Table 2.
Source | Study design
|
Baseline characteristicsa
|
Effectiveness
|
||||
---|---|---|---|---|---|---|---|
Number of patients | Treatment duration | Age (yr) | FEV1 (%pred) | Serum IgE level (IU/mL) | Baseline ICS use (μg/d) | Clinical outcomes | |
Molimard et al30 | 147 | n/a | 46.5 | n/a | 283.4 | 3,071.2b | Patients with 5 mo of follow-up or longer: Annual rate of exacerbations requiring OCS: 62% reduction. Use of OCS: 48.1% reduction or discontinuation. Annual rate of emergency visits: 65% reduction. Annual rate of hospitalizations: 29% reduction. |
Brusselle et al31 | 158 | 52 wk | 48.2 | 56.5 | 613.9 | n/a | Treatment effectiveness (in ITT): % patient improving in 2005 GINA classification: 31%. Magnitude of FEV1 improvement: 12.23%.a % patient improving in AQLQ total score >0.5: 84.4%. % PERSIST severe exacerbationc free: 65.6%. Number of health care visits: reduction of 1.49 visits.a |
Barnes et al32 | 136 | n/a | 41.3 | 62.9 | n/a | n/a | Daily OCS dose: 25.6% reduction. Number of asthma exacerbation: 1.7 events/yr vs 3.67 events/yr at baseline.a Amount of FEV1 improvement: 12.8%.a |
Cazzola et al33 | 142 | 1 yr | 49.6 | 64.8 | 297.4 | 2,224.7 | Annual exacerbation rate: 78% reduction. Annual emergency visits rate: 87% reduction. Annual hospitalization rate: 96% reduction. ICS dose (patients with over 12 mo of treatment): 1,604.6 μg/d.a |
Braunstahl et al34 | 943 | 2 yr | 45 | n/a | 323.1 | n/a | Proportion of patients with no clinically significant exacerbations: 54.1% (12 mo) and 67.3% (24 mo) vs 6.8% at baseline. Proportion of patients taking OCS (in ITT): 16.1% (12 mo) and 14.2% (24 mo) vs 28.6% at baseline. Total daily OCS dose: 7.7 mg (12 mo) and 5.8 mg (24 mo) vs 15.5 mg at baseline.a |
Deschildre et al38 | 104 | 52 wk | 11.9 | 88 | 1,125 | 703d | Asthma control: % children achieving good control level (based on GINA criteria): 67% vs 0% at baseline. Exacerbation rate: 72% reduction. Health care utilization: 88.5% reduction in hospital admissions. ICS dose: reduction of 212 μg,a,d equivalent to a 30% reduction. |
Odajima et al39 | 38 | 24 wk | 10.7 | 90.3 | 335.5 | 469.7 | Asthma control: Geometric mean of serum free IgE levels: 15.6 ng/mL (vs 778.7 ng/mL at baseline).a Asthma exacerbation rate: 69.2% reduction. Hospitalization rate: 78.2% reduction. % patients reduced controller medication: 28.9%. |
Notes:
Data are shown as mean;
equivalent BDP;
PERSIST severe exacerbations were those that met the following criteria: the patient required a systemic corticosteroid, or the patient required an emergency room visit or hospitalization for the exacerbation;
fluticasone propionate equivalent.
Abbreviations: AQLQ, asthma quality of life questionnaire; BDP, beclomethasone dipropionate; FEV1, forced expiratory volume in 1 second; GINA, Global Initiative for Asthma; ICS, inhaled corticosteroid; IgE, immunoglobulin E; ITT, intent to treat; OCS, oral corticosteroids; n/a, not applicable; wk, weeks; yr, years; mo, months.