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Updated: Jul 12, 2025

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
Published on: November 4, 2010
Biologics for severe asthma and beyond.
Carlo Mümmler1, Katrin Milger1
1Department of Medicine V, LMU University Hospital, LMU Munich, Germany; Comprehensive Pneumology Center (CPC-M), Member of the German Center for Lung Research (DZL), Munich, Germany.
Targeted biologic therapies, focusing on type 2 inflammation (interleukins 4, 5, and 13), effectively treat severe asthma by reducing exacerbations and improving patient outcomes. These treatments also show promise for related inflammatory conditions.
Area of Science:
- Immunology
- Pulmonology
- Pharmacology
Background:
- Severe asthma is increasingly understood to involve type 2 inflammation, characterized by specific interleukins.
- This understanding has driven the development of targeted biologic therapies.
Purpose of the Study:
- To provide an overview of currently approved biologic therapies for severe asthma.
- To review clinical trial and real-world data for these biologics in asthma and other type 2 inflammatory diseases.
Main Methods:
- Review of randomized clinical trials and real-life studies.
- Analysis of biologic therapies targeting type 2 inflammation (interleukins 4, 5, 13).
Main Results:
- Approved biologic therapies reduce asthma exacerbations, oral corticosteroid use, and improve asthma control, quality of life, and lung function.
- A subset of patients may achieve remission with biologic therapy.
- Type 2 inflammatory comorbidities may also respond to these treatments.
Conclusions:
- Biologic therapies targeting type 2 inflammation are effective for severe asthma.
- Selection, monitoring, and management strategies are crucial for optimizing treatment outcomes.
- These biologics hold potential for treating associated type 2 inflammatory conditions.
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