Patient‐centered digital biomarkers for allergic respiratory diseases and asthma: The ARIA‐EAACI approach – ARIA‐EAACI Task Force Report

Author:

Bousquet Jean123ORCID,Shamji Mohamed H.45ORCID,Anto Josep M.678,Schünemann Holger J.9,Canonica G. Walter1011,Jutel Marek1213,Del Giacco Stefano14ORCID,Zuberbier Torsten13ORCID,Pfaar Oliver15ORCID,Fonseca Joao A.1617,Sousa‐Pinto Bernardo1617,Klimek Ludger1819ORCID,Czarlewski Wienczyslawa2021,Bedbrook Anna2122,Amaral Rita1617ORCID,Ansotegui Ignacio J.23,Bosnic‐Anticevich Sinthia242526,Braido Fulvio2728,Chaves Loureiro Claudia29ORCID,Gemicioglu Bilun30,Haahtela Tari31ORCID,Kulus Marek32,Kuna Piotr33,Kupczyk Maciej33,Matricardi Paolo M.34ORCID,Regateiro Frederico S.353637,Samolinski Boleslaw38,Sofiev Mikhail39,Toppila‐Salmi Sanna31ORCID,Valiulis Arunas40,Ventura Maria Teresa4142,Barbara Cristina43,Bergmann Karl C.13,Bewick Michael44,Blain Hubert45,Bonini Matteo44647ORCID,Boulet Louis‐Philippe48ORCID,Bourret Rodolphe49,Brusselle Guy50,Brussino Luisa5152,Buhl Roland53,Cardona Victoria5455,Casale Thomas56,Cecchi Lorenzo57ORCID,Charpin Denis58,Cherrez‐Ojeda Ivan5960ORCID,Chu Derek K.9,Cingi Cemal61ORCID,Costa Elisio M.62,Cruz Alvaro A.63ORCID,Devillier Philippe64,Dramburg Stephanie65,Fokkens Wytske J.66ORCID,Gotua Maia67,Heffler Enrico1011ORCID,Ispayeva Zhanat68,Ivancevich Juan Carlos69,Joos Guy50,Kaidashev Igor70,Kraxner Helga71,Kvedariene Violeta7273,Larenas‐Linnemann Désirée E.74ORCID,Laune Daniel75,Lourenço Olga76ORCID,Louis Renaud7778,Makela Mika31,Makris Michael79,Maurer Marcus13ORCID,Melén Erik8081,Micheli Yann75,Morais‐Almeida Mario82ORCID,Mullol Joaquim8384,Niedoszytko Marek85ORCID,O'Hehir Robyn86ORCID,Okamoto Yoshitaka8788,Olze Heidi8990,Papadopoulos Nikolaos G.91ORCID,Papi Alberto92ORCID,Patella Vincenzo939495ORCID,Pétré Benoit96,Pham‐Thi Nhân979899,Puggioni Francesca100,Quirce Santiago101,Roche Nicolas102,Rouadi Philip W.103104ORCID,Sá‐Sousa Ana1617,Sagara Hironori105,Sastre Joaquin106,Scichilone Nicola107,Sheikh Aziz108,Sova Milan109,Suppli Ulrik Charlotte110111,Taborda‐Barata Luis112113,Todo‐Bom Ana114,Torres Maria J.115ORCID,Tsiligianni Ioanna116117,Usmani Omar S.4118,Valovirta Erkka119,Vasankari Tuula120121,Vieira Rafael José1617ORCID,Wallace Dana122,Waserman Susan123,Zidarn Mihaela124125,Yorgancioglu Arzu126ORCID,Zhang Luo127ORCID,Chivato Tomas128,Ollert Markus129130ORCID

Affiliation:

1. Institute of Allergology, Charité – Universitätsmedizin Berlin, Freie Universität Berlin and Humboldt‐Universität zu Berlin Berlin Germany

2. University Hospital Montpellier Montpellier France

3. Fraunhofer Institute for Translational Medicine and Pharmacology ITMP, Allergology and Immunology Berlin Germany

4. National Heart and Lung Institute (NHLI), Imperial College London London UK

5. NIHR Imperial Biomedical Research Centre London UK

6. ISGlobal, Barcelona Institute for Global Health Barcelona Spain

7. Universitat Pompeu Fabra (UPF) Barcelona Spain

8. CIBER Epidemiología y Salud Pública (CIBERESP) Barcelona Spain

9. Department of Health Research Methods, Evidence, and Impact, Department of Medicine McMaster University Hamilton Ontario Canada

