TABLE 1

Clinical and inflammatory characteristics at baseline, by response to OCS (ΔACQ6/ΔFeNO/ΔFEV1)

OutcomeAll asthmaNon-RespondersResponders#p-valueƒ
Subjects n542925
Age years (range)53.6 (21–78)54.1 (21–78)52.4 (24–72)0.693
BMI kg·m230.7±6.430.1±6.831.5±6.20.451
Male n (%)23 (41.8)13 (45)10 (40)0.721
Pre B2 FEV1 % predicted82 [69, 89]87 [74, 94]78 [65, 85]0.038
Pre B2 FVC % predicted90 [78, 99]88 [79, 100]92 [78, 99]0.901
Pre B2 FEV1/FVC %72 [64, 77]74 [68, 82]70 [60, 74]0.015
ACQ6 med [IQR]0.9 [0.3, 1.6]0.7 [0.2, 1]1.3 [0.5, 2]0.006
Airway hyperresponsiveness n (%)30 (55)10 (35)20 (80)0.001
PD15 med [IQR]4.9 [2.9, 10.5]5.5 [1.0, 6.4]4.3 [2.9, 10.5]0.984
Dose response slope %fall/mL med [IQR]1.4 [0.5, 3.7]0.7 [0.4, 2.1]2.6 [1.4, 4.2]0.001
Severe asthma n (%)22 (40)9 (31)13 (52)0.118
Ex-smokers n (%)21 (38)10 (35)10 (40)0.675
Pack-years med [IQR]3 [1, 20]3 [0, 20]2 [1, 20]0.849
ICS use n (%)43 (78)24 (83)16 (64)0.117
ICS+LABA n (%)38 (70)22 (76)16 (64)0.341
OCS cumulative dose§ in 2 yrs mg med [IQR]400 [238, 675]350 [290, 562]495 [150, 750]0.877
Non-eosinophilic asthma n (%)21 (38)15 (52)6 (24)0.037
Eosinophilic asthma n (%)31 (56)12 (41)19 (76)0.010
FeNO ppb22.5 [13.1, 37.4]15.2 [8.7, 27.3]30 [18.5, 71.8]0.002
Induced sputum median [IQR]
 CLC mRNA+2.1 [0.4, 9.8]1 [0.3, 6.4]6.1 [0.6, 11.5]0.157
 CPA3 mRNA1.6 [0.4, 5.9]1.1 [0.2, 2.1]2.8 [0.8, 8.2]0.025
 DNASEIL3 mRNA1.2 [0.4, 3.9]1.1 [0.4, 2.7]1.4 [0.9, 4.2]0.263
 IL-1β mRNA0.7 [0.5, 1.2]0.7 [0.4, 0.9]0.7 [0.5, 1.2]0.251
 ALPL mRNA0.9 [0.4, 2.1]0.7 [0.4, 1.7]1.4 [0.6, 2.1]0.263
 CXCR2 mRNA0.8 [0.5, 1.5]0.9 [0.5, 1.5]0.7 [0.4, 1.7]0.777
Eosinophils %4.5 [1.3,12.8]2 [0.8, 6]10.8 [2.5, 28.3]0.004
Blood median [IQR]
Eosinophils ×109·L−10.3 [0.2,0.4]0.2 [0.1, 0.3]0.4 [0.2, 0.4]0.001

Data are presented as mean±sd, unless otherwise stated. p-values in bold are statistically significant. ACQ6: six-item Asthma Control Questionnaire; FeNO: exhaled nitric oxide fraction; FEV1: forced expiratory volume in 1 s; FVC: forced vital capacity; Med: median; PD15: provocation dose; ICS: inhaled corticosteroid; OCS: oral corticosteroid; ppb: parts per billion. #: Responders=ΔACQ6≥0.5 or ΔFeNO (≥20%↓ if V1 FeNO≥50 ppb or ≥10 ppb↓ if V1<50 ppb) or ΔFEV1≥12% and 200 mL); : non-eosinophilic asthma defined by sputum eosinophils <3%, eosinophilic asthma defined by sputum eosinophils ≥3%, +: mRNA data are expressed as normalised result, calculated using 2ΔΔCt relative to β-actin and the mean of the baseline visit.§: Prednisone equivalents. ƒ: p-values represent differences between non-responders and responders.