Aaron Deykin, MD, Stephen C. Lazarus, MD, John V

Slides:



Advertisements
Similar presentations
Individualized therapy for persistent asthma in young children
Advertisements

Genome-wide association study identifies TH1 pathway genes associated with lung function in asthmatic patients  Xingnan Li, PhD, MS, Gregory A. Hawkins,
Volume 119, Issue 4, Pages (April 2001)
Adherence with montelukast or fluticasone in a long-term clinical trial: Results from the Mild Asthma Montelukast Versus Inhaled Corticosteroid Trial 
Jonathan Malka, MD, David T
Yvonne J. Huang, MD, Craig E. Nelson, PhD, Eoin L. Brodie, PhD, Todd Z
Diane J. Pincus, MD, Stanley J. Szefler, MD, Lynn M
Circulating microRNAs as biomarkers in patients with allergic rhinitis and asthma  Ronaldo P. Panganiban, BS, Yanli Wang, BS, Judie Howrylak, MD, PhD,
Asthma morbidity among inner-city adolescents receiving guidelines-based therapy: Role of predictors in the setting of high adherence  Rebecca S. Gruchalla,
Guideline-defining asthma clinical trials of the National Heart, Lung, and Blood Institute's Asthma Clinical Research Network and Childhood Asthma Research.
Genome-wide association study identifies TH1 pathway genes associated with lung function in asthmatic patients  Xingnan Li, PhD, MS, Gregory A. Hawkins,
Stephen P. Peters, MD, PhD, Eugene R. Bleecker, MD, Susan J
Yvonne J. Huang, MD, Craig E. Nelson, PhD, Eoin L. Brodie, PhD, Todd Z
Individualized therapy for persistent asthma in young children
Santa Jeremy Ono, BA, PhD, Mark B. Abelson, MD 
Sputum indoleamine-2, 3-dioxygenase activity is increased in asthmatic airways by using inhaled corticosteroids  Kittipong Maneechotesuwan, MD, PhD, Sirinya.
Stephen J. Fowler, MD, Gaël Tavernier, PhD, Robert Niven, MD 
Serum vitamin D levels and severe asthma exacerbations in the Childhood Asthma Management Program study  John M. Brehm, MD, MPH, Brooke Schuemann, BS,
Is 9 more than 2 also in allergic airway inflammation?
Circulating microRNAs as biomarkers in patients with allergic rhinitis and asthma  Ronaldo P. Panganiban, BS, Yanli Wang, BS, Judie Howrylak, MD, PhD,
Airway hyperresponsiveness to mannitol and methacholine and exhaled nitric oxide: A random-sample population study  Asger Sverrild, MD, Celeste Porsbjerg,
Stanley J. Szefler, MD, Richard J. Martin, MD 
Lieuwe D. Bos, MSc, PhD, Peter J. Sterk, MD, PhD, Stephen J
Allergy testing in predicting outcome of open food challenge to peanut
The risk of asthma exacerbation after stopping low-dose inhaled corticosteroids: A systematic review and meta-analysis of randomized controlled trials 
Sharmilee M. Nyenhuis, MD, Jerry A
Peter M. Wolfgram, MD, David B. Allen, MD 
Mepolizumab as a steroid-sparing treatment option in patients with Churg-Strauss syndrome  Sophia Kim, MD, Gautham Marigowda, MD, Eyal Oren, MD, Elliot.
Episodic use of an inhaled corticosteroid or leukotriene receptor antagonist in preschool children with moderate-to-severe intermittent wheezing  Leonard.
Markers of Differential Response to Inhaled Corticosteroid Treatment Among Children with Mild Persistent Asthma  Joe K. Gerald, MD, PhD, Lynn B. Gerald,
Jewlya Lynn, PhD, Sophie Oppenheimer, MS, MPH, Lorena Zimmer, MA 
Time for a paradigm shift in asthma treatment: From relieving bronchospasm to controlling systemic inflammation  Leif Bjermer, MD  Journal of Allergy.
Statins enhance the anti-inflammatory effects of inhaled corticosteroids in asthmatic patients through increased induction of indoleamine 2, 3-dioxygenase 
Daphne Koinis-Mitchell, PhD, Timothy Craig, DO, Cynthia A
A cluster-randomized trial shows telephone peer coaching for parents reduces children's asthma morbidity  Jane M. Garbutt, MB, ChB, Yan Yan, MD, PhD,
Effect of ingested H1 antihistamines on methacholine challenge
Airway hyperresponsiveness to mannitol and methacholine and exhaled nitric oxide: A random-sample population study  Asger Sverrild, MD, Celeste Porsbjerg,
Sharmilee M. Nyenhuis, MD, Jerry A
What is an “eosinophilic phenotype” of asthma?
Topical antifungal treatment of chronic rhinosinusitis with nasal polyps: A randomized, double-blind clinical trial  Michael Weschta, MD, Dagmar Rimek,
H. William Kelly, PharmD  Journal of Allergy and Clinical Immunology 
Personalized asthma therapy in blacks—the role of genetic ancestry
Autophagy: Nobel Prize 2016 and allergy and asthma research
Development and cross-sectional validation of the Childhood Asthma Control Test  Andrew H. Liu, MD, Robert Zeiger, MD, Christine Sorkness, PharmD, Todd.
Food allergy: Epidemiology, pathogenesis, diagnosis, and treatment
Adherence with montelukast or fluticasone in a long-term clinical trial: Results from the Mild Asthma Montelukast Versus Inhaled Corticosteroid Trial 
A single intervention for cockroach control reduces cockroach exposure and asthma morbidity in children  Felicia A. Rabito, PhD, MPH, John C. Carlson,
Stanley J. Szefler, MD, Richard J
Asthma morbidity among inner-city adolescents receiving guidelines-based therapy: Role of predictors in the setting of high adherence  Rebecca S. Gruchalla,
Genetic predictors associated with improvement of asthma symptoms in response to inhaled corticosteroids  Heung-Woo Park, MD, PhD, Amber Dahlin, PhD,
Changes in sputum counts and airway hyperresponsiveness after budesonide: Monitoring anti-inflammatory response on the basis of surrogate markers of airway.
Short course of systemic corticosteroids in sinonasal polyposis: A double-blind, randomized, placebo-controlled trial with evaluation of outcome measures 
Asthma progression: Can we and should we measure it?
Diane J. Pincus, MD, Stanley J. Szefler, MD, Lynn M
Reply Journal of Allergy and Clinical Immunology
Prescott G. Woodruff, MD, MPH, Ramin Khashayar, MD, Stephen C
Azithromycin or montelukast as inhaled corticosteroid–sparing agents in moderate-to- severe childhood asthma study  Robert C. Strunk, MD, Leonard B. Bacharier,
Macrolide antibiotics and asthma treatment
Statistical issues in clinical trials that involve the double-blind, placebo-controlled food challenge  Vernon M. Chinchilli, PhD, Laura Fisher, MD, Timothy.
Asthma: The past, future, environment, and costs
Asthma Control Test: Reliability, validity, and responsiveness in patients not previously followed by asthma specialists  Michael Schatz, MD, MS, Christine.
Environmental factors and eosinophilic esophagitis
Double-blind, placebo-controlled study with a modified therapeutic vaccine of Salsola kali (Russian thistle) administered through use of a cluster schedule 
Statins enhance the anti-inflammatory effects of inhaled corticosteroids in asthmatic patients through increased induction of indoleamine 2, 3-dioxygenase 
Effect of codeine on objective measurement of cough in chronic obstructive pulmonary disease  Jaclyn Smith, MD, PhD, Emily Owen, MPhil, John Earis, MD,
Natural history of cow’s milk allergy
Primary prevention of asthma and allergy
Reslizumab in children and adolescents with eosinophilic esophagitis: Results of a double-blind, randomized, placebo-controlled trial  Jonathan M. Spergel,
Modeling asthma exacerbations through lung function in children
Stanley J. Szefler, MD, Brenda R. Phillips, MS, Fernando D
Presentation transcript:

