PMID- 28387160 OWN - NLM STAT- MEDLINE DCOM- 20170724 LR - 20181202 IS - 1744-7666 (Electronic) IS - 1465-6566 (Linking) VI - 18 IP - 7 DP - 2017 May TI - Long-term treatment in pediatric asthma: an update on chemical pharmacotherapy. PG - 667-676 LID - 10.1080/14656566.2017.1317747 [doi] AB - Asthma is the most common chronic disease in childhood, affecting approximately 10% of all children, and is the leading cause of hospitalization in developed countries. In this paper we aimed to review the evidence on chemical pharmacotherapy for long-term treatment of pediatric asthma, according to the latest updates. Area covered: Long-term treatment, essential for controlling symptoms and reducing future risks including exacerbations and decline in lung function, includes control agents such as inhaled corticosteroids, long-acting beta2-adrenergic agonists, and leukotriene modifiers. More recent strategies based on the use of a biological drug such as omalizumab, which is a monoclonal antibody directed against immunoglobulin E (IgE), can be considered in selected patients with severe asthma. Expert opinion: In the near future, the challenge of childhood asthma treatment will be to improve the chemical drugs that already exist as well as to carefully characterize the several different asthma subtypes, with special regard to children with severe disease. A better definition of patient features, made possible by the current advanced knowledge of the pathobiology of severe asthma, can ultimately allow the identification of specific phenotypes and endotypes of severe asthma, aimed to personalize pharmacological treatment. FAU - Vitale, Carolina AU - Vitale C AD - a Department of Medicine, Surgery and Dentistry, Section of Respiratory Diseases , University of Salerno , Salerno , Italy. FAU - Maglio, Angelantonio AU - Maglio A AD - a Department of Medicine, Surgery and Dentistry, Section of Respiratory Diseases , University of Salerno , Salerno , Italy. FAU - Pelaia, Corrado AU - Pelaia C AD - b Department of Medical and Surgical Sciences, Section of Respiratory Diseases , University "Magna Graecia" of Catanzaro , Catanzaro , Italy. FAU - Vatrella, Alessandro AU - Vatrella A AD - a Department of Medicine, Surgery and Dentistry, Section of Respiratory Diseases , University of Salerno , Salerno , Italy. LA - eng PT - Journal Article PT - Review DEP - 20170420 PL - England TA - Expert Opin Pharmacother JT - Expert opinion on pharmacotherapy JID - 100897346 RN - 0 (Adrenal Cortex Hormones) RN - 0 (Adrenergic beta-2 Receptor Agonists) RN - 0 (Anti-Asthmatic Agents) RN - 0 (Antibodies, Monoclonal) RN - 2P471X1Z11 (Omalizumab) SB - IM MH - Adrenal Cortex Hormones/*therapeutic use MH - Adrenergic beta-2 Receptor Agonists/therapeutic use MH - Anti-Asthmatic Agents/*therapeutic use MH - Antibodies, Monoclonal/therapeutic use MH - Asthma/*drug therapy MH - Child MH - Chronic Disease MH - Hospitalization MH - Humans MH - Omalizumab/therapeutic use OTO - NOTNLM OT - Childhood asthma OT - long term treatment of asthma OT - pharmacotherapy EDAT- 2017/04/08 06:00 MHDA- 2017/07/25 06:00 CRDT- 2017/04/08 06:00 PHST- 2017/04/08 06:00 [pubmed] PHST- 2017/07/25 06:00 [medline] PHST- 2017/04/08 06:00 [entrez] AID - 10.1080/14656566.2017.1317747 [doi] PST - ppublish SO - Expert Opin Pharmacother. 2017 May;18(7):667-676. doi: 10.1080/14656566.2017.1317747. Epub 2017 Apr 20.