Skipp PJS, Postle A, Wheelock C, Dahlén SE, Sterk PJ, Brown T, Jackson DJ, Mansur A, Pavord I, Patel M, Brightling C, Siddiqui S, Bradding P, Sabroe I, Saralaya D, Chishimba L, Porter J, Robinson D, Fowler SJ, Howarth PH, Little L, Oliver T, Hill K, Stanton L, Allen A, Ellis D, Griffiths G, Harrison T, Akenroye A, Lasky-Su J, Heaney L, Chaudhuri R, Kurukulaaratchy RThis study aimed to identify biomarkers that predict clinical improvement during one year of omalizumab treatment and showed a significant improvement and reduction of exacerbations in patients.Am J Respir Crit Care Med. 2024 Apr 18. doi: 10.1164/rccm.202310-1730OC. Online ahead of print.PMID: 38635834

Social determinants of respiratory health from birth: still of concern in the 21st century?

 

Bush A, Byrnes CA, Chan KC, Chang AB, Ferreira JC, Holden KA, Lovinsky-Desir S, Redding G, Singh V, Sinha IP, Zar HJ.The review demonstrated that social determinants such as economic situation, ethnicity, medication and healthcare accessibility or even climate change are important for respiratory health across the developmental spectrum and across the world.Eur Respir Rev. 2024 Apr 10;33(172):230222. doi: 10.1183/16000617.0222-2023. Print 2024 Apr 30.PMID: 38599675 Free PMC article. Review.
Biomarkers and clinical outcomes after tezepelumab cessation: extended follow-up from the 2-year DESTINATION study.Brightling CE, Caminati M, Llanos JP, Caveney S, Kotalik A, Griffiths JM, Lundahl A, Israel E, Pavord ID, Wechsler ME, Porsbjerg C, Corren J, Gołąbek M, Martin N, Ponnarambil S“This analysis demonstrates benefits of continued tezepelumab treatment in the management of patients with severe, uncontrolled asthma, compared with stopping treatment after 2 years.Ann Allergy Asthma Immunol. 2024 Apr 30:S1081-1206(24)00280-1. doi: 10.1016/j.anai.2024.04.031. Online ahead of print.PMID: 38697286
MELTEMI and COLUMBA: 5-Year Comparative Safety Analysis of Benralizumab and Mepolizumab.Bourdin A, Chupp G, Jackson DJ, Cohen D, Emerath U, Shavit A, Kurdyukova Y, Menzies-Gow A.Study demonstrated similar long-term safety between mepolizumab and benralizumab in patients with severe eosinophilic asthma.J Allergy Clin Immunol Pract. 2024 Apr 25:S2213-2198(24)00418-5. doi: 10.1016/j.jaip.2024.04.033. Online ahead of print.PMID: 38677588

