RECOGNISE V5.0

  • Research type

    Research Study

  • Full title

    Characterisation of patients with severe asthma in primary and secondary care settings in Europe reported to be eligible for biological therapy (Recognise Study)

  • IRAS ID

    249714

  • Contact name

    Dermot Ryan

  • Contact email

    dermotryan@doctors.org.uk

  • Sponsor organisation

    AstraZeneca PLC

  • Clinicaltrials.gov Identifier

    NCT03629782, NCT

  • Duration of Study in the UK

    0 years, 10 months, 31 days

  • Research summary

    Asthma is a chronic inflammatory disease that is estimated to affect 300 million people globally, resulting in a significant burden to healthcare systems and society. Patients typically have respiratory symptoms including wheeze, shortness of breath, chest tightness and cough, together with variable expiratory airflow limitation. Most patients with asthma can be effectively treated with currently available pharmacological therapies, meaning their asthma is well controlled with few troublesome symptoms, little need for reliever medication, the capacity to perform normal daily activities and no or infrequent exacerbations. However, a subset of patients have severe asthma, which is characterized by difficulty to achieve disease control despite high-intensity treatment and accounts for a relatively large proportion of asthma-associated morbidity and healthcare costs.
    Severe asthma is increasingly recognised as a major unmet need. Therefore, the identification of asthma phenotypes in this patient group is becoming an important part of managing the disease. Identifying patients who could benefit from novel biologic therapies (only administered in specialised UK centres) is becoming a key factor for some severe asthma patients, facilitating targeted and personalised treatment. Accurate identification of these patients may be difficult outside of specialist asthma care centres given the lack of access to diagnostic tools and expertise. To our knowledge there are scarce epidemiological data on severe asthmatics in primary care and non-specialized healthcare settings.
    This study aims to generate real world data on the characteristics of patients with severe asthma in primary and secondary care settings who could potentially benefit from the referral for biologic therapy after further clinical assessment.
    We anticipate that these data will help to estimate the unmet need for access to novel biologic treatments for severe asthma patients; evidence describing the current referrals to specialist centres. This information could support the development of better severe asthma care pathways.

  • REC name

    London - West London & GTAC Research Ethics Committee

  • REC reference

    19/LO/1579

  • Date of REC Opinion

    13 Nov 2019

  • REC opinion

    Unfavourable Opinion