Challenges in severe asthma: Do we need new drugs or new biomarkers?

Severe asthma is a complex, heterogenous airway condition. There have been significant advances in severe asthma management in the past decade using monoclonal antibody therapies that target the inflammatory component of the disease. Patient selection has been paramount for the success of these biol...

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Main Authors: Adil Adatia, Harissios Vliagoftis
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2022.921967/full
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author Adil Adatia
Harissios Vliagoftis
Harissios Vliagoftis
author_facet Adil Adatia
Harissios Vliagoftis
Harissios Vliagoftis
author_sort Adil Adatia
collection DOAJ
description Severe asthma is a complex, heterogenous airway condition. There have been significant advances in severe asthma management in the past decade using monoclonal antibody therapies that target the inflammatory component of the disease. Patient selection has been paramount for the success of these biologicals, leading to significant interest in biomarkers to guide treatment. Some severe asthmatics remain suboptimally controlled despite trials of biologicals and many of these patients still require chronic systemic corticosteroids. New therapeutics are currently in development to address this unmet need. However, whether these patients could be better treated by using novel biomarkers that inform selection among currently available biologics, and that objectively measure disease control is unclear. In this review, we examine the currently used biomarkers that guide severe asthma management and emerging biomarkers that may improve asthma therapy in the future.
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spelling doaj.art-6fcf1551c3db4481b4a4e187c71646762022-12-22T03:21:34ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-09-01910.3389/fmed.2022.921967921967Challenges in severe asthma: Do we need new drugs or new biomarkers?Adil Adatia0Harissios Vliagoftis1Harissios Vliagoftis2Department of Medicine, University of Alberta, Edmonton, AB, CanadaDepartment of Medicine, University of Alberta, Edmonton, AB, CanadaAlberta Respiratory Centre, University of Alberta, Edmonton, AB, CanadaSevere asthma is a complex, heterogenous airway condition. There have been significant advances in severe asthma management in the past decade using monoclonal antibody therapies that target the inflammatory component of the disease. Patient selection has been paramount for the success of these biologicals, leading to significant interest in biomarkers to guide treatment. Some severe asthmatics remain suboptimally controlled despite trials of biologicals and many of these patients still require chronic systemic corticosteroids. New therapeutics are currently in development to address this unmet need. However, whether these patients could be better treated by using novel biomarkers that inform selection among currently available biologics, and that objectively measure disease control is unclear. In this review, we examine the currently used biomarkers that guide severe asthma management and emerging biomarkers that may improve asthma therapy in the future.https://www.frontiersin.org/articles/10.3389/fmed.2022.921967/fullsevere asthmabiomarkersbiologicseosinophilsanti-IL 5
spellingShingle Adil Adatia
Harissios Vliagoftis
Harissios Vliagoftis
Challenges in severe asthma: Do we need new drugs or new biomarkers?
Frontiers in Medicine
severe asthma
biomarkers
biologics
eosinophils
anti-IL 5
title Challenges in severe asthma: Do we need new drugs or new biomarkers?
title_full Challenges in severe asthma: Do we need new drugs or new biomarkers?
title_fullStr Challenges in severe asthma: Do we need new drugs or new biomarkers?
title_full_unstemmed Challenges in severe asthma: Do we need new drugs or new biomarkers?
title_short Challenges in severe asthma: Do we need new drugs or new biomarkers?
title_sort challenges in severe asthma do we need new drugs or new biomarkers
topic severe asthma
biomarkers
biologics
eosinophils
anti-IL 5
url https://www.frontiersin.org/articles/10.3389/fmed.2022.921967/full
work_keys_str_mv AT adiladatia challengesinsevereasthmadoweneednewdrugsornewbiomarkers
AT harissiosvliagoftis challengesinsevereasthmadoweneednewdrugsornewbiomarkers
AT harissiosvliagoftis challengesinsevereasthmadoweneednewdrugsornewbiomarkers