The European respiratory community is working towards consensus on the diagnosis and management of severe eosinophilic asthma but there’s no need to wait for them, according to an Australian expert.
Conjoint Professor Peter Wark, from the University of Newcastle’s Centre for Healthy Lungs, told the limbic the evidence was already there and targeted treatments were available.
“We can do something now because we have the option to think beyond the label of asthma and be more specific. We’re on the cusp on implementing this in practice.”
“People with this type of asthma are potentially suitable for monoclonal antibody therapy for control of their disease and we need to be thinking of this.”
He said the consensus process underway in Europe and due to report in 2018 would be effective in promoting a change in thinking about refractory asthma.
An editorial in the European Respiratory Journal by the expert taskforce outlined the proposed major criteria for severe eosinophilic asthma – a diagnosis of severe asthma, high eosinophilic disease, two or more exacerbations per year and dependence on oral corticosteroids.
Suggested minor criteria include late onset of disease, upper airway disease, a role for other biomarkers, fixed airflow obstruction and air trapping.