September 23, 2026 · American journal of respiratory and critical care medicine · DOI: 10.1093/ajrccm/aamag473

Biologic outcomes in severe asthma patients by smoking status: evidence from SHARP

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This study investigates the efficacy of biologic treatments for severe asthma in patients with varying smoking statuses, aiming to determine whether smoking exposure affects treatment outcomes. The findings indicate that all groups, including current and ex-smokers, experienced significant improvements in asthma control and quality of life after one year of biologic therapy, challenging the prevailing reluctance to prescribe biologics to smokers. The authors advocate for further randomized controlled trials to better inform treatment guidelines for this population.

Marco Caminati, Jeremy Charriot, Aruna T Bansal, Shane Hanon, Renaud Louis, Florence Schleich, Muriel Delvaux, Guy Brusselle, Stéphanie Ziant, Virginie Paulus, Sanja Grle Popovic, Gordana Pavlisa, Marina Lampalo, Celeste Porsbjerg, Kjell Håkansson, Susanne Hansen, Arnaud Bourdin, Eve Klising, Candice Estellat, Caroline Giboin, Dounya Metdaoui, Zsuzsanna Csoma, Dora Lúðvíksdóttir, Giorgio Walter Canonica, Enrico Heffler, Cristina Cardini, Anna Alloni, Iveta Kroica, Kristina Bieksiene, Romain Tching, Anneke Ten Brinke, Jacob Sont, Piotr Kuna, Maria Morawska, Florin Mihaltan, Sanja Hromis, Aleksa Golubovic, Mihailo Stjepanovic, Vojislav Ćupurdija, Peter Kopac, Valentyna Yasinska, Fabienne Jaun, Joerg Leuppi, Ebru Damadoglu, Ozlem Goksel, Sabina Skrgat, Ratko Djukanovic, Bilun Gemicioglu

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