The significance of SIRI and SII scores in predicting the effect of omalizumab treatment in patients with severe allergic asthma


BERİK SAFÇİ S., ERÇEN DİKEN Ö., Kara S., Serintürk T.

Allergologia et Immunopathologia, cilt.52, sa.4, 2025 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 52 Sayı: 4
  • Basım Tarihi: 2025
  • Doi Numarası: 10.15586/aei.v53i4.1325
  • Dergi Adı: Allergologia et Immunopathologia
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, DIALNET
  • Anahtar Kelimeler: asthma control test, severe asthma, Omalizumab, SIRI, SII
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Objective: To evaluate the role of systemic inflammation response index (SIRI) and systemic immune-inflammation index (SII) biomarkers in predicting the response to omalizumab (OMA) treatment in patients with severe allergic asthma. Methods: A retrospective analysis was conducted to examine the correlation between the fourth-month treatment responses of patients undergoing OMA therapy for severe allergic asthma and their baseline neutrophil, lymphocyte, monocyte, and platelet values, as well as SIRI and SII scores. Results: Posttreatment asthma control scores had a positive correlation with baseline SIRI (p = 0.03, r = 0.358), SII (p = 0.04, r = 0.345), and serum neutrophil values (p = 0.01, r = 0.308), and a negative correlation with lymphocyte values (p = 0.00, r = −0.398). Baseline SII showed a negative correlation with posttreatment systemic steroid usage (mg) (p = 0.04, r = −0.247) and the number of exacerbations (p = 0.02, r = −0.269). Conclusion: SIRI and SII scores hold promise for predicting the success of OMA therapy; however, their utility needs to be validated in larger patient cohorts and further studies.