Impact of Biologics Initiation on Oral Corticosteroid Use in the International Severe Asthma Registry and the Optimum Patient Care Research Database: A Pooled Analysis of Real-World Data
Biologic initiation in patients with SA led to substantial reduction in TOCS exposure, particularly in the first year. Future analyses will explore the impact on OCS-related adverse health events.
Authors
- Lakmini Bulathsinhala (ORCID: https://orcid.org/0009-0007-0466-4671)
- Piotr Kuna (ORCID: https://orcid.org/0000-0003-2401-0070)
- Breda Cushen (ORCID: https://orcid.org/0000-0003-4954-5354)
- Matthew Peters (ORCID: https://orcid.org/0000-0002-9649-8741)
- Guy Brusselle (ORCID: https://orcid.org/0000-0001-7021-8505)
- Riyad Al‐Lehebi (ORCID: https://orcid.org/0000-0002-3232-6668)
- Martín Sívori (ORCID: https://orcid.org/0000-0001-5995-2856)
- Mariko Siyue Koh (ORCID: https://orcid.org/0000-0002-1230-0129)
- Tatsuya Nagano (ORCID: https://orcid.org/0000-0003-0790-5139)
- Andriana Ι. Papaioannou (ORCID: https://orcid.org/0000-0001-9708-3241)
- Liam Gabriel Heaney (ORCID: https://orcid.org/0000-0002-9176-5564)
- Fernando Saldarini (ORCID: https://orcid.org/0000-0003-0337-2443)
- Mohit Bhutani (ORCID: https://orcid.org/0000-0002-1911-4169)
- Konstantinos Exarchos (ORCID: https://orcid.org/0000-0002-4754-7623)
- Benjamin Emmanuel (ORCID: https://orcid.org/0000-0003-1769-9826)
- Wenjia Chen (ORCID: https://orcid.org/0000-0001-8201-7145)
- Carlos Andrés Celis Preciado
- Ruth Murray (ORCID: https://orcid.org/0000-0002-2821-978X)
- Njira Lucia Lugogo (ORCID: https://orcid.org/0000-0002-0235-7105)
- Athena Gogali (ORCID: https://orcid.org/0000-0002-4321-9446)
- Sinthia Bosnic‐Anticevich (ORCID: https://orcid.org/0000-0001-5077-8329)
- Chau‐Chyun Sheu (ORCID: https://orcid.org/0000-0002-7979-3749)
- Kirsty Fletton (ORCID: https://orcid.org/0009-0005-6363-454X)
- Andrew Menzies‐Gow (ORCID: https://orcid.org/0000-0001-9707-4986)
- Florence Schleich (ORCID: https://orcid.org/0000-0002-2678-1373)
- Mohsen Sadatsafavi (ORCID: https://orcid.org/0000-0002-0419-7862)
- Hao‐Chien Wang (ORCID: https://orcid.org/0000-0002-7528-7494)
- Trung N. Tran (ORCID: https://orcid.org/0000-0001-8003-7601)
- Cathy Emmas (ORCID: https://orcid.org/0000-0002-6412-5502)
- Michael P. Makris (ORCID: https://orcid.org/0000-0003-2713-2380)
- Jorge Fernando Maspero (ORCID: https://orcid.org/0000-0001-9750-2346)
- Renaud Louis (ORCID: https://orcid.org/0000-0002-4737-9084)
- Giorgio Walter Canonica (ORCID: https://orcid.org/0000-0001-8467-2557)
- Eve Denton (ORCID: https://orcid.org/0000-0003-1482-7626)
- Richard W. Costello (ORCID: https://orcid.org/0000-0003-1179-6692)
- Chin Kook Rhee (ORCID: https://orcid.org/0000-0003-4533-7937)
- Libardo Jiménez-Maldonado (ORCID: https://orcid.org/0000-0003-0707-577X)
- Delbert R. Dorscheid (ORCID: https://orcid.org/0000-0002-0680-0258)
- John Busby (ORCID: https://orcid.org/0000-0003-4831-7464)
