Affiliation:
1. State Budgetary Healthcare Institution of the city of Moscow "Hospital for War Veterans No. 2 of the Department of Health of the City of Moscow"
2. Federal State Autonomous Educational Institution of Higher Education "Russian National Research Medical University named after N.I. Pirogov" of the Ministry of Health of the Russian Federation
Abstract
The article is devoted to an analytical review of studies to assess the clinical safety of omalizumab. The analysis showed that targeted therapy using genetically engineered biological drugs, which include, in particular, omalizumab, is increasingly used in the treatment of allergic diseases. In general, most studies show the clinical efficacy of omalisamab in bronchial asthma, allergic rhinitis, anaphylactic conditions, allergic urticaria, both in adults and children. However, there are isolated reports that allow us to talk about individual restrictions in the use of this drug associated with adverse reactions. Anaphylactic reactions have been most commonly reported during the administration of omalizumab. There are reports that indicate itching and rashes on the skin as undesirable reactions. In children, dyspeptic disorders are a common complaint. Reliable data on the initiation of malignancy processes against the background of the use of omalizumab have not been established. Quite rarely, as adverse reactions, the authors note eosinophilic granulomatosis with polyangiitis and thromboembolic complications. The authors draw attention to the need for a thorough collection of allergic anamnesis in patients, a clear selection of the dose of the drug, and monitoring patients in the first hours after the administration of the drug. The analysis data are the theoretical basis for improving the system for ensuring the safety of medicines and notifying supervisory authorities of adverse reactions to the use of medicines.
Reference23 articles.
1. Boraeva Tatyana Timerbulatovna, Kusova Alina Rashidovna, Torchinova Farizat Georgievna, Baimurzaeva Arina Amanbaevna, Abdurazakova Milana Aslanovna Actual aspects of diagnosis and treatment of allergic diseases in children. Sociology. Philosophy. Applied Research. 2024. №1. URL: https://cyberleninka.ru/article/n/aktualnye-aspekty-diagnostiki-i-lecheniya-allergicheskih-zabolevaniy-u-detey (дата обращения: 10.05.2024).
2. Zhestkov A.V., Zolotov M.O., Protasov A.D. Complex therapy of allergic diseases in the practice of an allergist-immunologist doctor (literature review). 2022. 2: 34-38.
3. Metz M, Vadasz Z, Kocatürk E, Giménez-Arnau AM. Omalizumab Updosing in Chronic Spontaneous Urticaria: an Overview of Real-World Evidence. Clin Rev Allergy Immunol. 2020 Aug;59(1):38-45. doi: 10.1007/s12016-020-08794-6. PMID: 32418171; PMCID: PMC7351799.
4. Maurer M, Houghton K, Costa C, Dabove F, Ensina LF, Giménez-Arnau A, Guillet G, Konstantinou GN, Labrador-Horrillo M, Lapeere H, Meshkova R, Pastorello EA, Velásquez-Lopera M, Tamayo Quijano LM, Vestergaard C, Chapman-Rothe N. Differences in chronic spontaneous urticaria between Europe and Central/South America: results of the multi-center real world AWARE study. World Allergy Organ J. 2018 Nov 16; 11(1):32. doi: 10.1186/s40413-018-0216-1. PMID: 30464782; PMCID: PMC6238280.
5. Zyryanov S.K., Butranova O.I. Genetic-Engineering-Biological Preparations in the Therapy of Bronchial Asthma: Modern Achievements. Pulmonology. 2018; 28 (5): 584–601. DOI: 10.18093/0869-0189-2018-28-5-584-601