Omalizumab and other biologics in drug desensitization.

Abstract:

PURPOSE OF REVIEW:Omalizumab has been proposed for controlling adverse reactions during drug desensitization. Our aim is to know the current evidence involving the use of omalizumab in drug-allergy desensitization. RECENT FINDINGS:Drug-allergy desensitization is not risk free, but it is a useful procedure and has been applied for drug hypersensitivity reactions with mast cells degranulation through IgE and non-IgE mechanisms. Since 2007, omalizumab has been considered as a potential strategy to prevent adverse reactions.Our review found few case reports and only one randomized double-blind, placebo-controlled study, using different omalizumab regimens prior to drug desensitization. This scarce evidence is insufficient to predict the effectiveness of omalizumab in rapid drug desensitization procedures, but it may be useful in future studies of omalizumab or related next-generation antibodies. SUMMARY:Omalizumab or other IgE-targeting biologics, either a fixed dose of 300 mg omalizumab or a dose-related total IgE level and body mass weight may be an option for patients with IgE-mediated or mast cell drug reactions in troublesome desensitization.

authors

Fernandez J,Ruano-Zaragoza M,Blanca-Lopez N

doi

10.1097/ACI.0000000000000648

subject

Has Abstract

pub_date

2020-08-01 00:00:00

pages

333-337

issue

4

eissn

1528-4050

issn

1473-6322

pii

00130832-202008000-00003

journal_volume

20

pub_type

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