- John W. Upham (ORCID: https://orcid.org/0000-0002-0017-3433)
- Michael E. Wechsler (ORCID: https://orcid.org/0000-0003-3505-2946)
- George Christoff (ORCID: https://orcid.org/0000-0003-4549-7711)
- Désirée Larenas‐Linnemann (ORCID: https://orcid.org/0000-0002-5713-5331)
- John Townend (ORCID: https://orcid.org/0000-0002-5881-5806)
- Peter G. Gibson (ORCID: https://orcid.org/0000-0001-5865-489X)
- Todor A. Popov (ORCID: https://orcid.org/0000-0001-5052-5866)
- ARNAUD AB BOURDIN (ORCID: https://orcid.org/0000-0002-4645-5209)
- Petros Bakakos (ORCID: https://orcid.org/0000-0001-9256-9656)
- María Eugenia Franchi
- Francesca Puggioni (ORCID: https://orcid.org/0000-0001-6638-5626)
- Peter G. Middleton (ORCID: https://orcid.org/0000-0003-3361-4941)
- Ghislaine Scélo (ORCID: https://orcid.org/0000-0002-2692-8507)
- Christine Jenkins (ORCID: https://orcid.org/0000-0003-2717-5647)
- Alan Altraja (ORCID: https://orcid.org/0000-0001-7798-9871)
- Ana María Stok
- José Alberto Ferreira (ORCID: https://orcid.org/0000-0002-5014-8244)
- Eileen Wang (ORCID: https://orcid.org/0000-0002-3149-3229)
- Sverre Lehmann (ORCID: https://orcid.org/0000-0002-8866-7007)
- David Price (ORCID: https://orcid.org/0000-0002-9728-9992)
- Susanne Hansen (ORCID: https://orcid.org/0000-0002-9550-6703)
- Charlotte Suppli Ulrik (ORCID: https://orcid.org/0000-0001-8689-3695)
- Paul Pfeffer
- Laila Salameh (ORCID: https://orcid.org/0000-0002-3482-3350)
- Céline Bergeron (ORCID: https://orcid.org/0000-0003-2585-5411)
- Κonstantinos Κostikas (ORCID: https://orcid.org/0000-0003-0774-3942)
- Victoria Carter (ORCID: https://orcid.org/0000-0002-0333-3308)
- Andréanne Côté (ORCID: https://orcid.org/0000-0001-5653-4931)
- Patrick Mitchell (ORCID: https://orcid.org/0000-0001-5705-9618)
- Borja G. Cosío (ORCID: https://orcid.org/0000-0002-6388-8209)
- Flavia Hoyte
- Mona Al‐Ahmad (ORCID: https://orcid.org/0000-0003-2950-5363)
- M. Diane Lougheed (ORCID: https://orcid.org/0000-0001-6387-8759)
- Carlos A. Torres‐Duque (ORCID: https://orcid.org/0000-0003-0004-8955)
- Simon Couillard (ORCID: https://orcid.org/0000-0002-4057-6886)
- Neda Stjepanovic (ORCID: https://orcid.org/0000-0002-5688-4728)
- Yuji Tohda (ORCID: https://orcid.org/0000-0002-9399-6737)
- Rohit Katial (ORCID: https://orcid.org/0000-0002-0627-2467)
- Paulo Márcio Pitrez (ORCID: https://orcid.org/0000-0001-7319-1133)
- Enrico Marco Heffler (ORCID: https://orcid.org/0000-0002-0492-5663)
- Belinda Cochrane (ORCID: https://orcid.org/0000-0001-8335-0353)
- Luis Pérez de Llano (ORCID: https://orcid.org/0000-0003-2652-6847)
- Pin‐Kuei Fu (ORCID: https://orcid.org/0000-0002-9416-4094)
- Diana Jimena Cano Rosales (ORCID: https://orcid.org/0000-0002-7090-5142)
- Celeste Porsbjerg (ORCID: https://orcid.org/0000-0003-4825-9436)
- Adeeb A. Bulkhi (ORCID: https://orcid.org/0000-0001-5857-7097)
- Takashi Iwanaga (ORCID: https://orcid.org/0000-0001-9155-265X)
- João Fonseca (ORCID: https://orcid.org/0000-0002-0887-8796)
