Patient response and remission in respiratory disease: Special focus on severe asthma and chronic obstructive pulmonary disease

Over the past decades, monoclonal antibodies have been playing a pivotal role in the treatment of chronic inflammatory airway diseases. Currently, ample data are available on the efficacy and safety of biologics in asthma from randomized controlled trials and open-label trials; conversely, limited d...

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Main Authors: Stefania Colantuono, Francesco Menzella, Pier-Valerio Mari, Francesco Macagno, Francesco Lombardi, Ilaria Baglivo, Cristiano Caruso
Format: Article
Language:English
Published: SAGE Publishing 2025-05-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605251340894
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author Stefania Colantuono
Francesco Menzella
Pier-Valerio Mari
Francesco Macagno
Francesco Lombardi
Ilaria Baglivo
Cristiano Caruso
author_facet Stefania Colantuono
Francesco Menzella
Pier-Valerio Mari
Francesco Macagno
Francesco Lombardi
Ilaria Baglivo
Cristiano Caruso
author_sort Stefania Colantuono
collection DOAJ
description Over the past decades, monoclonal antibodies have been playing a pivotal role in the treatment of chronic inflammatory airway diseases. Currently, ample data are available on the efficacy and safety of biologics in asthma from randomized controlled trials and open-label trials; conversely, limited data are available on the use of biologics in chronic obstructive pulmonary disease. In this context, once the fundamental role of inhaled corticosteroid/long-acting β2-agonist/long-acting muscarinic antagonist therapy is established, clinical response and disease remission, based on clinical and functional response parameters such as oral corticosteroid need, annual exacerbation rates, and lung function, are the key factors driving the clinical and therapeutic management. This narrative review has summarized the literature data from randomized controlled trials and real-life experience on currently available biologics in asthma and chronic obstructive pulmonary disease. The role of inhaled corticosteroid, long-acting β2-agonist, and long-acting muscarinic antagonist therapy has been further investigated with a particular focus on drug-free concept.
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issn 1473-2300
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publishDate 2025-05-01
publisher SAGE Publishing
record_format Article
series Journal of International Medical Research
spelling doaj-art-e6f484672ffb4b99bebaa26e1228c2b42025-08-20T01:55:06ZengSAGE PublishingJournal of International Medical Research1473-23002025-05-015310.1177/03000605251340894Patient response and remission in respiratory disease: Special focus on severe asthma and chronic obstructive pulmonary diseaseStefania ColantuonoFrancesco MenzellaPier-Valerio MariFrancesco MacagnoFrancesco LombardiIlaria BaglivoCristiano CarusoOver the past decades, monoclonal antibodies have been playing a pivotal role in the treatment of chronic inflammatory airway diseases. Currently, ample data are available on the efficacy and safety of biologics in asthma from randomized controlled trials and open-label trials; conversely, limited data are available on the use of biologics in chronic obstructive pulmonary disease. In this context, once the fundamental role of inhaled corticosteroid/long-acting β2-agonist/long-acting muscarinic antagonist therapy is established, clinical response and disease remission, based on clinical and functional response parameters such as oral corticosteroid need, annual exacerbation rates, and lung function, are the key factors driving the clinical and therapeutic management. This narrative review has summarized the literature data from randomized controlled trials and real-life experience on currently available biologics in asthma and chronic obstructive pulmonary disease. The role of inhaled corticosteroid, long-acting β2-agonist, and long-acting muscarinic antagonist therapy has been further investigated with a particular focus on drug-free concept.https://doi.org/10.1177/03000605251340894
spellingShingle Stefania Colantuono
Francesco Menzella
Pier-Valerio Mari
Francesco Macagno
Francesco Lombardi
Ilaria Baglivo
Cristiano Caruso
Patient response and remission in respiratory disease: Special focus on severe asthma and chronic obstructive pulmonary disease
Journal of International Medical Research
title Patient response and remission in respiratory disease: Special focus on severe asthma and chronic obstructive pulmonary disease
title_full Patient response and remission in respiratory disease: Special focus on severe asthma and chronic obstructive pulmonary disease
title_fullStr Patient response and remission in respiratory disease: Special focus on severe asthma and chronic obstructive pulmonary disease
title_full_unstemmed Patient response and remission in respiratory disease: Special focus on severe asthma and chronic obstructive pulmonary disease
title_short Patient response and remission in respiratory disease: Special focus on severe asthma and chronic obstructive pulmonary disease
title_sort patient response and remission in respiratory disease special focus on severe asthma and chronic obstructive pulmonary disease
url https://doi.org/10.1177/03000605251340894
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