Review Article

Statins in Asthma: Potential Beneficial Effects and Limitations

Table 1

Summary of retrospective clinical trials and their results used in our review.

Study nameStudy typeStatin usedDose used (mg per day)Study sampleStatin usage durationResults  
(i) Pulmonary function results  
(ii) Airway and serum inflammation  
(iii) Asthma symptoms  
(iv) Acute exacerbations

Ostroukhova et al. [108]Retrospective study502 years(i) 3% to 5% median worsening of FEV1  
(ii) Not measured  
(iii) Not measured  
(iv) Maintenance medication, nocturnal awakenings, and albuterol use increased

Pagovich et al. [109]Retrospective studyAtorvastatin, simvastatin704 weeks(i) Pulmonary functions improved  
(ii) Not measured  
(iii) Not measured  
(iv) Not measured

Adams et al. [110]Retrospective study539Not mentioned(i) No significant difference  
(ii) Not measured  
(iii) Not measured  
(iv) Not measured

Zeki et al. [111]Retrospective studyAtorvastatin  
Simvastatin  
Lovastatin  
Pravastatin
1651–5 years(i) No significant difference  
(ii) No significant difference  
(iii) Significantly higher ACT score  
(iv) No significant difference

RCT: randomized controlled trial. AQLQ: Asthma Quality of Life Questionnaire.
FEV1: forced expiratory volume in 1st second. PEF: peak expiratory flow.
ACQ: Asthma Control Questionnaire. FENO: fractional exhaled nitric oxide.