Characteristics of trials that have used FENO to guide treatment in children with asthma
First author [ref.] | Primary outcome(s) | Mean age# years | Participants | Atopy as inclusion criterion? | FEV1 <80% pred also used in treatment algorithm? | FENO cut-off(s) used ppb | What did the trial find? (FENO treatment compared to standard care) |
Fritsch [21] | FEV1 | 11.5 | 47 | Yes | Yes | 20 | Higher midexpiratory flow, higher dose of ICS |
Peirsman [22] | Symptom-free days | 11 | 99 | Yes | Yes | 20 | Reduced exacerbations, increased LTRA and ICS dose No difference in primary outcome |
Petsky [23] | Exacerbations | 10 | 63 | No | No | 10 for nonatopic, 12 with one PSPT, 20 for >1 PSPT | Reduced exacerbation, increased ICS dose |
Pijnenburg [24] | Cumulative ICS dose | 12 | 84 | No | No | 30 | Reduced FENO and bronchial hyperresponsiveness No increase in ICS dose |
Pike [25] | ICS dose and exacerbation frequency | 11 | 90 | No | No | ≤15 and ≥25 | No differences in outcomes |
Szefler [26] | Days with asthma symptoms | 14 | 546 | Yes | Yes | 20, 30 and 40 | Reduced exacerbations, increased ICS dose No difference in primary outcome. |
Verini [27] | Exacerbations, symptom score, treatment | 12 | 64 | No | No | 12 | Reduced exacerbations, improved symptom score, less asthma treatment |
Voorend-van Bergen [28] | Proportion of symptom-free days | 10 | 181¶ | Yes | No | 20 and 50 | Increased asthma control but not the primary outcome |
PSPT: positive skin-prick test; LTRA: leukotriene receptor antagonist. #: where mean age is given for children in separate arms of trial, an approximate overall mean age is given; ¶: not including 91 randomised to a web-based intervention.