TitleAuthorsSummaryReference
Outdoor air pollution and near-fatal/fatal asthma attacks in children: A systematic review.Varghese D, Ferris K, Lee B, Grigg J, Pinnock H, Cunningham S.Globally, observational studies have demonstrated an association between high levels of air pollution and asthma attacks in children, however it remains unclear to what extent exposure may be associated with increased near-fatal and fatal attacks.Pediatr Pulmonol. 2024 Mar 13. doi: 10.1002/ppul.26932. Online ahead of print.PMID: 38477643 Review.
Level of Education Modifies Asthma Mortality in Norway and Sweden. The Nordic EpiLung Study.Backman H, Bhatta L, Hedman L, Brumpton B, Vähätalo I, Lassmann-Klee PG, Nwaru BI, Ekerljung L, Krokstad S, Aalberg Vikjord SA, Lindberg A, Kankaanranta H, Rönmark E, Langhammer A.Several studies have found that individuals with lower levels of education are more likely to have asthma than those with higher levels of education, which can be explained by work related exposure to asthma triggers, access to healthcare or medical treatment unaffordability.J Asthma Allergy. 2024 Mar 18;17:209-218. doi: 10.2147/JAA.S450103. eCollection 2024.PMID: 38524102 Free PMC article.
High-Flow Humidified Oxygen as an Early Intervention in Children With Acute Severe Asthma: Protocol for a Feasibility Randomized Controlled Trial.Rojas-Anaya H, Kapur A, Roberts G, Roland D, Gupta A, Lazner M, Bayreuther J, Pappachan J, Jones C, Bremner S, Cantle F, Seddon P."High-flow humidified oxygen (HiFlo) is widely used in respiratory conditions and is increasingly being used in ASA, but with little evidence for its effectiveness.” JMIR Res Protoc. 2024 Mar 28;13:e54081. doi: 10.2196/54081.PMID: 38546733 
Dupilumab reduces exacerbations independent of changes in biomarkers in moderate-to-severe asthma.Pavord ID, Casale TB, Corren J, FitzGerald MJ, Deniz Y, Altincatal A, Gall R, Pandit-Abid N, Radwan A, Jacob-Nara JA, Rowe PJ, Busse WW.“Changes from baseline in fractional exhaled nitric oxide and blood eosinophil count may be related to efficacy outcomes in dupilumab-treated patients with moderate-to-severe asthma.”J Allergy Clin Immunol Pract. 2024 Mar 28:S2213-2198(24)00306-4. doi: 10.1016/j.jaip.2024.03.031. Online ahead of print.PMID: 38555079 
Medication Adherence in Children with Asthma.McCrossan P, Shields MD, McElnay JC.“Treatment adherence in children’s asthma involves three measures: frequency of inhaler use, quality of inhaler technique and prescriber’s compliance with national guidelines. “Patient Prefer Adherence. 2024 Mar 5;18:555-564. doi: 10.2147/PPA.S445534. eCollection 2024.PMID: 38476591 Free PMC article. Review.
Primary Care Asthma Attack Prediction Models for Adults: A Systematic Review of Reported Methodologies and Outcomes.Ma L, Tibble H.“The predictive performance is heavily influenced by the study design, including the population, the outcome definition, the algorithm, and the model validation procedures. Identifying the most clinically meaningful model characteristics is necessary to enable a “best” model to be identified and highlight routes for future development. “J Asthma Allergy. 2024 Mar 14;17:181-194. doi: 10.2147/JAA.S445450. eCollection 2024.PMID: 38505397 
Lung-function trajectories: relevance and implementation in clinical practice.Melén E, Faner R, Allinson JP, Bui D, Bush A, Custovic A, Garcia-Aymerich J, Guerra S, Breyer-Kohansal R, Hallberg J, Lahousse L, Martinez FD, Merid SK, Powell P, Pinnock H, Stanojevic S, Vanfleteren LEGW, Wang G, Dharmage SC, Wedzicha J, Agusti A; CADSET Investigators“This Review presents progressive research into lung-function trajectories and assists the implementation of this knowledge in clinical practice as an innovative approach to detect poor lung health early, monitor respiratory disease progression, and promote lung health.”Lancet. 2024 Mar 12:S0140-6736(24)00016-3. doi: 10.1016/S0140-6736(24)00016-3. Online ahead of print.PMID: 
Efficacy of oral corticosteroids for acute preschool wheeze: a systematic review and individual participant data meta-analysis of randomised clinical trials.Lee B, Turner S, Borland M, Csonka P, Grigg J, Guilbert TW, Jartti T, Oommen A, Twynam-Perkins J, Lewis S, Cunningham SOral corticosteroids are beneficial in treating acute wheeze associated with asthma. Study shows that children with acute preschool wheeze who received oral corticosteroids had statistically significant improvement in wheezing severity scoreLancet Respir Med. 2024 Mar 22:S2213-2600(24)00041-9. doi: 10.1016/S2213-2600(24)00041-9. Online ahead of print.PMID: 38527486 
Mast cell activation disrupts interactions between endothelial cells and pericytes during early life allergic asthma.Joulia R, Puttur F, Stölting H, Traves WJ, Entwistle LJ, Voitovich A, Garcia Martín M, Al-Sahaf M, Bonner K, Scotney E, Molyneaux PL, Hewitt RJ, Walker SA, Yates L, Saglani S, Lloyd CM.Study demonstrated that tissue remodeling, induced by inhaled allergen, affects blood vessel organization during early life with a reduction of the pulmonary microcirculation that precedes other structural changes, and loss of blood vessels in specific areas may negatively affect gas exchange. J Clin Invest. 2024 Mar 15;134(6):e173676. doi: 10.1172/JCI173676.PMID: 38487999 
Assessing catastrophic health expenditure and impoverishment in adult asthma care: a cross-sectional study of patients attending six public health clinics in Klang District, Malaysia.Hussein N, Ng CW, Ramli R, Liew SM, Hanafi NS, Lee PY, Cheong AT, Ghazali SS, Pinnock H, Stoddart A, Schwarze J, Khoo EM.Malaysian patients benefited from the heavily subsidised public health services, however this study highlighted those in the lowest income quintile still experienced financial catastrophe and impoverishment.BMC Health Serv Res. 2024 Mar 12;24(1):327. doi: 10.1186/s12913-024-10731-8.PMID: 38475801 