- Iván Solarte (ORCID: https://orcid.org/0000-0002-0100-1940)
- Roy A. Pleasants (ORCID: https://orcid.org/0000-0002-9020-2487)
- Cláudia Chaves Loureiro (ORCID: https://orcid.org/0000-0003-0438-6126)
- Mark Hew (ORCID: https://orcid.org/0000-0002-7498-0000)
- Aaron Beastall
- Yah Ru Juang
- Anqi Liu (ORCID: https://orcid.org/0000-0002-9432-4836)
- Nikolaos G. Papadopoulos (ORCID: https://orcid.org/0000-0002-4448-3468)
- Pujan H. Patel
- David J. Jackson
- Bassam Mahboub (ORCID: https://orcid.org/0000-0002-6089-438X)
- Ming-Ju Tsai
- Diahn‐Warng Perng (ORCID: https://orcid.org/0000-0002-8529-6626)
- Bernt Bøgvald Aarli
- Kenneth R. Chapman
- Ledit Ardusso (ORCID: https://orcid.org/0000-0002-4179-2126)
- Nevaashni Eleangovan
- Anahí Yañez
- Aggelos Ladias
- Ana Giselle Tomaszuk
- Bellanid Rodríguez-Cáceres
Institutions
- AstraZeneca (United Kingdom) (GB)
- University of North Carolina at Chapel Hill (US)
- Queen's University Belfast (GB)
- National University of Tucumán (AR)
- Camden and Campbelltown Hospitals (AU)
- Centre National de la Recherche Scientifique (FR)
- Humanitas University (IT)
- Alfaisal University (SA)
- Université de Sherbrooke (CA)
- University of British Columbia (CA)
- Kaohsiung Medical University (TW)
- University of Alberta (CA)
- Inserm (FR)
- Universidad de La Sabana (CO)
- University of Liège (BE)
- The University of Queensland (AU)
- National University of Singapore (SG)
- Queen Mary University of London (GB)
- National Taiwan University (TW)
- Universidade do Porto (PT)
- King's College London (GB)
- University of Toronto (CA)
- University of Ioannina (GR)
- Université de Montpellier (FR)
- Umm al-Qura University (SA)
- Universidade de Santiago de Compostela (ES)
- National and Kapodistrian University of Athens (GR)
- Queen's University (CA)
- Trinity College Dublin (IE)
- Singapore General Hospital (SG)
- Barts Health NHS Trust (GB)
- Pontificia Universidad Javeriana (CO)
- University of Michigan (US)
- Vancouver Hospital and Health Sciences Centre (CA)
- John Hunter Hospital (AU)
- Santa Casa Hospital (BR)
- Haukeland University Hospital (NO)
- Rashid Hospital (AE)
- Woolcock Institute of Medical Research (AU)
- Frederiksberg Hospital (DK)
- Ghent University Hospital (BE)
- Beaumont Hospital (IE)
- King Fahd Medical City (SA)
- Bispebjerg Hospital (DK)
- Erasmus MC (NL)
- Hospitais da Universidade de Coimbra (PT)
- Tartu University Hospital (EE)
- Dubai Hospital (AE)
- Copenhagen University Hospital (DK)
- Vancouver General Hospital (CA)
- Taipei Veterans General Hospital (TW)
- Westmead Hospital (AU)
- University of Sharjah (AE)
- Medical University of Sofia (BG)
- National Jewish Health (US)
- UNSW Sydney (AU)
- Kuwait University (KW)
- National University of Rosario (AR)
- Physiologie et Médecine Expérimentale du Coeur et des Muscles (FR)
- Hunter Medical Research Institute (AU)
- Taichung Veterans General Hospital (TW)
- Instituto del Corazón de Bucaramanga (CO)
- Kindai University Hospital (JP)
