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Table 1 Studies on clinical effectiveness of omalizumab in patients with severe asthma

From: Biomarkers and severe asthma: a critical appraisal

Mediators and parameters

Biologic sample/procedure

Patients

Effects of omalizumab treatment

References

ET-1

FeNO

ECP

Eosinophils count

FEV1

EBC

EB

Blood

Blood

Spirometry

19 severe asthmatics

9/19 omalizumab (+)

↓

↓

↓

↓

↑

[32]

RANTES/CCL5

FeNO

ECP

Eosinophils count

EBC

EB

Blood

Blood

19 severe asthmatics

9/19 omalizumab (+)

↓

↓

↓

↓

[33]

Eosinophils count

Blood

13 severe sthmatics

13/13 omalizumab (+)

↓

[34]

Quality of life

PEF

Unscheduled visits

Exacerbations

FeNO

CalvNO

Eosinophils count

Airway-wall thickness

Questionnaire

Spirometry

Clinical data

Clinical data

EB

EB

Sputum

CT

26 severe asthmatics

26/26 omalizumab (+)

↑

↑

↓

↓

↓

↓

↓

↓

[35]

Exacerbations

Systemic steroids

ACT score

Clinical data

Clinical data

Questionnaire

22 severe asthmatics

22/22 omalizumab (+)

↓

↓

↑

[36]

Airway-wall thickness

Eosinophils count

Bronchial biopsies

11 severe asthmatics

11/11 omalizumab (+)

↓

↓

[31]

Bronchial smooth muscle proteins

Bronchial biopsies

8 severe astmatics

8/8 omalizumab (+)

↓

[37]

  1. ET-1 endothelin-1, FeNO fractional exhaled nitric oxide, ECP eosinophil cationic protein, FEV1 forced expired volume in 1 s, EB exhaled breath, EBC exhaled breath condensate, RANTES/CCL5 regulated on activation, normal T cell expressed and secreted/chemokine (C–C motif) ligand-5, PEF peak expiratory flow, CalvNO estimated alveolar nitric oxide concentration, CT computerized tomography, ACT asthma control test.