Evidence mapPaperPMID 41989656Full record

ReviewCurrent allergy and asthma reports2026

Beyond Triple Therapy: Anti-Type 2 Biologic Therapies for Eosinophilic COPD and Respiratory Comorbidities - a Review of Clinical Evidence.

Pier-Valerio Mari, Lorenzo Carriera, Simone Ielo, Loreta Di Michele, Davide Onofrio Fontana, Alberto Ricci, Angelo Coppola, David Selvaggio, Cristiano Caruso, Valeria Gambacorta and 6 more

Abstract readReview
In one paragraph

Review in Current allergy and asthma reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Pier-Valerio MariInternal Medicine, San Carlo di Nancy Hospital, Rome, 00165, Italy.
Lorenzo CarrieraFaculty of Medicine and Surgery, Università Cattolica del Sacro Cuore, Rome, 00168, Italy. lorenzo.carriera01@icatt.it.ORCID http://orcid.org/0009-0006-2538-1278
Simone IeloUOC Pneumologia e UTIP, Ospedale San Donato, USL Toscana SudEst, 52100, Arezzo, Italy.
Loreta Di MichelePulmonary Interstitial Diseases Unit, UOSD Interstiziopatie Polmonari Azienda Ospedaliera. S. Camillo-Forlanini, Rome, 00152, Italy.
Davide Onofrio FontanaUnit of Geriatrics, Department of Medicine, Università Campus Bio-Medico, Rome, 00128, Italy.
Alberto RicciDivision of Pneumology, Department of Clinical and Molecular Medicine, Sapienza University of Rome, AOU Sant'Andrea, Rome, 00189, Italy.
Angelo CoppolaUOC Pneumologia, Ospedale San Filippo Neri-ASL Roma 1, Rome, 00135, Italy.
David SelvaggioUOS di Malattie dell'Apparato Respiratorio Ospedale Cristo Re, Roma, 00167, Italy.
Cristiano CarusoAllergy Unit, Fondazione Policlinico A. Gemelli, IRCCS, Catholic University of the Sacred Heart, Rome, 00168, Italy.
Valeria GambacortaDepartment of Medicine and Surgery, Section of Otorhinolaryngology, Santa Maria della Misericordia Hospital, Perugia, 06156, Italy.
Davide StivaliniDepartment of Medicine and Surgery, Section of Otorhinolaryngology, Santa Maria della Misericordia Hospital, Perugia, 06156, Italy.
Roberto LipsiDepartment of Pulmonology and Sub-Intensive Respiratory Unit, Santa Maria della Misericordia Hospital, Perugia, 06156, Italy.
Stefano BaglioniDepartment of Pulmonology and Sub-Intensive Respiratory Unit, Santa Maria della Misericordia Hospital, Perugia, 06156, Italy.
Raffaele ScalaUOC Pneumologia e UTIP, Ospedale San Donato, USL Toscana SudEst, 52100, Arezzo, Italy.
Eugenio De CorsoDepartment of Medicine and Surgery, Section of Otorhinolaryngology, Santa Maria della Misericordia Hospital, Perugia, 06156, Italy.
Veronica OjettiInternal Medicine, San Carlo di Nancy Hospital, Rome, 00165, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewTo review current evidence on biologic therapies targeting type 2 inflammation in patients with eosinophilic COPD and respiratory comorbidities who remain uncontrolled despite optimized triple inhaled therapy. RECENT

findingsRecent phase 3 trials have shown that dupilumab provides the most consistent benefit in eosinophilic COPD, reducing exacerbations and improving lung function and quality of life. Mepolizumab has shown a more limited effect, mainly on exacerbation reduction, whereas benralizumab has not demonstrated clear clinical benefit. Blood eosinophil count remains the main biomarker for treatment selection. Biologic therapies are advancing precision medicine in COPD, with dupilumab currently showing the strongest overall evidence. Careful patient selection is essential. Broader phenotyping may further improve management, as comorbidities such as chronic rhinosinusitis may contribute to symptom burden and support a multidisciplinary approach. Future studies should clarify long-term outcomes and optimal biologic selection.

Indexed as

Antibodies, Monoclonal, HumanizedBiological TherapyEosinophiliaEosinophilsPulmonary Disease, Chronic ObstructiveComorbidityHumansRhinosinusitisAntibodies, Monoclonal, HumanizedbenralizumabdupilumabmepolizumabChronic rhinosinusitisCOPDDupilumabMepolizumabType 2 inflammation

Identifiers

PMID41989656
PMCPMC13086889

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.