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Real-world effectiveness of tezepelumab on clinical remission and small airway dysfunction in severe asthma: a 52-week prospective study - PubMed

2 hours ago
  • #Severe Asthma
  • #Clinical Remission
  • #Oscillometry
  • Tezepelumab in severe asthma leads to 100% elimination of severe exacerbations and complete oral corticosteroid withdrawal.
  • Clinical remission was achieved by 77.4% of the overall evaluable cohort and 80.0% of those with baseline small airway dysfunction (SAD) after 12 months.
  • No SAD remission was observed; patients with baseline SAD maintained persistent oscillometric abnormalities despite meeting clinical goals.
  • Persistent mechanical abnormalities highlight the need for oscillometry to detect hidden residual disease in patients otherwise in clinical remission.
  • Symptomatic and inflammatory recovery dissociates from physiological SAD remission in the SAD phenotype.