• Assessment of the patient's inflammatory phenotype is
recommended once a patient is diagnosed with severe asthma and referred to a specialist for treatment. According to the GINA report, determining if the patient has type 2 or non–type 2 severe asthma can help optimize treatment choice with a targeted therapy. • Learn more about severe asthma phenotypes. • According to the GINA report, a sputum eosinophil count ≥ 2% is one of several indicators that a patient who is taking high-dose ICS or daily OCS may have type 2 inflammation. The other signs of possible type 2 inflammation include: • Blood eosinophil count ≥ 150/μL • Fractional exhaled nitric oxide (FeNO) level ≥ 25 parts per billion • Asthma that is clinically allergen driven • Patients requiring maintenance OCS therapy (although biomarkers of type 2 inflammation such as blood eosinophil count, sputum eosinophil count, and FeNO level are often suppressed by OCS) • For more on the GINA 2019 update on severe asthma, refer to Part E of the report, beginning on page 84.