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2012-04-24T11:13:21+01:00text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed01.01.2012 | NCBI PubMed: Omalizumab for chronic urticaria: a case series and overview of the literature.
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Omalizumab is a recombinant humanized monoclonal antibody that blocks the high-affinity Fc receptor of IgE. Omalizumab has been approved for the treatment of moderate to severe asthma; however, there is currently more and more data showing promising results in the management also of chronic urticaria. We present a case series of 19 patients with chronic urticaria treated in a university department with omalizumab and give an overview of the existing literature comprising an additional 59 cases (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed23.03.2012 | NCBI PubMed: Omalizumab Therapy in Severe Asthma: Experience from the Spanish Registry-Some New Approaches.
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Objective. The efficacy of omalizumab in severe asthma has been widely demonstrated. The main objective of this study was to evaluate the efficacy and tolerability of omalizumab in a real-life setting in Spain, particularly in those patients with immunoglobulin E (IgE) levels out of range. Methods. Totally 266 uncontrolled severe asthma patients receiving high-dose inhaled corticosteroids (ICSs) plus long-acting ?2-agonist (LABA) were recruited. Main efficacy outcomes were asthma exacerbation (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed22.03.2012 | NCBI PubMed: A fluorescent biosensor reveals conformational changes in human immunoglobulin E Fc: implications for mechanisms of receptor binding, inhibition and allergen recognition.
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IgE binding to its high affinity receptor Fc?RI on mast cells and basophils is a key step in the mechanism of allergic disease and a target for therapeutic intervention. Early indications that IgE adopts a bent structure in solution have been confirmed by recent X-ray crystallographic studies of IgEFc, which further showed that the bend (contrary to expectation) is enhanced in the crystal structure of the complex with receptor. To investigate the structure of IgEFc and its conformational (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed21.03.2012 | NCBI PubMed: The role of immunotherapy in the management of childhood asthma.
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Subcutaneous immunotherapy (SCIT) is still questioned as a safe and efficacious way of treating allergic asthma in children. In a Cochrane review published in 2010 it was, however, concluded that SCIT has significant and beneficial effects on symptoms and medication use in both children and adults with mostly mild asthma. Only a few studies have been performed to specifically study if SCIT in children with moderate asthma reduces the need for inhaled corticosteroids. There are conflicting (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed01.02.2012 | NCBI PubMed: A case of severe asthma and peach allergy that improved with omalizumab therapy: a case report.
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A 30-year-old woman had refractory asthma. She had also experienced twice severe anaphylaxis episodes after ingesting peaches. The patient was extremely wary about reoccurrence of anaphylaxis and avoided ingesting any fruits, including peaches. She visited our hospital for testing and treatment for asthma and the peach allergy. Skin and serologic testing showed that she had a severe allergy to house dust, mites, and peaches. The food challenge test results showed that ingesting 6.5 g of the (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed01.11.2011 | NCBI PubMed: Successful desensitization of three patients with hypersensitivity reactions to omalizumab.
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Background: Omalizumab is prescribed as a step-up therapy for patients with moderate to severe allergic asthma uncontrolled on high-dose inhaled corticosteroids and long acting beta agonists. However, hypersensitivity reactions may lead to its discontinuation and subsequent worsening or loss of asthma control. No successful desensitization protocols to omalizumab have been previously reported. Objective: We aimed to determine the efficacy and safety of a novel one-day outpatient omalizumab (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed01.02.2012 | NCBI PubMed: Asthma exacerbations: Pharmacological prevention.
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Asthma exacerbations are responsible for many emergency medical interventions and account for a significant proportion of the health costs of the disease. Increased airway inflammation is a key feature of exacerbations in asthma and therefore inhaled corticosteroids (ICS) are considered as first-line therapy for long-term asthma control. ICS have been demonstrated to reduce the risk of asthma exacerbations, as well as improving lung function. Oral leukotriene receptor antagonists also reduce (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed06.03.2012 | NCBI PubMed: Promising option in the prevention of idiopathic anaphylaxis: Omalizumab.
