Real-Life Response to Biologics in Severe Asthma with Nasal Polyposis: Insights from the Belgian Severe Asthma Registry.

Nasal polyposis (NP) is a comorbidity of type 2 severe asthma (SA) which could influence response to SA biologics. We evaluated (super-) response in SA patients with (NP +) and without NP (NP-) enrolled in the Belgian Severe Asthma Registry (BSAR). 914 patients, of whom 31% NP + , were included. At enrollment, NP + patients had higher annual exacerbation rates, higher number of emergency room visits and more elevated type 2 biomarkers. In the longitudinal subanalysis of 104 patients, both groups had significant and similar asthma responses to asthma biologics, except for a greater in... Mehr ...

Verfasser: Demolder, Femke
Vanderhelst, Eef
Verbanck, Sylvia
Schleich, Florence
Louis, Renaud
Brusselle, Guy
Sohy, Carine
Michils, Alain
Peché, Rudi
Pilette, Charles
Hanon, Shane
Dokumenttyp: Artikel
Erscheinungsdatum: 2024
Schlagwörter: Biologics / Nasal polyposis / Severe asthma / Super-response
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-28876946
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : http://hdl.handle.net/2078.1/290094

Nasal polyposis (NP) is a comorbidity of type 2 severe asthma (SA) which could influence response to SA biologics. We evaluated (super-) response in SA patients with (NP +) and without NP (NP-) enrolled in the Belgian Severe Asthma Registry (BSAR). 914 patients, of whom 31% NP + , were included. At enrollment, NP + patients had higher annual exacerbation rates, higher number of emergency room visits and more elevated type 2 biomarkers. In the longitudinal subanalysis of 104 patients, both groups had significant and similar asthma responses to asthma biologics, except for a greater increase in FEV in the NP + group. Super-response was achieved in 33 patients (32%), irrespective of NP status or type of biologic. In conclusion, both NP + and NP - patients had positive treatment responses, with some able to achieve super-response. In SA patients with NP, a greater FEV improvement as compared to SA patients without NP was observed.