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Biological Therapies in Children and Adolescents with Severe Uncontrolled Asthma: A Practical Review
Martina Votto1,2, Maria De Filippo1,2, Amelia Licari1,2
1Pediatric Clinic, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Insights
Severe asthma in children requires multidisciplinary assessment and targeted therapies. Biological therapies are revolutionizing treatment, offering new hope for managing this complex pediatric condition.
Area of Science:
- Pediatric Pulmonology
- Immunology
- Pharmacology
Background:
- Severe uncontrolled asthma in children is a complex, heterogeneous condition.
- Requires multidisciplinary assessment for accurate diagnosis and management.
- Recent research identifies phenotypes, endotypes, and biomarkers for targeted therapies.
Purpose of the Study:
- To review current literature on biological therapies for severe asthma in children and adolescents.
- To highlight advancements in managing pediatric severe asthma.
Main Methods:
- Literature review of recent research on biological therapies.
- Focus on epidemiologic, clinical, and molecular mechanisms.
- Analysis of biomarkers predicting treatment response.
Main Results:
- Recognition of distinct asthma phenotypes and endotypes.
- Identification of biomarkers for predicting response to biologic therapies.
- Introduction of biological therapies has transformed care.
Conclusions:
- Biological therapies represent a significant advancement in treating severe asthma in pediatric populations.
- Multidisciplinary care and targeted treatments are crucial for effective management.
- Ongoing research continues to refine therapeutic strategies.
Abstract:
Severe uncontrolled asthma is a complex and heterogeneous disease. A multidisciplinary assessment is required to correctly identify and manage children and adolescents with severe asthma because they may require strict monitoring and additional treatment with advanced targeted therapies. Recent research efforts have focused on identifying epidemiologic, clinical, and molecular mechanisms that underlie severe asthma, leading to the recognition of different phenotypes and endotypes and identifying biomarkers able to predict the response to biologic therapies. Additional progress has occurred by introducing biological therapies that have revolutionized the care of chronic allergic diseases in the adult and pediatric population. In this review, we briefly summarized the current literature on biological therapies to treat severe asthma in children and adolescents.
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