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Anaphylaxis is a serious and probably lethal systemic reaction which occurs instantaneously after exposure to an allergen. It can occur after exposure to various triggers including allergic and non-allergic factors. When a trigger cannot be determined, idiopathic anaphylaxis is considered. In idiopathic anaphylaxis presenting with frequent attacks, long-term prophylaxis with H(1) antihistamine and steroid treatment are recommended. Omalizumab, a humanized monoclonal antibody drug which (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed01.03.2012 | NCBI PubMed: Omalizumab inhibits acceleration of Fc?RI-mediated responsiveness of immature human mast cells by immunoglobulin E.
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A large body of evidence has demonstrated that treatment with omalizumab is clinically effective for the management of moderate to severe allergic asthma, emphasizing the importance of IgE in the pathogenesis of allergic asthma. We hypothesized that IgE accelerates Fc?RI-mediated responsiveness of "immature" human mast cells (MCs) and that omalizumab downregulates the acceleration. |-| Ann Allergy Asthma Immunol. |-| Okayama Y, Kashiwakura J, Sasaki-Sakamoto T, Matsumoto K, Hashimoto N, (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed01.01.2012 | NCBI PubMed: Total antioxidant capacity, hydrogen peroxide, malondialdehyde and total nitric oxide concentrations in patients with severe persistent allergic asthma: its relation to omalizumab treatment.
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Asthma is a chronic inflammatory disease and omalizumab is indicated for moderate-to-severe persistent asthma. The results of many studies have shown that oxidative stress is involved in asthma pathogenesis. However, there is no data available to evaluate the alterations in total antioxidant capacity, hydrogen peroxide, malondialdehyde, and total nitric oxide concentrations. |-| Clin Lab. |-| Yalcin AD, Gorczynski RM, Parlak GE, Kargi A, Bisgin A, Sahin E, Kose S, Gumuslu S. |-| Allergology (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed01.01.2012 | NCBI PubMed: Immunoglobulin E monitoring and reduction of omalizumab therapy in children and adolescents.
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Omalizumab, a monoclonal anti-immunoglobulin E (IgE) antibody, is being successfully used as supplementary therapy to improve asthma control in children with severe persistent allergic asthma from the age of ?6 years. Because the majority of commercially available IgE assays measure free as well as omalizumab-bound IgE, a rise in total IgE is believed to occur in the course of therapy. We aimed at testing the therapeutic monitoring regime based on total IgE measurements in patients treated (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed20.02.2012 | NCBI PubMed: Serum-soluble TRAIL levels in patients with severe persistent allergic asthma: Its relation to omalizumab treatment.
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Background: In this study we compare the Omalizumab treatment modality in the dynamics of cell apoptosis regulating molecules in both severe persistent asthma patients who had no other any allergic disease, newly diagnosed patients with allergic asthma, and healthy volunteers. Material/Methods: Severe persistent allergic asthma patients were subjected to measurement of serum soluble TRAIL (TNF-related apoptosis-inducing ligand) levels during the active disease phase and the stable phase which (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed22.02.2012 | NCBI PubMed: Omalizumab and the risk of malignancy: Results from a pooled analysis.
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BACKGROUND: Since initial registration, the omalizumab clinical trial database has expanded considerably, with a doubling of patients exposed in the clinical trial environment. Previous pooled data (2003) from phase I to III studies of omalizumab showed a numeric imbalance in malignancies arising in omalizumab recipients (0.5%) compared with control subjects (0.2%). The previous analysis was based on limited available data, warranting further investigation. OBJECTIVE: We sought to examine the (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed01.01.2011 | NCBI PubMed: Management of allergic diseases.
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Treatment of allergic diseases is based on the direct impact of the three main target areas: mast cell stabilization, preventing the release of mediators, and specific immune response. It is essential to prevent exposure to the causative allergen. Treatment is applied systemically or topically. Local treatment is preferred in many allergic skin diseases and asthma, when it is effective. Associated inflammatory components must also be treated, especially in the treatment of asthma, and not just (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed23.02.2012 | NCBI PubMed: Effect of Omalizumab as Add-On Therapy on Asthma-Related Quality of Life in Severe Allergic Asthma: A Brazilian Study (QUALITX).