TitleAuthorsSummaryReference
Greenhouse gas emissions associated with suboptimal asthma care in the UK: the SABINA healthCARe-Based envirONmental cost of treatment (CARBON) study.Wilkinson AJK, Maslova E, Janson C, Radhakrishnan V, Quint JK, Budgen N, Tran TN, Xu Y, Menzies-Gow A, Bell JP.“Findings of the study suggest that addressing the high burden of poorly controlled asthma, including curbing high SABA use and its associated risk of exacerbations, may significantly alleviate asthma care-related carbon emissions.Thorax. 2024 Feb 27:thorax-2023-220259. doi: 10.1136/thorax-2023-220259. Online ahead of print.PMID: 38413192
Association Between T2-related Comorbidities and Effectiveness of Biologics in Severe Asthma.Wechsler ME, Scelo G, Larenas-Linnemann DES, et.al.Findings of the study highlight the importance of systematic comorbidity evaluation.Am J Respir Crit Care Med. 2024 Feb 1;209(3):262-272. doi: 10.1164/rccm.202305-0808OC.PMID: 38016003
Effect of Individual Patient Characteristics and Treatment Choices on Reliever Medication Use in Moderate-Severe Asthma: A Poisson Analysis of Randomised Clinical Trials.van Dijkman SC, Yorgancıoğlu A, Pavord I, Brusselle G, Pitrez PM, Oosterholt S, Fumali S, Majumdar A, Della Pasqua OIndividual demographic and clinical characteristics, as well as exacerbation history can be considered an indicator of the degree of asthma control. Adv Ther. 2024 Mar;41(3):1201-1225. doi: 10.1007/s12325-023-02774-w. Epub 2024 Feb 1.PMID: 38296921 Free PMC article. Clinical Trial.
Predictors of persistent poor control and validation of ASSESS score: Longitudinal 5-year follow-up of severe asthma cohort.Tiew PY, Tay TR, Chen W, Price DB, Ong KY, Chotirmall SH, Koh MS.“Bronchiectasis and gastroesophageal reflux disease are predictors for persistent poor asthma control and targeted traits for precision medicine in severe asthma. The ASSESS score has a good prediction for persistent poor asthma control over 5 years.J Allergy Clin Immunol Glob. 2023 Nov 20;3(1):100188. doi: 10.1016/j.jacig.2023.100188. eCollection 2024 Feb.PMID: 38173699
The Association Between Short-Acting β2-Agonist Over-Prescription, and Patient-Reported Acquisition and Use on Asthma Control and Exacerbations: Data from Australia.Price D, Jenkins C, Hancock K, Vella R, Heraud F, Le Cheng P, Murray R, Beekman M, Bosnic-Anticevich S, Botini F, Carter V, Catanzariti A, Doan J, Fletton K, Kichkin A, Le T, Le Lievre C, Lau CM, Novic D, Pakos J, Ranasinghe K, Roussos A, Samuel-King J, Sharma A, Stewart D, Willet B, Bateman E; OPCA Improving Asthma Outcomes in Australia Research Group.In Australia, short-acting β2-agonists (SABA) are available both over the counter and on prescription, and the ease of access may impact SABA use in the Australian population. Adv Ther. 2024 Mar;41(3):1262-1283. doi: 10.1007/s12325-023-02746-0. Epub 2024 Feb 4.PMID: 38310584 
Type-2 inflammation: a key treatable trait associated with lung function decline in chronic airways disease.Petousi N, Pavord ID, Kent BD.“Phenotyping all patients with asthma and COPD by measuring their type-2 biomarkers is essential for identifying those at risk of lung function decline, exacerbations, people remodelling and death, and will allow earlier targeting of treatment.”Thorax. 2024 Feb 19:thorax-2023-221329. doi: 10.1136/thorax-2023-221329. Online ahead of print.PMID: 38373823
Biomarkers Associated with Lung Function Decline and Dupilumab Response in Patients with Asthma.Pavord ID, de Prado Gómez L, Brusselle G, Jackson DJ, Brightling CE, Papi A, Maspero JF, Rabe KF, Korn S, Zhang M, Soler X, Jacob-Nara JA, Hardin M; QUEST Lung Function Decline Study Group.“The analysis provides robust data supporting FeNO as a clinically viable prognostic biomarker for accelerated Lung Function Decline and predictive of the treatment response to dupilumab. Additional research is needed to establish patterns of LFD in patients with moderate-to-severe asthma, as well as the prognostic and predictive role of FeNO.”