10. Department of Biomedical Sciences Humanitas University Milan Italy

11. Personalized Medicine, Asthma & Allergy IRCCS Humanitas Research Center Milan Italy

12. Department of Clinical Immunology Wrocław Medical University Wroclaw Poland

13. ALL‐MED Medical Research Institute Wroclaw Poland

14. Department of Medical Sciences and Public Health and Unit of Allergy and Clinical Immunology University Hospital "Duilio Casula," University of Cagliari Cagliari Italy

15. Section of Rhinology and Allergy, Department of Otorhinolaryngology, Head and Neck Surgery University Hospital Marburg, Philipps‐Universität Marburg Marburg Germany

16. MEDCIDS ‐ Department of Community Medicine, Information and Health Decision Sciences, Faculty of Medicine University of Porto Porto Portugal

17. CINTESIS@RISE– Health Research Network, Faculty of Medicine University of Porto Porto Portugal

18. Department of Otolaryngology, Head and Neck Surgery Universitätsmedizin Mainz Mainz Germany

19. Center for Rhinology and Allergology Wiesbaden Germany

20. Medical Consulting Czarlewski Levallois France

21. MASK‐air Montpellier France

22. ARIA Montpellier France

23. Department of Allergy and Immunology Hospital Quironsalud Bizkaia Bilbao Spain

24. Quality Use of Respiratory Medicines Group Woolcock Institute of Medical Research Sydney New South Wales Australia

25. Sydney Local Health District Sydney New South Wales Australia

26. Sydney Pharmacy School The University of Sydney Sydney New South Wales Australia

27. Respiratory Clinic, Department of Internal Medicine University of Genoa Genoa Italy

28. IRCCS Ospedale Policlinico San Martino Genoa Italy

29. Pneumology Unit Hospitais da Universidade de Coimbra, Centro Hospitalar e Universitário de Coimbra Coimbra Portugal

30. Department of Pulmonary Diseases Istanbul University ‐ Cerrahpaşa, Cerrahpaşa Faculty of Medicine Istanbul Turkey

31. Skin and Allergy Hospital, Helsinki University Hospital, University of Helsinki Helsinki Finland

32. Department of Pediatric Respiratory Diseases and Allergology Medical University of Warsaw Warsaw Poland

33. Division of Internal Medicine, Asthma and Allergy Barlicki University Hospital, Medical University of Lodz Lodz Poland

34. Pediatric Pulmonology, Immunology and Intensive Care Medicine Charité Universitätsmedizin Berlin Berlin Germany

35. Allergy and Clinical Immunology Unit Centro Hospitalar e Universitário de Coimbra Coimbra Portugal

36. Faculty of Medicine Coimbra Institute for Clinical and Biomedical Research (ICBR), University of Coimbra Coimbra Portugal

37. Faculty of Medicine Institute of Immunology, University of Coimbra Coimbra Portugal

38. Department of Prevention of Environmental Hazards, Allergology and Immunology Medical University of Warsaw Warsaw Poland

39. Finnish Meteorological Institute (FMI) Helsinki Finland

40. Institute of Clinical Medicine and Institute of Health Sciences, Medical Faculty of Vilnius University Vilnius Lithuania

41. Unit of Geriatric Immunoallergology University of Bari Medical School Bari Italy

42. Institute of Sciences of Food Production, National Research Council (Ispa‐CNR) Bari Italy

43. Portuguese National Programme for Respiratory Diseases, Direção ‐Geral da Saúde, Faculdade de Medicina de Lisboa Instituto de Saúde Ambiental Lisbon Portugal

44. University of Central Lancashire Medical School Preston UK

45. Department of Geriatrics Montpellier University Hospital, MUSE Montpellier France

46. Department of Cardiovascular and Respiratory Sciences Universita Cattolica del Sacro Cuore Rome Italy

47. Department of Neurological, ENT and Thoracic Sciences Fondazione Policlinico Universitario A Gemelli ‐ IRCCS Rome Italy

