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Record W4416713306 · doi:10.1016/j.jaip.2025.11.023

Targeted Treatment in Asthma—Opportunities and Challenges

2025· article· en· W4416713306 on OpenAlexaff
Ioana Agache, Magdalena Zemelka‐Wiącek, Radosław Gawlik, Steve N. Georas, Karina Jahnz‐Różyk, Maciej Kupczyk, Marcin Moniuszko, R. Mösges, Manali Mukherjee, Parameswaran Nair, Alberto Papi, Marek Sanak, Ali Önder Yildirim, Marek Jutel

Bibliographic record

VenueThe Journal of Allergy and Clinical Immunology In Practice · 2025
Typearticle
Languageen
FieldMedicine
TopicAsthma and respiratory diseases
Canadian institutionsHamilton Health SciencesSt. Joseph’s Healthcare Hamilton
Fundersnot available
KeywordsAsthmaPrecision medicineGuidelinePersonalized medicineAsthma managementMEDLINERisk stratificationClinical trial

Abstract

fetched live from OpenAlex

This review summarizes the key insights and future directions on targeted asthma treatment discussed during the 2025 Expert Meeting supported by the Central and Southern European Allergy and Asthma Alliance (CSEA3). Targeted treatment in asthma is becoming an attainable goal for selected patients but is not yet established as a standard asthma care pathway. The expert panel identified 4 key priorities to advance targeted asthma management: (1) Defining remission-a universally accepted, evidence-based definition is needed to guide clinical practice and guideline development. (2) The management of mild asthma guided by patient stratification according to asthma pathogenetic pathways (endotype) and risk profile may enable more tailored therapy and better outcomes. (3) Biomarker discovery and validation-research must prioritize predictive biomarkers that are easy to measure at the point of care, supported by innovative trials that combine precision immunology and machine learning. (4) Optimizing implementation and addressing the barriers to adopting stratified care, including limited resources and cost-effectiveness concerns, must be addressed. Digital tools offer promise but require further validation. Coordinated efforts are essential to translate advances in personalized asthma treatment into better outcomes and more sustainable care, particularly in resource-limited settings.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.012
metaresearch head score (Gemma)0.009
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.012
Threshold uncertainty score0.065

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0120.009
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0030.002
Bibliometrics0.0010.001
Science and technology studies0.0010.004
Scholarly communication0.0060.008
Open science0.0020.004
Research integrity0.0060.011
Insufficient payload (model declined to judge)0.0080.002

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.070
GPT teacher head0.376
Teacher spread0.306 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations3
Published2025
Admission routes1
Has abstractno

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Same venueThe Journal of Allergy and Clinical Immunology In PracticeSame topicAsthma and respiratory diseasesFrench-language works237,207