A complex disease
In COPD, the airways become inflamed and damaged, which leads to obstructed and restricted airflow.2,3
Evidence suggests that up to 66% of COPD patients may exhibit a Type 2 inflammation.9
FeNO testing offers a simple, convenient and non-invasive method for identifying Type 2 high patients.
Chronic obstructive pulmonary disease (COPD) is an umbrella term for several chronic obstructive lung conditions, including emphysema and chronic bronchitis, and it affects more than 400 million patients worldwide.1,2 In COPD, the airways become inflamed and damaged, which leads to obstructed, restricted airflow – making it harder to breathe.2,3
COPD is often linked to long-term exposure to inhaling harmful substances, such as cigarette smoking, which is responsible for almost 90% of cases, and occupational exposures including silica dust, welding fumes and cleaning products.2,3 Typical symptoms include shortness of breath, wheezing, persistent chesty cough and frequent chest infections.2
COPD is a progressive disease and cannot be cured, however, treatment and lifestyle changes can help to slow down the progression.2,3 COPD exacerbations are not uncommon, often being triggered by respiratory infections.4
3rd leading cause of death worldwide5
Affects 10.6% of the population5
Smoking is responsible for around 90% of COPD cases2
While FeNO is typically associated with asthma, it’s role in COPD is gaining interest as a biomarker for Type 2 airway inflammation which is often recognised as a “treatable trait” that can help support a more personalised approach to care.6,7
COPD is heterogeneous disease, and it is not uncommon for patients to show positive Type 2 inflammatory biomarkers.7 The two main COPD endotypes are Type 2 eosinophilic phenotype, and the neutrophilic phenotype, with evidence suggesting that up to 66% of COPD patients may exhibit a Type 2 inflammatory profile.8,9
FeNO testing offers a simple, practical and non-invasive method for identifying Type 2 high COPD patients.7,11 By detecting Type 2 airway inflammation, FeNO can help to assess patients’ risk, guide treatment decisions, and predict clinical outcomes in COPD.8,11
FeNO is the convenient way to assess airway inflammation at the point-of-care12
One test, one number. Airway inflammation in a single FeNO level.
Performing a FeNO test takes approximately one minute - quicker than making a cup of coffee.
Taking a FeNO test is as simple as inhaling and exhaling: no blood, sweat or tears required.
Request a quote for a device today with our simple and easy to use quotation tool. Used by thousands of healthcare professionals, NIOX® is the global device of choice for FeNO testing.13
Request a Quote* NIOX®. Data on File; MKT-DOF-007. 2024.
At NIOX® we are passionate about providing excellent support and training.
1. de Oca, MM, et al. The global burden of COPD: epidemiology and effect of prevention strategies. The Lancet Respiratory Medicine. 2025;13 (8);709-724. 2. NHS. Chronic obstructive pulmonary disease (COPD). 2023. Available at: https://www.nhs.uk/conditions/ chronic-obstructive-pulmonary-disease-copd/. Accessed: March 2026 3. World Health Organisation (WHO). Chronic obstructive pulmonary disease (COPD). 2024. Available at: https://www.who.int/news-room/fact-sheets/detail/chronic-obstructive-pulmonary-disease-(copd). Accessed: March 2026 4. Ritchie, A et al. Definition, Causes, Pathogenesis, and Consequences of Chronic Obstructive Pulmonary Disease Exacerbations. Clinics in Chest Medicine. 2020; 41(3);421-438 5. Willard K, et al. Addressing the Most Critical Challenges in COPD: An Expert Review of Emotional, Economic, and Evidence-Based Perspectives. Int J Chron Obstruct Pulmon Dis. 2025 Nov 15;20:3713–3723. 6. A. Romero- Linares, et al. Short term exacerbation risk and exhaled nitric oxide in COPD, Respiratory Medicine, Volume 243, 2025,108134 7. Matsunaga K, et al. Guidance for type 2 inflammatory biomarkers. Respiratory Investigation. 2025 May 1;63(3):273-88. 8. Fantin Q, et al. The Evolving Landscape of COPD Typization. Medicina 2026, 62(3), 564; 9. H.X. Wu et al. Prevalence and baseline clinical characteristics of eosinophilic chronic obstructive pulmonary disease: A meta-analysis and systematic review. Front Med (Lausanne), 6 (2019), p. 282 10. Morejon-Jaramillo PE, Ni W, Nassikas N, et al. Fractional exhaled nitric oxide in eosinophilic COPD. Chronic Obstr Pulm Dis. 2025; 12(6): 522-526. 11. Keeratichananont W et al. Correlation of fractional exhaled nitric oxide (FeNO) and clinical outcomes in patients with chronic obstructive pulmonary disease: A prospective cohort study. Respiratory Medicine, Volume 229, 2024, 107682, ISSN 0954-6111, 12. Lim, K et al. The use of fraction of exhaled nitric oxide in pulmonary practice. Chest. 2008 May;133(5):1232-42 13. NIOX®. Data on File. MKT-DOF-007. 2026