48. Quebec Heart and Lung Institute, Laval University Quebec City Quebec Canada

49. University Hospital of Nice Nice France

50. Department of Respiratory Medicine Ghent University Hospital Ghent Belgium

51. Department of Medical Sciences University of Torino Torino Italy

52. Allergy and Clinical Immunology Unit Mauriziano Hospital Torino Italy

53. Department of Pulmonary Medicine Mainz University Hospital Mainz Germany

54. Allergy Section, Department of Internal Medicine Hospital Vall d'Hebron Barcelona Spain

55. ARADyAL Research Network Barcelona Spain

56. Division of Allergy/Immunology University of South Florida Tampa Florida USA

57. SOS Allergology and Clinical Immunology, USL Toscana Centro Prato Italy

58. Clinique des Bronches, Allergie et Sommeil, Hôpital Nord Marseille France

59. Universidad Espíritu Santo Samborondón Ecuador

60. Respiralab Research Group Guayas Ecuador

61. ENT Department, Medical Faculty Eskisehir Osmangazi University Eskisehir Turkey

62. UCIBIO, REQUINTE, Faculty of Pharmacy and Competence Center on Active and Healthy Ageing University of Porto (Porto4Ageing) Porto Portugal

63. Fundaçao ProAR, Federal University of Bahia and GARD/WHO Planning Group Salvador Brazil

64. VIM Suresnes, UMR 0892, Pôle des Maladies des Voies Respiratoires, Hôpital Foch, Université Paris‐Saclay Suresnes France

65. Department of Pediatric Pneumology, Immunology and Intensive Care Medicine Charité Medical University Berlin Germany

66. Department of Otorhinolaryngology Amsterdam University Medical Centres Amsterdam The Netherlands

67. Center of Allergy and Immunology David Tvildiani Medical University Tbilisi Georgia

68. Kazakhstan Association of Allergology and Clinical Immunology, Department of Allergology and Clinical Immunology of the Kazakh National Medical University Almaty Kazakhstan

69. Servicio de Alergia e Immunologia, Clinica Santa Isabel Buenos Aires Argentina

70. Poltava State Medical University Poltava Ukraine

71. Department of Otorhinolaryngology, Head and Neck Surgery Semmelweis University Budapest Hungary

72. Faculty of Medicine Institute of Clinical Medicine, Clinic of Chest Diseases and Allergology, Vilnius University Vilnius Lithuania

73. Department of Pathology, Faculty of Medicine Institute of Biomedical Sciences, Vilnius University Vilnius Lithuania

74. Center of Excellence in Asthma and Allergy Médica Sur Clinical Foundation and Hospital México City Mexico

75. KYomed INNOV Montpellier France

76. Faculty of Health Sciences and CICS – UBI, Health Sciences Research Centre University of Beira Interior Covilhã Portugal

77. Department of Pulmonary Medicine CHU Liège Liège Belgium

78. GIGA I3 Research Group University of Liège Liège Belgium

79. Allergy Unit "D Kalogeromitros," 2nd Department of Dermatology and Venereology National & Kapodistrian University of Athens, "Attikon" University Hospital Athens Greece

80. Department of Clinical Science and Education, Södersjukhuset Karolinska Institutet Stockholm Sweden

81. Sach's Children and Youth Hospital Stockholm Sweden

82. Allergy Center CUF Descobertas Hospital Lisbon Portugal

83. Rhinology Unit & Smell Clinic, ENT Department Hospital Clínic Barcelona Spain

84. Clinical & Experimental Respiratory Immunoallergy IDIBAPS, CIBERES, University of Barcelona Barcelona Spain

85. Department of Allergology Medical University of Gdansk Gdansk Poland

86. Allergy, Asthma and Clinical Immunology, Alfred Health and Department of Immunology, Central Clinical School Monash University Melbourne Victoria Australia

87. Chiba Rosai Hospital Chiba Japan

88. Chiba University Hospital Chiba Japan

89. Department of Otorhinolaryngology Charité‐Universitätsmedizin Berlin Berlin Germany

90. Berlin Institute of Health Berlin Germany

91. Allergy Department, 2nd Pediatric Clinic University of Athens Athens Greece

92. Respiratory Medicine, Department of Translational Medicine University of Ferrara Ferrara Italy

93. Division of Allergy and Clinical Immunology, Department of Medicine "Santa Maria della Speranza" Hospital, Battipaglia Salerno Italy

94. Agency of Health ASL Salerno Italy

95. Postgraduate Programme in Allergy and Clinical Immunology University of Naples Federico II Naples Italy

96. Department of Public Health University of Liège Liège Belgium

97. Ecole Polytechnique de Palaiseau Palaiseau France

98. IRBA (Institut de Recherche Bio‐Médicale des Armées) Brétigny sur Orge France

99. Université Paris Cité Paris France

100. Personalized Medicine, Asthma & Allergy Humanitas Clinical and Research Center IRCCS, Rozzano Milan Italy

101. Department of Allergy Hospital La Paz Institute for Health Research (IdiPAZ) Madrid Spain

102. Pneumologie AP‐HP Centre Université de Paris Cité, Hôpital Cochin, et UMR 1016, Institut Cochin Paris France

103. Department of Otolaryngology, Head and Neck Surgery, Eye and Ear University Hospital Beirut Lebanon

104. Department of Otolaryngology, Head and Neck Surgery Dar Al Shifa Hospital ‐ Salmiya Hawally Kuwait

105. Department of Medicine, Division of Respiratory Medicine and Allergology Showa University School of Medicine Tokyo Japan

