Evidence map›Paper›PMID 23816920›Full record

Trial reportInternational archives of allergy and immunology2013

Immunologic effects of omalizumab in children with severe refractory atopic dermatitis: a randomized, placebo-controlled clinical trial.

Shuba Rajashri Iyengar, Elizabeth G Hoyte, Angelica Loza, Salvatore Bonaccorso, David Chiang, Dale T Umetsu, Kari Christine Nadeau

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International archives of allergy and immunology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01678092 (Phase 1, Single Center Study Using Omalizumab in Subjects With Atopic Dermatitis), which is not on this map. Cited by 52 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 3 pooled it
15.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01678092 phase1completednot on this map

Phase 1, Single Center Study Using Omalizumab in Subjects With Atopic Dermatitis

TypeinterventionalSponsorStanford UniversityRan2004 to 2006Enrolled8ConditionsAtopic DermatitisArmsomalizumab
3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 3 syntheses or guidelines pooled it, 149 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Systemic treatments for eczema: a network meta-analysis.The Cochrane database of systematic reviews · 2020
    Pooled it
  4. Monoclonal Antibodies in Pediatric Atopic Dermatitis; Efficacy and Safety.Current therapeutic research, clinical and experimental · 2026
    Review
  5. Article
  6. Review
  7. Patient Stratification for Serum LDH Levels Reveals Distinct CLAInternational journal of molecular sciences · 2025
    Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Review
  14. Review
  15. Review
  16. Review
  17. Review
  18. Review
  19. Update on the Pathogenesis and Therapy of Atopic Dermatitis.Clinical reviews in allergy & immunology · 2021
    Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Shuba Rajashri IyengarDivision of Pediatric Allergy, Massachusetts General Hospital, Boston, Mass., USA.
Elizabeth G Hoyte
Angelica Loza
Salvatore Bonaccorso
David Chiang
Dale T Umetsu
Kari Christine Nadeau
Stanford University · USHarvard University · USMassachusetts General Hospital · US

Funding

SEAL (Stopping Atopic dermatitis and ALlergy) Study: Prevent allergy by enhancing the skin barrierU01AI147462 · NIAID · STANFORD UNIVERSITY · PI Mary Johnson, GIDEON LACK · 2020 to 2026
$14.0M
Development of Improved Diagnostic Allergy TestR21AI095838 · NIAID · STANFORD UNIVERSITY · PI NADEAU, KARI C. · 2011 to 2012
$435k
NIAID NIH HHS R21 AI095838NIAID NIH HHS U01 AI147462
6 · The paper itself

Abstract

backgroundSevere refractory atopic dermatitis (AD) is a chronic, debilitating condition that is associated with elevated serum immunoglobulin E (IgE) levels. Thymic stromal lymphopoietin (TSLP), thymus and activation-regulated chemokine (TARC) and OX40 ligand (OX40L) are important immunologic factors involved in the pathogenesis of AD. Omalizumab, an anti-IgE antibody indicated for use in allergic asthma, is implicated in regulating allergen presentation by dendritic cells and the T cell response during the effector phases of allergic disease. We investigated if anti-IgE therapy modulates the allergen-specific responses mediated by the TSLP pathway in young patients with severe refractory AD.

methodsThis was a randomized, double-blind, placebo-controlled study of 8 patients between the ages of 4 and 22 years (mean = 11.6 years) with severe refractory AD (clinical trials.gov NCT01678092). Serum IgE ranged from 218 to 1,890 (mean = 1,068 IU/ml). Subjects received omalizumab (n = 4) or placebo (n = 4) every 2-4 weeks over 24 weeks using a regimen extrapolated from the package insert. TSLP, TARC, OX40L and other cytokines involved in AD were measured by using cytometric bead arrays.

resultsAll patients receiving omalizumab had strikingly decreased levels of TSLP, OX40L, TARC (involved in Th2 polarization) and interleukin (IL)-9 compared to placebo. In addition, there was a marked increase in IL-10, a tolerogenic cytokine, in the omalizumab-treated group. Patients on anti-IgE therapy had an improvement in clinical outcomes as measured by the SCORAD system; however, these effects were comparable to improvements in the control group.

conclusionsAnti-IgE therapy with omalizumab decreases levels of cytokines that are involved in Th2 polarization and allergic inflammation, including TSLP, TARC and OX40L.

Indexed as

AdolescentAnti-Allergic AgentsAntibodies, Anti-IdiotypicAntibodies, Monoclonal, HumanizedChildChild, PreschoolCytokinesDermatitis, AtopicDouble-Blind MethodHumansImmunoglobulin EOmalizumabSeverity of Illness IndexTreatment OutcomeYoung AdultAnti-Allergic AgentsAntibodies, Anti-IdiotypicAntibodies, Monoclonal, Humanizedanti-IgE antibodiesCytokinesImmunoglobulin EOmalizumab

Identifiers

PMID23816920
PMCPMC4161454
OpenAlexW1975780852

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.