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Predicting which biologic medicines work for severe eosinophilic asthma-COPD overlap

Studies blood and lung scan markers in people with severe asthma-COPD overlap.

Plain-language title generated from the registry record
Registry title: Blood Exosomal Multi-omics and Lung Radiomics for Predicting Efficacy and Prognosis of Severe Eosinophilic ACOS With Biologics

Key facts

Where
Wuhan, ChinaSee the site

Where in China

  • Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyWuhan, ChinaNo longer taking part

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Trial details

Who runs it
Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
Trial code
NCT07602881
Record updated
22 May 2026
Original description
Firstly, to screen blood exosomal multi-omics (transcriptomics, proteomics, metabolomics) and lung radiomics (HRCT, Xe129MRI) biomarkers that can predict efficacy and prognosis in severe eosinophilic ACOS (asthma-COPD overlap) patients treated with different biologics (benralizumab, mepolizumab, dupilumab). Then, to prospectively follow patients for 48 weeks after biologic initiation and collect clinical data, blood samples, and imaging features. Finally, to build a multi-dimensional predictive model for efficacy and prognosis of severe eosinophilic ACOS.Read full original descriptionShow less

Blood Exosomal Multi-omics and Lung Radiomics for Predicting Efficacy and Prognosis of Severe Eosinophilic ACOS (Asthma-COPD Overlap Syndrome) Treated With Different Biologics: A Real-World Observational Study

Firstly, to screen blood exosomal multi-omics (transcriptomics, proteomics, metabolomics) and lung radiomics (HRCT, Xe129MRI) biomarkers that can predict efficacy and prognosis in severe eosinophilic ACOS (asthma-COPD overlap) patients treated with different biologics (benralizumab, mepolizumab, dupilumab). Then, to prospectively follow patients for 48 weeks after biologic initiation and collect clinical data, blood samples, and imaging features. Finally, to build a multi-dimensional predictive model for efficacy and prognosis of severe eosinophilic ACOS.

Inclusion: Age ≥ 14 years; Clinician decision to start biologic (benralizumab, mepolizumab, or dupilumab) for severe eosinophilic ACOS; Blood eosinophils ≥150/μL within 3 months prior to informed consent, or ≥300/μL within 1 year prior; Signed written informed consent.

Exclusion: Prior or current biologic treatment for ACOS; Known allergy or hypersensitivity to any component of the study drugs; Any type of malignancy; Currently participating in any other interventional clinical trial.

ClinicalTrials.gov NCT07602881