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Table 3 Clinical, biomarker, and demographic associations among the U-BIOPRED adult asthma clinical clusters

From: Validated and longitudinally stable asthma phenotypes based on cluster analysis of the ADEPT study

Variablea

Healthy (n = 101)

Cluster US1 (n = 25)

Cluster US2 (n = 32)

Cluster US3 (n = 17)

Cluster US4 (n = 8)

P-value

Mean [Geo.Mean] ± SD

 FEV1, % predicted (pre-bd)

101.8 ± 12.9

73.7 ± 7.3

66.6 ± 9.0

67.6 ± 9.9

57.0 ± 8.5

8.8 x10 −5

 FVC, % predicted (pre-bd)

107.8 ± 13.4

90.9 ± 12.4

91.5 ± 12.6

72.9 ± 11.5

81.2 ± 10.5

6.1 x10 −6

 FEV1/FVC (pre-bd)

0.79 ± 0.06

0.68 ± 0.08

0.62 ± 0.09

0.79 ± 0.09

0.60 ± 0.06

<10 −6

 bd reversibility, % change FEV1

na

13.7 ± 16.7

17.9 ± 9.3

12.9 ± 12.5

45.6 ± 24.5

3.1 x10 −6

 FENO, ppb [Geo.Mean]

19.9 + 14.2/-8.3

20.8 + 16.0/-9.1

47.4 + 49.8/-24.3

18.1 + 15.0/-8.2

38.8 + 33.4/-17.9

1.6 x10 −6

 ACQ7

0.0 ± 0.1

1.4 ± 0.7

2.0 ± 0.7

3.3 ± 1.2

4.1 ± 0.8

<10 −6

 AQLQ

7.0 ± 0.1

6.0 ± 0.6

5.1 ± 0.9

4.0 ± 1.1

3.4 ± 0.8

<10 −6

 Blood eosinophils, x1000/ul [Geo.Mean]

0.098 + 0.180/-0.063

0.143 + 0.155/-0.075

0.484 + 0.356/-0.205

0.161 + 0.204/-0.090

0.345 + 0.254/-0.146

<10 −6

 Blood neutrophils, ×1000/ul [Geo.Mean]

3.23 + 1.67/-1.10

3.77 + 1.58/-1.11

4.09 + 1.33/-1.00

4.57 + 2.13/-1.45

1.84 ± 0.49

0.2128

 Blood WBC, ×1000/ul [Geo.Mean]

5.64 + 2.04/-1.50

6.41 + 1.62/-1.29

7.39 + 1.79/-1.44

7.83 + 2.24/-1.74

2.71 ± 0.36

0.0236

 Sputum neutrophils, % of WBCb

30.8 + 40.3/-17.4

42.8 ± 28.3

42.0 ± 23.5

73.9 ± 24.2

70.0 ± 21.3

0.0129

 Sputum eosinophils, % of WBC [Geo.Mean]b

0.2 + 0.3/-0.1

0.5 + 4.7/-0.5

6.1 + 44.5/-5.4

0.7 + 4.8/-0.6

6.3 + 21.0/-4.9

0.0123

 IgE Total (IU/ml) [Geo.Mean]

25 + 87/-19

121.1 + 377.2/-91.7

245.0 + 1,005.0/-197.0

84.5 + 267.5/-64.2

179.6 + 295.1/-111.7

0.0940

 Age

39 ± 13

46 ± 15

49 ± 16

50 ± 12

44 ± 15

0.7000

 Age of onset, years

na

21 ± 18

26 ± 19

29 ± 19

14 ± 12

0.2028

 Body Mass Index (kg/m2)

25.3 ± 3.6

27.6 ± 5.4

27.6 ± 5.8

30.9 ± 7.8

27.1 ± 4.8

0.2408

Percent of clinical cluster group

 Severe / Non-severe asthma (N / N)

na

11 / 14

25 / 7

16 / 1

8 / 0

0.0004

 Male (%)

61%

36%

34%

29%

25%

0.9276

 Atopic, Skin prick test or serum IgE-RAST (%)

45%

100%

86%

88%

100%

0.5816

 Sputum Pauci (Eos < %3, PMN < 60%) (%)b

76%

42%

25%

25%

0%

0.0496

 Sputum Neutr. (Eos < 3, PMN > =60%) (%)b

24%

33%

6%

63%

25%

 

 Sputum Mix (Eos > =3%, PMN > =60%) (%)b

0%

0%

6%

0%

25%

 

 Sputum Eos. (Eos > =3%, PMN < 60%) (%)b

0%

25%

63%

13%

50%

 

 FENO ≥ 35 ppb (%)

18%

24%

59%

12%

50%

0.0032

 Blood eosinophils ≥ 300/ul (%)

7%

20%

75%

35%

63%

0.0003

 FENO ≥ 35 ppb OR Blood eos. ≥ 300/ul (%)

21%

32%

88%

41%

88%

3.3 x10 −5

  1. aSummary statistics (mean, or geometric mean where indicated, and standard deviation; or percent of clinical cluster group) and p-values from F-test (for mean/geometric mean statistics) or chi-square statistics for associations among the U-BIOPRED adult asthma clinical cluster groups are presented. The 8 clinical and clinical biomarker variables used in the clustering are presented first, followed by additional clinical, biomarker and demographic variable groupings
  2. bFor sputum differentials, n = 12, 16, 8, and 4 for the healthy control cohort and Groups A, B, and C, and D, respectively
  3. Significant p values are captured in bold