Treatable Trait Guided Asthma Management: A Feasibility Study

Treatable Trait-Based Asthma Management as a Pathway to Precision Medicine
Treatable traits are patient characteristics that can be identified by clinical, physiological, or biological markers, or other investigations; are treatment responsive, and have clinical relevance. They represent a pathway to precision medicine.
Clinical Benefits of Treatable Trait-Based Asthma Management in Severe Asthma Clinics
This approach is widely used internationally in tertiary hospital severe asthma clinics, although usually called systematic or multidimensional assessment, and is associated with improvements in asthma control, better quality of life, and reduced severe exacerbations
The Need for Evidence in Treatable Trait-Based Asthma Management Beyond Tertiary Care
Better evidence is needed to determine if a protocol-based treatable trait approach to asthma management is superior to guideline-directed care in those with moderate asthma.
Feasibility and Limitations of Treatable Trait-Based Asthma Management
In conclusion, protocolised treatable trait-based asthma management was acceptable to patients not under the care of a severe asthma clinic, associated with significant clinical benefit, and a full trial appears feasible. Targeting airflow obstruction and type 2 inflammation was insufficient to control asthma in the majority of patients over the timeframe of this study, despite high systemic corticosteroid exposure.
Authors
James Fingleton, Rob McLachlan, Jenny Sparks, Richard Beasley, Alvar Agustí, Peter G. Gibson, Ian D. Pavord, Jo Hardy, Mark Weatherall, Allie Eathorne, Vanessa M. McDonald, the Treatable Traits Study Group
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Fecha de publicación
12 March 2025
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