Table (4).
Clinical measures |
Pulmonary function measures |
Challenge techniques | Airway inflammation |
Distal lung or small airways |
---|---|---|---|---|
Symptoms Exacerbations Asthma control and quality of life questionnaires |
Change in FEV1 Change in % predicted FEV1, especially in children Post-bronchodilator FEV1 |
Airway hyperresponsiveness: methacholine, histamine, or cold air Exercise challenge |
Induced sputum cytology Exhaled nitric oxide |
Closing volume Imaging (air trapping) – high resolution CT scan Hyperpolarized helium FEF25–75 |
Adapted from Szefler SJ, Martin RJ. Lessons learned from variation in response to therapy in clinical trials. J Allergy Clin Immunol. 2010;125(2):285-92; quiz 93-4; with permission.