Professor’s Advice: Customize Severe Asthma Treatment
- SEOUL, south korea (April 29, 2025) – A shift toward precision medicine, utilizing detailed phenotype evaluations and biologic therapies, is expected to revolutionize the treatment of severe asthma,...
- Asthma, a chronic respiratory disease affecting an estimated 340 million people worldwide, impacts individuals across all age groups.
- A important concern arises when these symptoms remain poorly controlled or suddenly worsen despite conventional treatments.
Precision Medicine Poised to Transform Severe Asthma Treatment in South Korea
SEOUL, south korea (April 29, 2025) – A shift toward precision medicine, utilizing detailed phenotype evaluations and biologic therapies, is expected to revolutionize the treatment of severe asthma, according to experts. Current treatments primarily focus on managing symptoms, but a new paradigm emphasizing precise diagnosis and pathology-based treatment is needed, according to Kim Sang-heon, a professor of respiratory allergic medicine at Hanyang University Hospital.
Asthma: A Global health Concern
Asthma, a chronic respiratory disease affecting an estimated 340 million people worldwide, impacts individuals across all age groups. in South Korea, it is estimated that 3% to 5% of the population suffers from asthma, experiencing symptoms such as coughing, shortness of breath, and wheezing.
The Challenge of Severe Asthma
A important concern arises when these symptoms remain poorly controlled or suddenly worsen despite conventional treatments. This is often the case for patients with severe asthma, representing approximately 5% of all asthma sufferers. According to Kim, the medical expenses associated with severe asthma patients account for roughly 50% of the total asthma-related healthcare costs. This underscores the critical need for early identification and systematic management of severe asthma as a national healthcare priority.
gaps in diagnosis and Treatment
Unlike typical asthma cases manageable in primary care settings, severe asthma necessitates a more specialized approach. However, a lack of awareness in primary care and structural limitations hinder timely referrals to specialized hospitals, severe asthma centers, and respiratory professionals, Kim said.
The Risks of Steroid Overuse
The overuse of oral steroids to manage asthma symptoms poses another challenge. While steroids offer rapid symptom relief, prolonged use can lead to chronic side effects, including osteoporosis, hypertension, and diabetes, Kim cautioned. This highlights the need for choice treatment strategies.
Biologic Therapies: A Potential Game-Changer
Biologic therapies are emerging as a promising solution to reduce steroid dependence and transition towards precision-based, personalized treatment for severe asthma patients.Some patients who have not responded to traditional treatments have experienced significant improvements with biologic formulations.
Access to Biologics: Challenges and Costs
While six biologic therapies are approved for use in South Korea, only a limited number are covered by insurance. Restrictive reimbursement criteria, such as requiring a peripheral blood eosinophil count exceeding 300 cells/μl, asthma exacerbations in the past year, and at least four hospital visits, limit patient access. Kim noted that these conditions,such as requiring four emergency room visits annually or facing life-threatening situations,create barriers to access.
The cost of non-reimbursed biologic treatments can exceed 10 million won (approximately $7,600 USD) per year, depending on the specific medication, Kim said.
Precision Medicine Poised to Transform Severe Asthma Treatment: Your Questions Answered
H2: What’s New in severe Asthma Treatment in South Korea?
According to experts like Professor Kim Sang-heon, a shift towards precision medicine is underway in South Korea, aiming to revolutionize severe asthma treatment.This new approach focuses on a more precise diagnosis and pathology-based treatment, moving away from simply managing symptoms.
H2: What is asthma, and How Common Is It?
Q: What is asthma?
Asthma is a chronic respiratory disease, meaning it’s a long-term condition affecting the airways.
Q: How many people worldwide are affected by asthma?
Approximately 340 million people worldwide live with asthma.
Q: How prevalent is asthma in South Korea?
In South Korea, an estimated 3% to 5% of the population suffers from asthma.
Q: what are the common symptoms of asthma?
Common asthma symptoms include:
Coughing
Shortness of breath
Wheezing
H2: Understanding Severe Asthma: The Challenges
Q: What is severe asthma?
Severe asthma is a condition where asthma symptoms are poorly controlled or suddenly worsen despite standard treatments.
Q: Is severe asthma a large percentage of the cases?
severe asthma affects about 5% of all asthma sufferers.
Q: How does severe asthma effect healthcare costs?
Patients with severe asthma account for roughly 50% of total asthma-related healthcare costs. this makes early identification and management of severe asthma a national healthcare priority.
H2: Why is Early Diagnosis and Management of Severe Asthma So Important?
Q: What are the main challenges in diagnosing and treating severe asthma?
Unlike typical asthma cases, severe asthma needs a specialized approach. A lack of awareness in primary care settings and structural limitations can hinder timely referrals to specialists.
H2: The Risks of Long-Term Steroid Use
Q: Why are oral steroids a concern in treating severe asthma?
While oral steroids provide rapid relief from asthma symptoms, their prolonged use can lead to chronic side effects, including:
Osteoporosis
Hypertension
Diabetes
H2: Biologic Therapies: A Promising Solution
Q: What are biologic therapies?
Biologic therapies are medications that target specific parts of the immune system involved in asthma. They are emerging as a promising treatment option.
Q: how can biologic therapies help asthma patients?
Biologic therapies are designed to reduce steroid dependence and allow for a more personalized treatment approach. Patients who haven’t responded to conventional treatments have seen meaningful improvements with biologics.
H2: Accessing Biologic Therapies in South Korea
Q: Are biologic therapies readily available in South Korea?
While six biologic therapies are approved in South korea, access is limited.
Q: What are the barriers to accessing biologic therapies?
Restrictive reimbursement criteria are major barriers. For example, in order to have access, one may need:
A peripheral blood eosinophil count exceeding 300 cells/μl
Experience asthma exacerbations in the past year
* Have at least four hospital visits
Q: What are the potential costs for these treatments?
The cost of non-reimbursed biologic treatments can exceed 10 million won (approximately $7,600 USD) per year, depending on the medication.
H2: Key Takeaways: Summarizing the Challenges and Opportunities
Q: What are the overall challenges and opportunities in treating severe asthma in South Korea?
| Feature | Challenge | Opportunity |
| ————- | —————————————————————————– | ————————————————————————— |
| Diagnosis | Lack of awareness and timely referrals in primary care. | Transition to precision medicine for accurate and timely diagnosis. |
| Treatment | Over-reliance on steroids and associated side effects. | Use of biologic therapies for personalized treatment to reduce steroid use. |
| Access | Restrictive reimbursement criteria limit access to innovative therapies. | Improve patient access to biologics and support affordability. |
| Cost | High cost of non-reimbursed treatments. | Potential for improved cost-effectiveness with optimized treatments. |
| Overall goal | To provide systematic management of severe asthma. | Revolutionizing severe asthma treatment using precision medicine. |