Am J Respir Crit Care Med. 2024 Feb 8. doi: 10.1164/rccm.202310-1751LE. Online ahead of print.PMID: 38329781 

 

Can We Test the Function of the Small Airways in Children Outside the Laboratory?Makrinioti H, Bush A.Cohort studies pinpoint associations between early life lung function impairment and the development of asthma and COPD. DTG-SBW test is a measure of the uniformity of lung ventilation and gas mixing efficiency, feasible in a pediatric field setting.Chest. 2024 Feb;165(2):241-242. doi: 10.1016/j.chest.2023.10.004.PMID: 38336434 
A simple and effective evidence-based approach to asthma management: ICS-formoterol reliever therapy.Levy ML, Beasley R, Bostock B, Capstick TG, Crooks MG, Fleming L, Freeman D, Marsh V, Rupani H, Whittamore A, Barnes PJ, Bush A.Traditionally, SABA inhalers are prescribed as the first step in managing asthma, however SABA monotherapy fails to alleviate inflammation. ICS-formoterol reliever alone reduces severe exacerbations compared with SABA monotherapy in mild asthma.Br J Gen Pract. 2024 Jan 25;74(739):86-89. doi: 10.3399/bjgp24X736353. Print 2024 Feb.PMID: 38272684 
International variation in severe exacerbation rates in patients with severe asthma.Lee TY, Price D, Yadav CP, Roy R, Mien LLH, Wang E, Wechsler ME, Jackson DJ, Busby J, Heaney LG, Pfeffer PE, Mahboub B, Perng Steve DW, Cosio BG, Perez-de-Llano L, Al-Lehebi R, Larenas-Linnemann D, Al-Ahmad M, Rhee CK, Iwanaga T, Heffler E, Canonica GW, Costello R, Papadopoulos NG, Papaioannou AI, Porsbjerg CM, Torres-Duque CA, Christoff GC, Popov TA, Hew M, Peters M, Gibson PG, Maspero J, Bergeron C, Cerda S, Contreras Contreras EA, Chen W, Sadatsafavi M.Study shows a large between-country variation in observed severe exacerbation rate, suggesting adapted clinical recommendations for severe asthma.Chest. 2024 Feb 21:S0012-3692(24)00264-2. doi: 10.1016/j.chest.2024.02.029. Online ahead of print.PMID: 38395297 
How have we measured trial outcomes of asthma attack treatment? A systematic review.Howell I, Howell A, Ramakrishnan S, Bafadhel M, Pavord I.“Outcomes in randomised controlled trials of asthma attack treatment focus on short-term changes in lung function and may not capture patient-centred and economically important longer-term measures.”ERJ Open Res. 2024 Feb 26;10(1):00660-2023. doi: 10.1183/23120541.00660-2023. eCollection 2024 Jan.PMID: 38410715 
Long-term air pollution exposure and risk of SARS-CoV-2 infection: A UK-wide cohort study.Hajmohammadi H, Talaei M, Fecht D, Wang W, Vivaldi G, Faustini SE, Richter AG, Shaheen SO, Martineau AR, Sheikh A, Mudway IS, Griffiths CJ.Findings of the study suggest that the long-term burden of air pollution increased the risks of SARS-CoV-2 infection and has important implications for future pandemic preparedness.Respir Med. 2024 Feb 27:107567. doi: 10.1016/j.rmed.2024.107567. Online ahead of print.PMID: 38423343
Evaluating the Feasibility of a Community Pharmacy-Delivered Behaviour Change Intervention to Reduce Reliever Reliance in Asthma.Foot H, Beyene K, Horne R, Fingleton J, Harrison J, Chan AHY.Brief pharmacy-delivered intervention is feasible and acceptable to patients and pharmacy staff, changing patients’ beliefs about SABA, as well as making pharmacists aware of SABA overuse.Patient Prefer Adherence. 2024 Feb 7;18:361-371. doi: 10.2147/PPA.S445763. eCollection 2024.PMID: 38344153 
Challenges in diagnosing asthma in children.Chisholm K, Daines L, Turner S.“Asthma can be diagnosed in children under 5, but is unlikely to explain recurrent respiratory symptoms in children under 2”.BMJ. 2024 Feb 13;384:e075924. doi: 10.1136/bmj-2023-075924.PMID: 38350681
Time-dependent gene-environment interactions are essential drivers of asthma initiation and persistence.Chatziparasidis G, Chatziparasidi MR, Kantar A, Bush A.Study introduces the importance of the time variant in asthma pathogenesis and emphasize the long-term clinical significance of the time-dependent gene-environment interactions in childhood.Pediatr Pulmonol. 2024 Feb 21. doi: 10.1002/ppul.26935. Online ahead of print.PMID: 38380964

