2069 Severe asthma: Prescribing criteria and asthma control test improvement

Monday, 8 December 2014
Exhibition Hall-Poster Area (Sul America)

Sérgio Duarte Dortas Junior, Msc , Clínica Médica, WAO Junior Member, Rio de Janeiro, Brazil

Katya Alves De Sousa , Universidade Iguaçu, Nova Iguaçu, Brazil

Mauricio Barbosa Fonseca , Universidade Iguaçu, Nova Iguaçu, Brazil

Annanda Da Silva Aguiar , Universidade Iguaçu, Nova Iguaçu, Brazil

Monica Flores Rick, MD , Centro De Referencia Para o Tratamento Da Asma De Difícil Controle, Nova Iguaçu, Brazil

Leandro Vianna, MD , Clínica Médica, Universidade Iguaçu, Nova Iguaçu, Brazil

Maria Das Graças Basilio Rios, MD , Centro De Referencia Para o Tratamento Da Asma De Difícil Controle, Nova Iguaçu, Brazil

Priscila Sepulveda , Centro De Referencia Para o Tratamento Da Asma De Difícil Controle, Nova Iguaçu, Brazil

Background:

Severe asthma are linked with high morbidity, significant mortality and high treatment costs. Omalizumab has been shown to decrease the risk of hospitalization or Emergency Department (ED) visits in patients with uncontrolled severe allergic asthma. We aim to describe  the conditions under Omalizumab was prescribed in patients followed in a Reference Center for Severe Asthma Treatment in Nova Iguaçu, Rio de Janeiro; and assess the effects of Omalizumab through the Asthma Control Test (ACT) in those patients who had at least a 16 week course.

Methods: Asthmatic patients treated with omalizumab between February 2013 and June 2014 were evaluated retrospectively. The conditions under Omalizumab was prescribed and ACT improvements were evaluated.

Results:

A total of 19 patients (14 females and 5 males) were prescribed omalizumab. Prescribing criteria were: one or more ED visits in the last year (100%); high dose inhaled corticosteroid and long-acting beta2agonist use (94.7%); systemic corticosteroid use more than 3 times the last year (89.5%); FEV<80% (78.9%); daily short-acting  beta2agonist use (68.4%); fast pulmonary function deterioration after systemic corticosteroid withdrawal (52.6%); death threatening asthma exacerbation episode (42%). Seven of these patients had a 16 week course of omalizumab with a significant improvement in ACT total score in six of them (86%).

Conclusions:

In our casuistic, the main criteria omalizumab was prescribed for severe asthma was ED visits. Omalizumab promoted a significant improvement in most patients' ACT total score.