ZENG Na,LI Jie,SUN Huajun.Safety of omalizumab in the treatment of children with allergic diseases[J].ZHONGGUO YAOFANG,2023,34(24):3042-3045. DOI: 10.6039/j.issn.1001-0408.2023.24.15.
Safety of omalizumab in the treatment of children with allergic diseases
To analyze the safety of omalizumab in the treatment of allergic diseases in children.
METHODS
2
Clinical data of children with allergic diseases who were prescribed omalizumab therapy were collected from our hospital during February 2019 to July 2023, including the children’s basic conditions, allergen test results, serum levels of total immunoglobulin E(IgE), omalizumab application and the occurrence of adverse events. The information on telephone follow-up was collected among the children who had completed treatment 12th month after drug withdrawal. At the same time, the causal relationship between adverse events and omalizumab was also evaluated by using the Naranjo assessment scale.
RESULTS
2
A total of 30 children were enrolled and received subcutaneous injections of omalizumab 245 times, accumulating 473 times. Four children suffered from four times of immediate-type hypersensitivity reactions (degree Ⅰ and Ⅱ every two times), with an incidence of 13.3%; among them, two cases occurred after the first injection, one after the third injection, and one after the fifth injection; the results of the causality evaluation showed that two cases were “very likely” and two cases were “likely”. The telephone follow-up of 21 children showed that the children were in good health and there were no adverse events, such as malignant tumors, worm infections, serum disease-like reactions and arterial thromboembolism.
CONCLUSIONS
2
Omalizumab in children with allergic diseases is of good safety with a low incidence of adverse reactions, which are mainly mild immediate-type hypersensitivity reactions with a high long-term safety profile.
关键词
奥马珠单抗儿童过敏性疾病不良反应
Keywords
childrenallergic diseasesadverse reaction
references
MENG Y F,WANG C S,ZHANG L. Advances and novel developments in allergic rhinitis[J]. Allergy,2020,75(12):3069-3076.
WANG S,JIANG J X,WANG Y,et al. Survey on prevalence of allergic symptoms among 0 to 24 months old children in Chinese cities[J]. Chin J Child Health Care,2016,24(2):119-122.
LEDFORD D K. Omalizumab:overview of pharmacology and efficacy in asthma[J]. Expert Opin Biol Ther,2009,9(7):933-943.
ODAJIMA H,EBISAWA M,NAGAKURA T,et al. Long-term safety,efficacy,pharmacokinetics and pharmacodynamics of omalizumab in children with severe uncontrolled asthma[J]. Allergol Int,2017,66(1):106-115.
GIMÉNEZ-ARNAU A M,TOUBI E,MARSLAND A M,et al. Clinical management of urticaria using omalizumab:the first licensed biological therapy available for chronic spontaneous urticaria[J]. J Eur Acad Dermatol Venereol,2016,30(Suppl 5):25-32.
Food and Drug Allergy Prevention Subgroup,Allergy Prevention an Control Committee of Chinese Preventive Medicine Association.Chinese expert consensus on approach to the diagnosis and prevention of drug allergy[J]. Chin J Prev Med,2022,56(6):682-706.
ZHENG F Y,WU Y,RAO Y F,et al. The role of Noel’s evaluation scale in the evaluation of adverse drug reactions and case analysis[J]. Chin Pharm J,2012,47(8):650-652.
Omalizumab for Allergic Asthma Expert Group,Chinese Thoracic Society Asthma Group.China expert consensus on omalizumab in the treatment of allergic asthma[J]. Chin J Tuberc Respir Dis,2018,41(3):179-185.
China National Clinical Research Center for Respiratory Disease,Cooperative Group of Asthma,the Subspecialty Group of Respiratory,the Society of Pediatrics,Chinese Medical Association,China Medicine Education Association Committee on Pediatrics,et al. Expert consensus on the clinical application of omalizumab in children with allergic asthma[J]. Chin J Appl Clin Pediatr,2021,36(12):881-890.
YU L,ZHANG H S,PAN J W,et al. Pediatric usage of omalizumab:a promising one[J]. World Allergy Organ J,2021,14(12):100614.
TENERO L,ROSSIGNOLI S,PIACENTINI G. Severe asthma:when to resort to biological agents[J]. Pediatr Allergy Immunol,2020,31(Suppl 24):37-39.
YU L,ZHANG H S,ZHAO X,et al. Case series study on efficacy and safety of omalizumab in the treatment of moderate-to-severe allergic asthma in children[J]. Chin J Appl Clin Pediatr,2020,35(8):617-621.
CAI H,MO Y Q,XUE X M,et al. Real-world study on efficacy and safety of omalizumab for treatment of moderate-to-severe asthma[J]. Chin J Allergy Clin Immunol,2019,13(3):199-204.
ZHI F,WANG Q,YANG Y S,et al. Retrospective study on process management and safety evaluation of omalizumab therapy among 138 patients[J]. Chin J Allergy Clin Immunol,2020,14(3):221-227.
TU Y,MA H,CHEN L J,et al. Safety signal mining and analysis for omalizumab used in children base on FAERS database[J]. Chin J Hosp Pharm,2023,43(1):87-91.
PRICE K S,HAMILTON R G. Anaphylactoid reactions in two patients after omalizumab administration after successful long-term therapy[J]. Allergy Asthma Proc,2007,28(3):313-319.
Dept. of Pharmacy, the Affiliated Women’s and Children’s Hospital, School of Medicine, University of Electronic Science and Technology of China/Chengdu Women’s and Children’s Central Hospital