TABLE III.
Subgroup | No. | Symptom days per 2 weeks
|
ICS taken
|
Exacerbations/month
|
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---|---|---|---|---|---|---|---|---|---|---|
Effect | P* | P for interaction† | Effect | P* | P for interaction† | OR (95% CI) | P* | P for interaction† | ||
All participants | ||||||||||
| ||||||||||
ITT with wash-in period | 419 | −0.48 | <0.01 | N/A | −108.6 | <0.01 | N/A | 1.82 (1.33–2.50) | <0.01 | N/A |
| ||||||||||
ITT without wash-in period | 419 | −0.52 | <0.01 | N/A | −108.6 | <0.01 | N/A | 1.85 (1.38–2.47) | <0.01 | N/A |
| ||||||||||
Dosing group | ||||||||||
| ||||||||||
2-Wk dosing group | 166 | −0.39 | 0.09 | 0.62 | −204.8 | <0.01 | 0.02 | 2.54 (1.56–4.15) | <0.01 | 0.08 |
| ||||||||||
4-Wk dosing group | 253 | −0.54 | <0.01 | −50.2 | 0.22 | 1.42 (0.94–2.15) | 0.09 | |||
| ||||||||||
FDA dosing chart | ||||||||||
| ||||||||||
Standard | 227 | −0.46 | 0.02 | 0.71 | −71.32 | 0.10 | 0.35 | 2.43 (1.53–3.84) | <0.01 | 0.21 |
| ||||||||||
Dose changed | 87 | −0.70 | 0.03 | −118.5 | 0.09 | 1.27 (0.65–2.46) | 0.48 | |||
| ||||||||||
Addition to chart | 105 | −0.35 | 0.24 | 0.71 | −184.7 | <0.01 | 0.35 | 1.50 (0.82–2.75) | 0.19 | |
| ||||||||||
Age | ||||||||||
| ||||||||||
Age 11 y or younger | 250 | −0.56 | <0.01 | 0.50 | −128.0 | <0.01 | 0.44 | 1.52 (1.04–2.21) | 0.03 | 0.09 |
| ||||||||||
Age 12 y or older | 169 | −0.36 | 0.13 | −75.9 | 0.14 | 2.76 (1.54–4.96) | <0.01 | |||
| ||||||||||
Treatment at randomization‡ | ||||||||||
| ||||||||||
Steps 1–2 | 113 | −0.30 | 0.28 | 0.68 | −128.6 | 0.03 | 0.58 | 2.16 (1.03–4.50) | 0.04 | 0.44 |
| ||||||||||
Steps 3–4 | 152 | −0.48 | 0.05 | −54.0 | 0.28 | 1.44 (0.87–2.39) | 0.16 | |||
| ||||||||||
Steps 5–6 | 154 | −0.64 | 0.01 | −105.5 | 0.04 | 2.21 (1.36–3.59) | <0.01 | |||
| ||||||||||
Exhaled nitric oxide | ||||||||||
| ||||||||||
<20 ppb | 158 | −0.38 | 0.08 | 0.55 | −40.5 | 0.45 | 0.11 | 1.15 (0.66–1.98) | 0.63 | 0.05 |
| ||||||||||
≥20 ppb | 155 | −0.45 | 0.05 | −164.2 | 0.03 | 2.57 (1.46–4.54) | <0.01 | |||
| ||||||||||
Blood eosinophils | ||||||||||
| ||||||||||
<2% | 69 | −0.55 | 0.13 | 0.81 | −94.1 | 0.25 | 0.76 | 0.56 (0.24–1.30) | 0.18 | <0.01 |
| ||||||||||
≥2% | 337 | −0.46 | <0.01 | −120.5 | <0.01 | 2.13 (1.50–3.02) | <0.01 | |||
| ||||||||||
BMI | ||||||||||
| ||||||||||
<25 | 302 | −0.55 | <0.01 | 0.44 | −126.7 | <0.01 | 0.36 | 1.46 (1.00–2.12) | 0.05 | 0.03 |
| ||||||||||
≥25 | 117 | −0.30 | 0.27 | −61.0 | 0.32 | 3.17 (1.73–5.80) | <0.01 | |||
| ||||||||||
Dust mite sIgE | ||||||||||
| ||||||||||
Negative | 213 | −0.14 | 0.50 | 0.01 | −48.4 | 0.29 | 0.03 | 2.15 (1.34–3.44) | <0.01 | 0.43 |
| ||||||||||
Positive (>0.35 KUA/mL) | 195 | −0.87 | <0.01 | −191.7 | <0.01 | 1.66 (1.06–2.60) | 0.03 | |||
| ||||||||||
Total IgE | ||||||||||
| ||||||||||
<700 IU/mL | 384 | −0.51 | <0.01 | 0.52 | −75.5 | 0.02 | <0.01 | 1.66 (1.19–2.31) | 0.23 | 0.75 |
| ||||||||||
≥700 IU/mL | 35 | −0.14 | 0.79 | −504.6 | <0.01 | 4.16 (1.41–12.3) | <0.01 | |||
| ||||||||||
Prestudy unscheduled visit? | ||||||||||
| ||||||||||
No | 91 | −0.20 | 0.53 | 0.30 | 46.4 | 0.50 | 0.01 | 1.11 (0.54–2.29) | 0.77 | 0.13 |
| ||||||||||
Yes | 328 | −0.57 | <0.01 | −153.0 | <0.01 | 2.06 (1.45–2.93) | <0.01 |
OR, Odds ratio.
Effects are differences between intervention and control participants during the double blind (not including the 3-month wash-in period) for symptom days/2 weeks and ICS taken (budesonide μg/day equivalents) and ORs for exacerbations. The omalizumab group serves as the OR reference population, so a value greater than 1 indicates a greater reduction in exacerbations in the treatment group.
Indicates with-in subgroup effect.
Indicates between-group interactions and were adjusted for baseline levels.
ICATA medication treatment steps are as follows: step 1, budesonide DPI 180 μg daily; step 2, budesonide DPI 80 μg twice daily; step 3, budesonide DPI 360 μg twice daily; step 4, Advair 250 μg/50 μg twice daily; step 5, Advair 250 μg/50 μg twice daily plus montelukast daily; step 6, Advair 500 μg/50 μg twice daily plus montelukast daily.