eISSN: 2299-0046
ISSN: 1642-395X
Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii
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SCImago Journal & Country Rank
3/2024
vol. 41
 
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abstract:
Original paper

The effectiveness of omalizumab therapy in patients with chronic spontaneous urticaria: the experience of a single-centre study in Poland

Aleksandra Lesiak
1, 2
,
Natalia Bień
3
,
Klaudia Lipińska
3
,
Maria Rajczak
3
,
Małgorzata Skibińska
1
,
Justyna Ceryn
1
,
Dorota Sobolewska-Sztychny
1, 2
,
Irmina Olejniczak-Staruch
1
,
Joanna Narbutt
1

  1. Department of Dermatology, Paediatric Dermatology and Oncological Dermatology, Medical University of Lodz, Lodz, Poland
  2. Laboratory of Autoinflammatory, Genetic and Rare Skin Disorders, Medical University of Lodz, Lodz, Poland
  3. Student Scientific Research Club of Experimental, Clinical and Procedural Dermatology, Medical University of Lodz, Lodz, Poland
Adv Dermatol Allergol 2024; XLI (3): 301-305
Online publish date: 2024/06/30
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Introduction:
Omalizumab, which is a recombinant, humanised anti-immunoglobulin-E antibody, is the only approved drug for antihistamine refractory chronic spontaneous urticaria (CSU). It has been reported that it is an effective and safe drug, but the data about long-term effectiveness are still lacking.

Aim:
To perform a retrospective analysis of the patients with CSU treated with omalizumab at the dermatology department to assess effectiveness of omalizumab therapy in the single centre in Poland.

Material and methods:
A two-and-a-half-year retrospective analysis of patients with CSU undergoing the therapy with omalizumab was conducted. Patients’ data were analysed for many factors such as age, gender, severity indexes (UAS7, DLQI), duration and effects of the treatment used.

Results:
Sixty-one patients with CSU have been treated with omalizumab in the drug program. The number of female patients – 42 (68.9%) significantly dominated over the number of male patients – 19 (31.1%). The mean UAS7 during the first course of treatment declined from 33.2 to 2.8, during the second from 30.9 to 1.7 and during the third 32.7 to 2.5. In case of DLQI the mean scores decrease from 18 to 2.1 in the first cycle, from 16.9 to 1.9 in the second and from 18.6 to 1.1 in the third.

Conclusions:
Our study confirmed that omalizumab is an effective medicine in a long-term treatment which improves a physical as well as psychological condition of the patients with antihistamine-resistant CSU. To our knowledge, it is the first study in Poland that presents omalizumab effectiveness during three courses of treatment.

keywords:

omalizumab, chronic spontaneous urticaria, effectiveness, treatment

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