Document Detail


Lessons learned from variation in response to therapy in clinical trials.
MedLine Citation:
PMID:  20074785     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In the past, we viewed lack of response to asthma medications as a rare event. Based on recent studies, we now expect significant variation in treatment response for all asthma medications. However, little information is available about methods to predict favorable treatment response. Research conducted in the National Heart, Lung, and Blood Institute's Asthma Clinical Research Network and Childhood Asthma Research and Education Network verified this variability in response to several long-term control medications, specifically inhaled corticosteroids and leukotriene receptor antagonists, in adults and children with mild-to-moderate persistent asthma. The networks also identified potential methods to use patients' characteristics, such as age and allergic status, and biomarkers, such as bronchodilator response, exhaled nitric oxide, and urinary leukotrienes, to help predict response to inhaled corticosteroids and leukotriene receptor antagonists and to determine which of the 2 treatments might be more effective in individual patients. This information now assists the clinician in personalizing asthma treatment at the time of initiating long-term control therapy.
Authors:
Stanley J Szefler; Richard J Martin
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Review     Date:  2010-01-13
Journal Detail:
Title:  The Journal of allergy and clinical immunology     Volume:  125     ISSN:  1097-6825     ISO Abbreviation:  J. Allergy Clin. Immunol.     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-17     Completed Date:  2010-04-06     Revised Date:  2011-09-26    
Medline Journal Info:
Nlm Unique ID:  1275002     Medline TA:  J Allergy Clin Immunol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  285-92; quiz 293-4     Citation Subset:  AIM; IM    
Copyright Information:
Copyright 2010 American Academy of Allergy, Asthma & Immunology. Published by Mosby, Inc. All rights reserved.
Affiliation:
Division of Pediatric Clinical Pharmacology, Department of Pediatrics, National Jewish Health, Denver, CO 80206, USA. szeflers@njhealth.org
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MeSH Terms
Descriptor/Qualifier:
Anti-Asthmatic Agents / therapeutic use*
Asthma / drug therapy*
Clinical Trials as Topic*
Humans
Treatment Outcome*
Grant Support
ID/Acronym/Agency:
1 UL1 RR025780/RR/NCRR NIH HHS; AI-25496/AI/NIAID NIH HHS; HL 51834/HL/NHLBI NIH HHS; HL075416/HL/NHLBI NIH HHS; HL081335/HL/NHLBI NIH HHS; HL087811/HL/NHLBI NIH HHS; HL64288/HL/NHLBI NIH HHS; HR-16048/HR/NHLBI NIH HHS; R21 HL087811-02/HL/NHLBI NIH HHS; U01 HL075416-07/HL/NHLBI NIH HHS; U10 HL064288-10/HL/NHLBI NIH HHS
Chemical
Reg. No./Substance:
0/Anti-Asthmatic Agents
Comments/Corrections

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