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Objective. To assess the impact of omalizumab as an add-on therapy to standard treatment with inhaled corticosteroids (ICS) and long-acting beta-2 agonists (LABA) on asthma-related quality of life (QoL) in patients with severe allergic asthma. Methods. This was a 20-week, randomized, open-label, study involving Brazilian patients ( 12 years) with severe persistent allergic asthma inadequately controlled despite regular treatment with, at least, ICS (?500 ?g/day fluticasone or equivalent) + (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed16.02.2012 | NCBI PubMed: Treatment strategies for asthma.
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Asthma is characterized by variable and reversible airflow limitation and bronchial hyperresponsiveness due to chronic airway inflammation. Asthma treatment is based on the patients' asthma control status. Central to treatment recommendations is anti-inflammatory therapy with inhaled corticosteroids plus a rapid-acting ?(2)-agonist as required. If this is not sufficient to achieve at least partial asthma control, the dose of the inhaled corticosteroid should be increased and a long-acting (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed01.01.2012 | NCBI PubMed: Tolerability, pharmacokinetics and pharmacodynamics of CMAB007, a humanized anti-immunoglobulin E monoclonal antibody, in healthy Chinese subjects.
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The goal of the studies presented here was to determine the tolerability, pharmacokinetic and pharmacodynamic profiles of CMAB007, a biosimilar of omalizumab (Xolair; a humanized anti-immunoglobulin E monoclonal antibody), in healthy, male Chinese subjects. Thirty-six healthy Chinese men participated in two open-label, dose-escalation studies: 27 in a single-dose study (150, 300 or 600 mg) and 9 in a multiple-dose study (150 or 300 mg every 4 weeks for 20 weeks). The safety profiles of both (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed09.02.2012 | NCBI PubMed: Clinical and pharmacoeconomic aspects of omalizumab: a 4-year follow-up.
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OBJECTIVES: The aim of this study was to assess the stability of the effectiveness of omalizumab as add-on treatment in 11 patients with severe persistent allergic asthma followed for 4 years. Secondary outcomes were safety and economic impact, in terms of use of healthcare resources. METHODS: This retrospective study was designed to analyse a series of patients with severe allergic asthma treated with omalizumab. Patients were initially enrolled as part of the CIGE025A2425 international (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed08.02.2012 | NCBI PubMed: Changes in antigen-specific T-cell number and function during oral desensitization in cow's milk allergy enabled with omalizumab.
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Food allergy is a major public health problem, for which there is no effective treatment. We examined the immunological changes that occurred in a group of children with significant cow's milk allergy undergoing a novel and rapid high-dose oral desensitization protocol enabled by treatment with omalizumab (anti-immunoglobulin (Ig)E monoclonal antibodies). Within a week of treatment, the CD4(+) T-cell response to milk was nearly eliminated, suggesting anergy in, or deletion of, milk-specific (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed01.01.2011 | NCBI PubMed: Unpredicted adverse reaction to omalizumab.
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Despite promising reports of the use of omalizumab as add-on therapy in patients with systemic mastocytosis and recurrent anaphylaxis during specific venom immunotherapy (VIT), unpredicted adverse effects may lead to therapy failure. We present the case of a patient with systemic mastocytosis and Hymenoptera venom allergy who was administered omalizumab as add-on therapy to improve VIT tolerability after repeated severe adverse reactions despite H1/H2-antihistamine prophylaxis. We describe an (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed01.12.2011 | NCBI PubMed: Omalizumab treatment in severe adult atopic dermatitis.
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Atopic dermatitis (AD) is one of the most common chronic skin diseases. Treatment options include lubricants, antihistamines, and corticosteroids in either topical or oral forms. Severe AD is frequently recalcitrant to these medications. We reported three cases of severe AD patients who had elevated of IgE levels and failed to response to several prior medical treatment. After being treated with Omalizumab (humanized monoclonal anti-IgE antibody), the patients had marked alleviation of (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed15.02.2012 | NCBI PubMed: Persistent elevation of peripheral blood myeloid cell counts associated with omalizumab therapy.
