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PubMed · 11270941

Omalizumab.

Abstract

* Omalizumab is a recombinant humanised monoclonal antibody which specifically binds to the C epsilon3 domain of immunoglobulin (Ig) E, the site of high-affinity IgE receptor binding. * Improvements in asthma symptoms and health-related quality-of-life, and a significant reduction in the frequency of asthma exacerbations were seen in allergic asthmatic patients treated with omalizumab. * Omalizumab was also effective in the treatment of children with allergic asthma demonstrating improvements in health-related quality-of-life and significant dosage reductions of inhaled corticosteroids. * Administration of omalizumab to patients with allergic rhinitis resulted in a rapid dose-dependent suppression of serum free IgE levels. * Omalizumab significantly improved health-related quality-of-life and nasal symptoms in patients with seasonal allergic rhinitis. Antihistamine requirements were also significantly reduced following treatment. * Adverse events were infrequent in clinical trials of omalizumab, and not significantly different from placebo. The most frequent drug-related event was mild to moderate urticaria.

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BibTeXRIS

S Easthope, B Jarvis. 2001. Omalizumab.. https://doi.org/10.2165/00003495-200161020-00008

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Anti-Allergic Agents↗

Pharmacological approaches.

Treatment of moderate to severe atopic disease may require multidrug regimens, reflecting the multifaceted nature of allergic inflammation. Furthermore, despite the central role of Th2 inflammation in allergic rhinitis (15), asthma (14), and atopic dermatitis (11), specific mediator antagonists may not be uniformly successful in the treatment of all atopic disorders. For example, antihistamines are very effective treatment for the symptoms of allergic rhinitis (41), but have minimal benefit in the treatment of asthma (42-44). Current research efforts are ongoing to identify and develop therapies aimed at critical junctures in the immunopathological process. For example, animal studies have suggested that IL-4 and IL-13 are two cytokines that are pivotal in the generation of airway allergic inflammation. Blocking the action of these cytokines may markedly decrease the allergic inflammation (17,125).

Anti-Allergic Agents↗