Sputum eosinophil counts predict asthma control after discontinuation of inhaled corticosteroids  Aaron Deykin, MD, Stephen C. Lazarus, MD, John V. Fahy, MD, ChB, Michael E. Wechsler, MD, MMSc, Homer A. Boushey, MD, Vernon M. Chinchilli, PhD, Timothy J. Craig, DO, Emily Dimango, MD, Monica Kraft, MD, Frank Leone, MD, Robert F. Lemanske, MD, Richard J. Martin, MD, Gene R. Pesola, MD, MPH, Stephen P. Peters, MD, PhD, Christine A. Sorkness, PharmD, Stanley J. Szefler, MD, Elliot Israel, MD  Journal of Allergy and Clinical Immunology  Volume 115, Issue 4, Pages 720-727 (April 2005) DOI: 10.1016/j.jaci.2004.12.1129 Copyright © 2005 American Academy of Allergy, Asthma and Immunology Terms and Conditions

Fig 1 Schematic diagram of the SOCS study and the time points for Feno measurement, methacholine PC20 measurement, and sputum induction included in the analysis. Journal of Allergy and Clinical Immunology 2005 115, 720-727DOI: (10.1016/j.jaci.2004.12.1129) Copyright © 2005 American Academy of Allergy, Asthma and Immunology Terms and Conditions

Fig 2 Box plots of sputum eosinophil counts (A), sputum ECP levels (B), Feno values (C), and methacholine PC20 values (D) in each of the treatment groups at randomization and after 2 weeks of double-blind therapy. By convention, the horizontal bar represents the median value, the length of the box represents the interquartile range, and the whiskers are drawn to the nearest value not beyond 1.5 interquartile range from the quartiles. Differences between time points were assessed by using the Sign test for Feno values and sputum eosinophil counts and the Student t test for methacholine PC20 values. Journal of Allergy and Clinical Immunology 2005 115, 720-727DOI: (10.1016/j.jaci.2004.12.1129) Copyright © 2005 American Academy of Allergy, Asthma and Immunology Terms and Conditions

Fig 3 Modeled asthma outcomes on the basis of the data from the SOCS trial of 1000 subjects with mild-to-moderate asthma treated with standard continuous ICSs (A) and those of 1000 similar asthmatic subjects selectively withdrawn from ICSs on the basis of sputum eosinophil changes during a short trial discontinuation period (B). See text for details. Journal of Allergy and Clinical Immunology 2005 115, 720-727DOI: (10.1016/j.jaci.2004.12.1129) Copyright © 2005 American Academy of Allergy, Asthma and Immunology Terms and Conditions