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Purpose A case of persistent hematologic abnormalities in a patient receiving long-term omalizumab therapy for severe asthma is reported. Summary During the course of her treatment at an asthma clinic, a 24-year-old woman was noted to have increased white blood cell counts, with elevated myeloid cell counts; the blood abnormalities were first documented more than 12 months previously. The woman had been taking omalizumab for more than 2 years and was also receiving immmune globulin therapy (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed25.01.2012 | NCBI PubMed: Clinically Significant Variability of Serum IgE Concentrations in Patients with Severe Asthma.
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Objective. To determine the magnitude of immunoglobulin E (IgE) variability in a cohort of patients with severe asthma considered for omalizumab therapy. Methods. Retrospective chart review identified 65 patients with two or more IgE determinations out of the 124 patients referred to the Cleveland Clinic Respiratory Institute for treatment with omalizumab from 2003 to 2011. Patients with conditions known to affect IgE concentrations were excluded. Demographic data, pulmonary function testing, (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed25.01.2012 | NCBI PubMed: A 26-Week, Randomized, Double-Blind, Placebo-Controlled, Multicenter Study to Evaluate the Effect of Omalizumab on Asthma Control in Patients with Persistent Allergic Asthma.
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Objective. The 2007 National Heart, Lung, and Blood Institute (NHLBI) asthma guidelines shifted the focus of care from asthma severity to ongoing assessment of asthma control using the components of impairment and risk. We evaluated the effect of omalizumab on asthma control in patients with persistent allergic asthma inadequately controlled with NHLBI Step 4 or above asthma therapy. Methods. In this double-blind, placebo-controlled study, patients ?12 years (n = 271) received omalizumab (n (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed18.01.2012 | NCBI PubMed: Omalizumab beyond asthma.
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INTRODUCTION: Omalizumab has been demonstrated to be a successful therapy in the management of asthma through reduction of patient's symptoms and use of inhaled corticosteroids. The effect of omalizumab is achieved by immunoglobulin E (IgE) blockage and other secondary mechanisms resulting from this blockage. Because other diseases have an important IgE mediation in their physiopathology, the question arises as to if omalizumab would be useful in the treatment of other IgE-mediated diseases. (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed16.01.2012 | NCBI PubMed: Reduction of total IgE by targeted coengagement of IgE B-cell receptor and Fc?RIIb with Fc-engineered antibody.
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BACKGROUND: Sequestration of IgE to prevent its binding to high-affinity IgE receptor Fc?RI on basophils and mast cells is an effective therapy for allergic asthma. IgE production requires differentiation of activated IgE(+) B cells into plasma cells upon allergen sensitization. B-cell receptor signaling is suppressed by the inhibitory IgG Fc receptor Fc?RIIb; therefore, we reasoned that a therapeutic antibody that coengages Fc?RIIb and IgE B-cell receptor would not only sequester IgE but (…)text/htmlhttp://www.biospace.comBioSpace25.01.2012 | BioSpace: Novartis AG (NVS) Cautious on Outlook as Profit Drops 46%
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Basel, Switzerland, Jan 25, 2012 (Thomson Reuters ONE via COMTEX) - Novartis International AG / Novartis delivers strong underlying financial performance in 2011, expects 2012 sales to be in line with 2011 . Processed and transmitted by Thomson Reuters ONE. The issuer is solely responsible for the content of this announcement. - Fourth quarter sales rose 5% while core[1] operating income grew 17% in constant currencies (cc); full year sales up 12% cc and core operating income up 16% cc - Net (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed12.01.2012 | NCBI PubMed: Higher levels of soluble Fas ligand and transforming growth factor-? after omalizumab treatment: A case report.
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A skewed T-helper (T(h)1/T(h)2 immune response is considered to be the major cause of allergic disorders. Overproduction of T(h)2 cytokines, which promote recruitment and activation of mast cells and eosinophils, plays a key part in the pathogenesis of allergic asthma. The mechanisms by which omalizumab is effective in asthma treatment are not yet fully understood. A 16-year-old girl who was experiencing frequent asthma attacks in spite of daily administration of budesonide (640?g) and (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed11.01.2012 | NCBI PubMed: Effects of Adding Omalizumab, an Anti-Immunoglobulin E Antibody, on Airway Wall Thickening in Asthma.
