Airwaves
| The first 150 words of the full text of this article appear below. |
TNF
in refractory asthma
As Berry and Pavord point out in their editorial in this months Thorax, asthma refractory to treatment with inhaled corticosteroids is an important health and economic problem and unmet clinical need. Tumour necrosis factor (TNF)
has been implicated in the mechanisms of refractory asthma, where TNF
production is increased, and this has led to interest in TNF
antagonists for asthma management. Morjaria and colleagues report a randomised controlled trial of a TNF
antagonist (etanercept) in corticosteroid refractory asthma. After 12 weeks there was a small improvement in asthma control, but no effect on quality of life, lung function, bronchial hyperresponsiveness and eosinophilic or neutrophilic airway inflammation. A fall in C-reactive protein (CRP) reflecting systemic inflammation was also noted. The authors conclude that larger trials are required that are adequately powered for the relevant outcomes. The editorial also concludes that future studies need careful patient characterisation with recruitment of the
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