- Royal Brompton Hospital (GB)
- Hospital Universitario Austral (AR)
- Hospital Médica Sur (MX)
- Hospital Ramos Mejía (AR)
- University Hospital St. Ivan Rilski (BG)
- ENT and Allergy (US)
- The George Institute for Global Health (AU)
- Laiko General Hospital of Athens (GR)
- Observational & Pragmatic Research Institute (SG)
- Fundación Neumológica Colombiana (CO)
- Monash Health (AU)
- Medical University of Lodz (PL)
- Health Research Institute of the Balearic Islands (ES)
- Centro Científico Tecnológico - Tucumán (AR)
- Ministry of Health (KW)
- National Taiwan University Hospital (TW)
- Hospital Donación Francisco Santojanni (AR)
- Asociación por los Derechos Civiles (AR)
- Centre for Health Technology and Services Research (PT)
- Asociación Psicoanalítica de Buenos Aires (AR)
- AstraZeneca (Italy) (IT)
- University General Hospital Attikon (GR)
- Centro Hospitalar de Vila Nova de Gaia (PT)
- University Hospital of Ioannina (GR)
- AstraZeneca (Sweden) (SE)
- National University Hospital (SG)
- National University Health System (SG)
- AstraZeneca (United States) (US)
- Favaloro Foundation (AR)
- The Catholic University of Korea Seoul St. Mary's Hospital (KR)
- IRCCS Humanitas Research Hospital (IT)
- Alfred Health (AU)
- Université Laval (CA)
- University of Tartu (EE)
- Monash University (AU)
- Kobe University (JP)
- Athens State University (US)
- University of Coimbra (PT)
- Catholic University of Korea (KR)
- University of Colorado Denver (US)
- Macquarie University (AU)
Publication Details
- Journal
- The Journal of Allergy and Clinical Immunology In Practice
- Published
- 2025-04-26
- DOI
- https://doi.org/10.1016/j.jaip.2025.04.032
- Citations
- 11
- Primary Topic
- Asthma and respiratory diseases
- Type
- article
- Field-Weighted Citation Impact
- 12.81
Funders
- American Thoracic Society
- Amgen
- Bristol-Myers Squibb
- Eli Lilly and Company
- Pfizer
- AstraZeneca
- GlaxoSmithKline
- Sanofi
- Gilead Sciences
- Teva Pharmaceutical Industries
- United Therapeutics Corporation
- Chiesi Farmaceutici
- Danone
- CSL Behring
- European Respiratory Society
- Regeneron Pharmaceuticals
- Canadian Thoracic Society
- Covis Pharma
- Government of Ontario
- Cerecor
- British Columbia Lung Association
- Allergy Therapeutics
- Optimum Patient Care
- Incyte
- Celltrion
- Horizon Therapeutics
- Glenmark Pharmaceuticals
- Insmed
- Canadian Lung Association
- Michael Smith Health Research BC
- National Institute for Health and Care Research
- Singapore General Hospital
- Kuwait Foundation for the Advancement of Sciences
- Queen's University
- University of Toronto
- Meiji Seika Pharma
- Novo Nordisk
- Shionogi
- Teijin Pharma
- Grifols
- Genentech
- Novartis Pharmaceuticals UK Limited
- Sanofi Genzyme
- Canadian Institutes of Health Research
- Medical Research Council
- Efficacy and Mechanism Evaluation Programme
- Department of Medicine, University of Toronto
- UCB Pharma
- Daiichi Sankyo Europe