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Background: Omalizumab may inhibit allergic inflammation and could contribute to decreasing airway remodeling in patients with asthma. Objective: The aim of this study was to assess the effects of omalizumab on airway wall thickness using computed tomography (CT). Methods: Thirty patients with severe persistent asthma were randomized to conventional therapy with (n = 14) or without omalizumab (n = 16) for 16 weeks. The following airway dimensions were assessed by a validated CT technique: (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed11.01.2012 | NCBI PubMed: Granulomatous foreign-body reaction with facial dermal fillers after omalizumab treatment for severe persistent allergic asthma: a case report.
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Complications with the increased use of dermal fillers and new therapies with immunomodulatory effects may be increasing. We report on a 50-year-old woman who presented disfiguring facial edema 1 month after the initiation of omalizumab treatment for severe persistent allergic asthma. She had received multiple cosmetic filler injections, including hyaluronic acid and calcium hydroxylapatite, for 4 years without any previous side effects. A biopsy of a lip nodule revealed a foreign-body (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed25.11.2011 | NCBI PubMed: An anti-IgE monoclonal antibody that binds to IgE on CD23 but not on high-affinity IgE.Fc receptors.
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A new monoclonal antibody (mAb), specific for human IgE, the central mediator of immediate-type hypersensitivity reactions, has been shown to possess a unique set of binding specificities. The mAb, 8D6, binds to a conformational epitope on the CH3 domain of human e immunoglobulin and can compete with omalizumab for binding to IgE. Like omalizumab, it does not bind to IgE bound by the high-affinity IgE.Fc receptor (Fc?RI) on basophils and mast cells. It also does not cause activation and (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed05.01.2012 | NCBI PubMed: Omalizumab markedly improves urticaria activity scores and quality of life scores in chronic spontaneous urticaria patients: A real life survey.
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Treatment of chronic urticaria consists of antihistamines as the first-line treatment. For more severe symptoms, combinations can be necessary as well as dose augmentations. The recent guidelines suggest the possibility of using omalizumab in resistant cases, but this therapy is still investigational. We treated two patients with idiopathic recurrent angioedema and 12 patients with chronic spontaneous urticaria (CSU) with omalizumab, who had not benefited from the recommended first-line, (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed01.07.2011 | NCBI PubMed: Unconventional treatment options in severe asthma: an overivew.
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In Canada, asthma is the leading cause of admission in hospital. About of 80% of the death from asthma is preventable. Severe asthma is defined as a patient with persistent symptoms despite the use of adequate controller therapy, including multiple courses of oral glucocorticosteroids. However, about 10% of patients with severe asthma remain poorly controlled despite optimal treatment and these patients have the greatest morbidity and mortality. The management of refractory severe asthma (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed01.09.2011 | NCBI PubMed: Clinical efficacy of omalizumab in an elderly veteran population with severe asthma.
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Severe asthma in elderly patients is underdiagnosed, difficult to treat, and often accompanied by atopy. This study was designed to compare clinical outcomes of omalizumab therapy in an elderly veteran population with severe allergic asthma. A retrospective, observational data analysis was performed over 2 years. Cohort outcome measures 1 year before omalizumab therapy were compared with 1 year of active treatment. Statistical analysis included two sample t-tests. The total number of patients (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed17.12.2011 | NCBI PubMed: Selected urticaria patients benefit from a referral to tertiary care centres - results of an expert survey.
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Background? Urticaria is a frequent reason for consultations. Recently, it has been demonstrated that the management of chronic spontaneous urticaria (csU) in the practice setting does not fully comply with published guidelines. In addition, it was shown that one of four csU patients is referred to specialized centres. Objective? To analyse the management of urticaria patients in tertiary referral centres. Methods? During a standardized expert-to-expert interview, 41 specialists from (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed01.11.2011 | NCBI PubMed: The add-on effect of omalizumab on patients with uncontrolled bronchial asthma.