106. Allergy Service, Fundacion Jimenez Diaz Autonoma University of Madrid, CIBERES‐ISCIII Madrid Spain

107. PROMISE Department University of Palermo Palermo Italy

108. Usher Institute, The University of Edinburgh Edinburgh UK

109. Department of Respiratory Medicine and Tuberculosis University Hospital Brno Lískovec Czech Republic

110. Department of Respiratory Medicine Copenhagen University Hospital‐Hvidovre Copenhagen Denmark

111. Institute of Clinical Medicine, University of Copenhagen Copenhagen Denmark

112. Department of Immunoallergology Cova da Beira University Hospital Centre Covilhã Portugal

113. UBIAir ‐ Clinical & Experimental Lung Centre and CICS‐UBI Health Sciences Research Centre University of Beira Interior Covilhã Portugal

114. Imunoalergologia, Faculty of Medicine Centro Hospitalar Universitário de Coimbra, University of Coimbra Coimbra Portugal

115. Allergy Unit Málaga Regional University Hospital‐IBIMA Málaga Spain

116. International Primary Care Respiratory Group (IPCRG) Aberdeen UK

117. Health Planning Unit, Department of Social Medicine, Faculty of Medicine University of Crete Heraklion Greece

118. Royal Brompton Hospital, Airways Disease Section London UK

119. Department of Lung Diseases and Clinical Immunology University of Turku Turku Finland

120. FIHLA, Finnish Lung Health Association Helsinki Finland

121. Department of Clinical Medicine, Pulmonary Diseases and Clinical Allergology University of Turku Turku Finland

122. Nova Southeastern University, College of Allopathic Medicine Fort Lauderdale Florida USA

123. Department of Medicine, Clinical Immunology and Allergy McMaster University Hamilton Ontario Canada

124. University Clinic of Respiratory and Allergic Diseases Golnik Slovenia

125. Faculty of Medicine University of Ljubljana Ljubljana Slovenia

126. Department of Pulmonary Diseases, Faculty of Medicine Celal Bayar University Manisa Turkey

127. Department of Otolaryngology Head and Neck Surgery Beijing TongRen Hospital and Beijing Institute of Otolaryngology Beijing China

128. School of Medicine University CEU San Pablo Madrid Spain

129. Department of Infection and Immunity Luxembourg Institute of Health Esch‐sur‐Alzette Luxembourg

130. Department of Dermatology and Allergy Centre Odense University Hospital, Odense Research Center for Anaphylaxis (ORCA) Odense Denmark

Abstract

AbstractBiomarkers for the diagnosis, treatment and follow‐up of patients with rhinitis and/or asthma are urgently needed. Although some biologic biomarkers exist in specialist care for asthma, they cannot be largely used in primary care. There are no validated biomarkers in rhinitis or allergen immunotherapy (AIT) that can be used in clinical practice. The digital transformation of health and health care (including mHealth) places the patient at the center of the health system and is likely to optimize the practice of allergy. Allergic Rhinitis and its Impact on Asthma (ARIA) and EAACI (European Academy of Allergy and Clinical Immunology) developed a Task Force aimed at proposing patient‐reported outcome measures (PROMs) as digital biomarkers that can be easily used for different purposes in rhinitis and asthma. It first defined control digital biomarkers that should make a bridge between clinical practice, randomized controlled trials, observational real‐life studies and allergen challenges. Using the MASK‐air app as a model, a daily electronic combined symptom‐medication score for allergic diseases (CSMS) or for asthma (e‐DASTHMA), combined with a monthly control questionnaire, was embedded in a strategy similar to the diabetes approach for disease control. To mimic real‐life, it secondly proposed quality‐of‐life digital biomarkers including daily EQ‐5D visual analogue scales and the bi‐weekly RhinAsthma Patient Perspective (RAAP). The potential implications for the management of allergic respiratory diseases were proposed.

Publisher

Wiley

Subject

Immunology,Immunology and Allergy

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