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Table 2 Asthma control criteria required for OCS dose reduction

From: SOURCE: a phase 3, multicentre, randomized, double-blind, placebo-controlled, parallel group trial to evaluate the efficacy and safety of tezepelumab in reducing oral corticosteroid use in adults with oral corticosteroid dependent asthma

Criteria

Definition of asthma control

1

Morning PEF ≥ 80% of meana morning measures compared with mean baselineb measures

2c

Increase of ≤ 2 nights with asthma-related awakenings (requiring rescue medication) over a 7-day period compared with baselineb

3

Meana SABA rescue medication use ≤ 4 puffs/day above the baselineb mean and < 12 puffs/day on all days in the previous 14 days

4

No asthma exacerbation requiring increased systemic corticosteroids or hospitalization since the previous visit

5

Investigator judges the patient’s asthma control to be sufficient to allow OCS dose reduction

6

No signs/symptoms of adrenal insufficiency (at OCS dose reductions < 5 mg)

  1. aMean values considered for each down-titration visit will be from electronic diary records completed for 14 days before the visit
  2. bBaseline values for the optimization phase will be calculated from electronic diary records completed for ≥ 10 out of 14 days before visit 2. Similarly, baseline values for the reduction phase will be calculated from ≥ 10 out of 14 days of data collected before the randomization visit
  3. cThe number of nights with asthma-related awakenings requiring rescue medication will be counted from the most recent 7 days of available data
  4. OCS Oral corticosteroid, PEF Peak expiratory flow, SABA Short-acting β2 agonist