TABLE 1.
Included trial, control versus active intervention | Weighted mean reduction control versus active | ||||
Novel START, salbutamol versus any low-dose ICS #,¶ | CAPTAIN, FF100 versus FF200 # | QUEST, placebo versus dupi200 | DREAM, placebo versus any mepo | ||
Type-2 low: blood Eos <0.15×109 per L and FENO <25 ppb | n=18 versus 60 | n=194 versus 211 | n=106 versus 139 | n=23 versus 63 | n=341 versus 473 |
Observed | |||||
Control arm | 0.05 | 0.27 | 0.56 | 1.98 | |
Active arm | 0.03 | 0.22 | 0.58 | 1.71 | |
Reduction | 41% | 20% | −4% | 14% | 14% |
Predicted | |||||
Control arm | 0.07 | 0.19 | 0.53 | 0.74 | |
Active arm | 0.07 | 0.19 | 0.53 | 0.74 | |
Reduction | 0% | 0% | 0% | 0% | 0% |
Type-2 high: blood Eos ≥0.15×109 per L or FENO ≥25 ppb | n=201 versus 377 | n=903 versus 909 | n=514 versus 484 | n=145 versus 392 | n=1763 versus 2162 |
Observed | |||||
Control arm | 0.05 | 0.40 | 1.07 | 2.46 | |
Active arm | 0.03 | 0.26 | 0.41 | 1.19 | |
Reduction | 35% | 35% | 62% | 52% | 41% |
Predicted | |||||
Control arm | 0.13 | 0.32 | 0.93 | 1.28 | |
Active arm | 0.07 | 0.19 | 0.53 | 0.74 | |
Reduction | 42% | 42% | 42% | 42% | 42% |
Type-2 very high: blood Eos ≥0.30×109 per L and FENO ≥50 ppb | n=51 versus 54 | n=67 versus 71 | NA | NA | n=118 versus 125 |
Observed | |||||
Control arm | 0.13 | 0.62 | NA | NA | |
Active arm | 0.02 | 0.25 | NA | NA | |
Reduction | 81% | 60% | NA | NA | 69% |
Predicted | |||||
Control arm | 0.26 | 0.65 | 1.88 | 2.60 | |
Active arm | 0.07 | 0.19 | 0.82 | 1.14 | |
Reduction | 72% | 72% | 72% | 72% | 72% |
Data are presented as annual severe asthma attack rate unless otherwise stated. Data from [4–6, 8], applied to the prototype scale reported in [2]. ICS: inhaled corticosteroids; FFx: fluticasone furoate x μg·day−1; dupi200: dupilumab 200 mg over 2 weeks; mepo: mepolizumab; Eos: eosinophils; FENO: exhaled nitric oxide fraction; NA: not available. #: data of patients with a baseline FENO <20 ppb were regrouped into the <25-ppb group, as the difference of 5 ppb in FENO is not clinically relevant [13]; ¶: only the percentage of patients with one or more severe attack(s) in the 52 weeks of follow-up was reported so a rate was imputed as −log10(1−%incidence).