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A high-dose administration of inhaled corticosteroid is effective in the majority of patients with bronchial asthma, but is often difficult to attain sufficient control in certain subsets of patients. Omalizumab has recently emerged as a promising drug for bronchial asthma. To assess its add-on effect we administered omalizumab to patients with uncontrolled atopic asthma for more than 16 weeks and gave them questionnaires. The study population comprised 9 patients with frequent asthmatic (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed13.12.2011 | NCBI PubMed: Concordance of Preclinical and Clinical Pharmacology and Toxicology of Monoclonal Antibodies and Fusion Proteins: 1-Soluble Targets.
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Monoclonal antibodies (mAb) and fusion proteins directed toward soluble targets make an important contribution to the treatment of disease. The purpose of this review was to correlate the clinical and preclinical data on the 14 currently approved mAbs and fusion proteins targeted to soluble targets. The principal sources used to gather data were: the peer reviewed literature; European Medicines Agency (EMA) "Scientific Discussions" and United States Food and Drug Administration (FDA) (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed07.12.2011 | NCBI PubMed: Omalizumab Reduces Corticosteroid Use in Patients with Severe Allergic Asthma: Real-Life Experience in Israel.
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Objective. Approved by the FDA in 2003, omalizumab is the first recombinant humanized monoclonal anti-immunoglobulin E antibody developed for the treatment of allergic asthma. Due to the heterogeneity of asthma symptoms, investigation of the efficacy of omalizumab in patients outside controlled trials is particularly important. The purpose of the current study was to evaluate the efficacy of omalizumab as an add-on treatment for allergic asthma in a real-life setting in Israel. Methods. This (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed03.12.2011 | NCBI PubMed: Long-term omalizumab treatment in severe allergic asthma: The South-Eastern Mediterranean "real-life" experience.
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BACKGROUND: Omalizumab is a recombinant humanized anti-IgE monoclonal antibody indicated as an add-on treatment for severe allergic asthma, inadequately controlled despite high dose of inhaled corticosteroids (ICS) and long-acting b2-agonists. OBJECTIVES: Medical registries were used to evaluate the 4 months, 1 and 4 years effectiveness of omalizumab treatment, in a non-interventional, observational "real-life" study. METHODS: Sixty patients with severe persistent allergic asthma from 5 (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed01.12.2011 | NCBI PubMed: Omalizumab decreases exacerbation frequency, oral intake of corticosteroids and peripheral blood eosinophils in atopic patients with uncontrolled asthma.
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Omalizumab is a humanized monoclonal anti-IgE antibody approved in 2005 by the European Medicine Agency (EMA) for the treatment of severe persistent allergic asthma, which remains inadequately controlled despite optimal therapy with high doses of inhaled corticosteroids and long-acting ?2-adrenergic agonists. Within this context, the present observational study refers to 16 patients currently treated with omalizumab at the Respiratory Unit of "Magna GrĂ cia" University Hospital located in (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed01.12.2011 | NCBI PubMed: Failure of omalizumab (Xolair) in the treatment of a case of solar urticaria caused by ultraviolet A and visible light.
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Solar urticaria is a rare photodermatosis probably caused by a chromophore, that - if activated by light of a specific spectrum - binds to mast cell-bound IgE and elicits degranulation. In our patient an action spectrum in ultraviolet A and visible light range was found, in the autologous serum test the presence of a serum chromophore for the same action spectra could be demonstrated, which may underline this pathogenetic hypothesis. Symptoms did not improve using antihistamines and sun (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed01.12.2011 | NCBI PubMed: Concomitant asthma medication use by patients receiving omalizumab 2003-2008.
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Objective. To examine patterns of omalizumab use in the first 5 years of its availability. Methods. Our study comprised a series of descriptive retrospective cohort analyses using healthcare claims data. The study population comprised patients of any age who had omalizumab claims in the 5 years after 1 July 2003, and we created five 1-year cohorts from this population. Each cohort included patients continuously enrolled for at least 12 months with ?2 omalizumab claims during the year. (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed01.12.2011 | NCBI PubMed: Omalizumab in the treatment of asthma.
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Omalizumab was introduced in 2003 and is the first asthma drug to target IgE, the allergic antibody that initiates the allergic cascade. Well-controlled studies and post-marketing clinical experience have shown it to be an effective and safe medication. Treatment guidelines now recommend omalizumab as an add-on option for patients with moderate-to-severe allergic asthma uncontrolled on high-dose inhaled corticosteroids and long-acting ?-agonists. Despite initial concerns, there is no evidence (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed10.11.2011 | NCBI PubMed: Stepping down asthma treatment: how and when.