TitleAuthorsSummaryReference
Obstructive and restrictive spirometry from school age to adulthood: three birth cohort studies.Ullah A, Granell R, Haider S, Lowe L, Fontanella S, Arshad H, Murray CS, Turner S, Holloway JW, Simpson A, Roberts G, Custovic A; STELAR/UNICORN Investigators.Maternal smoking during pregnancy, early wheeze, higher BMI, current wheeze, current asthma diagnosis, current sensitization, and current parental smoking are associated with higher prevalence of obstructive phenotype.EClinicalMedicine. 2023 Dec 12;67:102355. doi: 10.1016/j.eclinm.2023.102355. eCollection 2024 Jan.PMID: 38169936 Free PMC article.
Psychological interventions for asthma in children and adolescents.Sharrad KJ, Sanwo O, Cuevas-Asturias S, Kew KM, Carson-Chahhoud KV, Pike KC.Main objective of the protocol is to determine the efficacy of psychological interventions in modifying health and behavioural outcomes in children with asthma, compared with usual treatment.Cochrane Database Syst Rev. 2024 Jan 11;1(1):CD013420. doi: 10.1002/14651858.CD013420.pub2.PMID: 38205864 Review.
Analysis of comorbidities and multimorbidity in adult patients in the International Severe Asthma Registry.Scelo G, Torres-Duque CA, Maspero J, et.al.First global analysis of comorbidity burden in patients with severe asthma, in terms of both prevalence and association with asthma clinical characteristics and outcomes.Ann Allergy Asthma Immunol. 2024 Jan;132(1):42-53. doi: 10.1016/j.anai.2023.08.021. Epub 2023 Aug 26.PMID: 37640263 Free article.
What trials do and do not tell us about treatments for severe asthma.Quint JK, Shah PL."As we learn more about long-term risks and benefits of asthma treatments and think in terms of disease phenotypes and personalised medicine, clinicians increasingly tailor treatment, focusing on subgroups of people with disease and targeting minutia within inflammatory pathways."Lancet. 2024 Jan 20;403(10423):224-226. doi: 10.1016/S0140-6736(23)02409-1.PMID: 38245238 No abstract available.
Dupilumab sustains lung function improvements in patients with moderate-to-severe asthma.Papi A, Castro M, Corren J, Pavord ID, Tohda Y, Altincatal A, Pandit-Abid N, Laws E, Akinlade B, Mannent LP, Gall R, Jacob-Nara JA, Deniz Y, Rowe PJ, Lederer DJ, Hardin M.“Dupilumab improves lung function outcomes, including large and small airway measurements and fixed airway obstruction, in patients with uncontrolled, moderate-to-severe asthma; particularly in patients with elevated biomarkers of type 2 inflammation.Respir Med. 2024 Jan 23:107535. doi: 10.1016/j.rmed.2024.107535. Online ahead of print.PMID: 38272376 Free article.
From treatable traits to GETomics in airway disease: moving towards clinical practice.Papi A, Faner R, Pavord I, Baraldi F, McDonald VM, Thomas M, Miravitlles M, Roche N, Agustí A.“The concept of GETomics provides a new dynamic and integrated understanding of the pathogenesis of human diseases in general, and respiratory diseases in particular.Eur Respir Rev. 2024 Jan 17;33(171):230143. doi: 10.1183/16000617.0143-2023. Print 2024 Jan 31.PMID: 38232989 Free PMC article. Review.
Impact of indoor environment on children's pulmonary health.Murphy J, Tharumakunarajah R, Holden KA, King C, Lee AR, Rose K, Hawcutt DB, Sinha IP.“Children are particularly susceptible to the effects of environmental insults, and children living in socioeconomic deprivation globally are more likely to breathe air both indoors and outdoors, which poses an acute and long-term risk to their healthExpert Rev Respir Med. 2024 Jan 19:1-11. doi: 10.1080/17476348.2024.2307561. Online ahead of print.PMID: 38240133 Review.