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PURPOSE OF REVIEW: Guidelines suggest that asthma medication should be reduced once asthma control is sustained. Moderate-dose inhaled corticosteroids (ICS) can typically be reduced, but questions remain about the lowest effective ICS dose and the role of non-ICS controllers in treatment reduction. Long-acting beta agonist (LABA) safety concerns have created controversy about how to step down patients on ICS/LABA therapy. This review will focus on the current status of these issues. RECENT (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed02.11.2011 | NCBI PubMed: Omalizumab for the Treatment of Atopic Dermatitis.
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Atopy is almost always associated with an elevated immunoglobulin (Ig) E production. Omalizumab is a monoclonal anti-IgE antibody that is currently indicated for the treatment of cases of asthma that satisfy certain criteria. A number of studies have been published on the usefulness of omalizumab in the treatment of atopic dermatitis, and the results have been variable. We present our experience in the treatment of 9 patients with severe atopic dermatitis refractory to at least 2 systemic (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed01.09.2011 | NCBI PubMed: Omalizumab in allergic diseases, a recent review.
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Omalizumab is a biological engineered molecule, targeting the Cepsilon3 domain of the IgE molecule. It binds with free IgE and prevents free IgE from attaching to high-affinity IgE receptor (FcepsilonRI) on effector cells such as mast cells, basophils and also on dendritic cells. The result is a blocking of mediator release from these cells and the inhibition of antigen presentation by dendritic cells. In addition, omalizumab downregulates FcepsilonRI expression on these effector cells. (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed12.09.2011 | NCBI PubMed: Improvement of Quality of Life in Patients with Concomitant Allergic Asthma and Atopic Dermatitis: One Year Follow-up of Omalizumab Therapy.
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Objective: Anti IgE treatment with omalizumab is efficacious in the treatment of patients suffering from allergic asthma, improving asthma control and improving quality of life. Furthermore, this approach could be beneficial for patients with concomitant atopic dermatitis. We assessed quality of life and asthma control in atopic patients with allergic asthma and concomitant atopic dermatitis versus those with asthma and without atopic dermatitis treated with omalizumab. - Methods: A total of (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed19.10.2011 | NCBI PubMed: Plasmapheresis Prior to Omalizumab Administration in a 15-Year-Old Boy with Severe Asthma and Very High IgE Levels: Sustained Effect Over 2 Years.
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Anti-IgE therapy with omalizumab is an innovative therapy option in patients with severe allergic asthma. However, many patients are excluded from this treatment due to very high serum IgE levels which lie above the weight-dependent cut-off for a reasonable omalizumab administration (700?kU/l).We sought to evaluate whether a preceding plasma exchange is suitable to establish the starting basis for a subsequent anti-IgE therapy in a 15 year-old boy with steroid-resistant unstable allergic (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed07.10.2011 | NCBI PubMed: Concomitant Asthma Medication Use in Patients Receiving Omalizumab: Results from Three Large Insurance Claims Databases.
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Background. Omalizumab (Xolair) is a monoclonal antibody indicated for moderate to severe persistent allergic asthma patients with symptoms that are inadequately controlled with inhaled corticosteroids (ICS). Objective. This study describes concomitant asthma medication use in patients treated with omalizumab. Methods. An analysis of health insurance claims from MarketScan (2002-2009), Medicaid (2002-2009), and the HealthCore Integrated Research Database (HIRD?) (2002-2010) was conducted. (…)text/htmlhttp://www.ncbi.nlm.nih.govNCBI PubMed03.10.2011 | NCBI PubMed: Allergen immunotherapy: a history of the first 100 years.
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PURPOSE OF REVIEW: To provide a historical perspective on the development of allergen immunotherapy and to describe the progress that has been made in both the clinical application and the scientific understanding of this therapeutic technique in the 100 years since its inception. RECENT FINDINGS: Although allergen immunotherapy has been part of allergy practice for a century, it is only in relatively recent years that the cellular and molecular mechanisms which underlie its clinical efficacy (…)