The infant gut virome is associated with preschool asthma risk independently of bacteria.Leal Rodríguez C, Shah SA, Rasmussen MA, Thorsen J, Boulund U, Pedersen CT, Castro-Mejía JL, Poulsen CE, Poulsen CS, Deng L, Larsen FAN, Widdowson M, Zhang Y, Sørensen SJ, Moineau S, Petit MA, Chawes B, Bønnelykke K, Nielsen DS, Stokholm J.A healthy infant virome is dominated by a rich temperate phage community, whereas perturbed core temperate virome lacking particular viral families may be a risk factor for the development of preschool asthma independent of the bacterial community.Nat Med. 2024 Jan;30(1):138-148. doi: 10.1038/s41591-023-02685-x. Epub 2023 Dec 15.PMID: 38102298
Reduction of daily maintenance inhaled corticosteroids in patients with severe eosinophilic asthma treated with benralizumab (SHAMAL): a randomised, multicentre, open-label, phase 4 study.Jackson DJ, Heaney LG, Humbert M, Kent BD, Shavit A, Hiljemark L, Olinger L, Cohen D, Menzies-Gow A, Korn S; SHAMAL Investigators.Study shows that 92% of patients were able to successfully reduce their high-dose ICS and more than 87% of patients remained exacerbation-free by week 48 in the treatment-reduction group.Lancet. 2024 Jan 20;403(10423):271-281. doi: 10.1016/S0140-6736(23)02284-5. Epub 2023 Dec 7.PMID: 38071986 Free article. Clinical Trial.
Phenotyping of Severe Asthma in the Era of Broad-acting Anti-asthma Biologics.Bourdin A, Brusselle G, Couillard S, Fajt ML, Heaney LG, Israel E, McDowell PJ, Menzies-Gow A, Martin N, Mitchell PD, Petousi N, Quirce S, Schleich F, Pavord ID”Effective management of severe asthma requires consideration of clinical heterogeneity that is driven by varying clinical and inflammatory phenotypes, which are reflective of distinct underlying disease mechanisms.J Allergy Clin Immunol Pract. 2024 Jan 25:S2213-2198(24)00075-8. doi: 10.1016/j.jaip.2024.01.023. Online ahead of print.PMID: 38280454 Free article.
Strategies to Classify Lung Function: It's Not Black and White.Baugh A, Buhr RG, Bush A, Foreman M, Mannino DM.“Lung function is determined by both genetic and environmental influences, but quantifying the role of each in population-level racial differences is difficult. Environmental influences, especially in early life, can influence gene expression in both individuals and their unexposed descendantsAm J Respir Crit Care Med. 2024 Jan 1;209(1):19-20. doi: 10.1164/rccm.202305-0807VP.PMID: 37878872 No abstract available.
Blood eosinophils and FeNO are prognostic and predictive biomarkers in childhood asthma.Bacharier LB, Pavord ID, Maspero JF, Jackson DJ, Fiocchi AG, Mao X, Jacob-Nara JA, Deniz Y, Laws E, Mannent LP, Amin N, Akinlade B, Staudinger HW, Lederer DJ, Hardin M.“In children with uncontrolled moderate-to-severe asthma, blood eosinophil counts and FeNO are clinically relevant biomarkers to identify those at risk for asthma exacerbations, as well as those who will demonstrate a clinical response to dupilumab.J Allergy Clin Immunol. 2024 Jan 23:S0091-6749(24)00043-5. doi: 10.1016/j.jaci.2023.09.044. Online ahead of print.PMID: 38272375 Free article.

 

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Publications 2020-2018

A summary of selected relevant publications by members of the Asthma UK Centre for Applied Research is available as both a PDF and an EXCEL sheet. Includes publications up to and including October 2020.

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