Evidence map›Paper›PMID 30937137›Full record

ArticleThe World Allergy Organization journal2019

Learnings from real-life experience of using omalizumab for chronic urticaria in Latin America.

Ivan Cherrez-Ojeda, Marcus Maurer, Jonathan A Bernstein, Emanuel Vanegas, Miguel Felix, German D Ramon, Luis Felipe Ensina, José Ignacio Larco Sousa, Edgar Emilio Matos Benavides, R Cardona Villa and 6 more

Open access · goldAbstract read
In one paragraph

Article in The World Allergy Organization journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.8field-weighted citation impact, top 16% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 18 citations in OpenAlex.

  1. Allergy in Latin America: Great Need, Even Greater Opportunity.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2026
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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

16 authors at 10 institutions in 9 countries.

Ivan Cherrez-OjedaUniversidad Espíritu Santo, Samborondón, Ecuador.
Marcus MaurerDepartment of Dermatology and Allergy, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Jonathan A BernsteinUniversity of Cincinnati College of Medicine, Department of Internal Medicine, Division of Immunology/Allergy Section, Cincinnati, OH, United States.
Emanuel VanegasUniversidad Espíritu Santo, Samborondón, Ecuador.
Miguel FelixUniversidad Espíritu Santo, Samborondón, Ecuador.
German D RamonInstituto de Alergia e Inmunología del Sur, Bahía Blanca, Prov. de Buenos Aires, Argentina.
Luis Felipe EnsinaFederal University of São Paulo, São Paulo, Brazil.
José Ignacio Larco SousaClínica San Felipe, Lima, Peru.
Edgar Emilio Matos BenavidesCentro De Referencia Nacional de Alergia Asma e Inmunologia - Insn, Lima, Peru.
R Cardona VillaUniversidad de Antioquia, Medellín, Colombia.
P Latour StaffeldCentro Avanzado de Alergia y Asma de Santo Domingo, Santo Domingo, Dominican Republic.
Blanca María Morfin-MacielHospital San Angel Inn Chapultepec, Ciudad de Mexico, Mexico.
Jose MoriClínica San Borja, Lima, Peru.
Paul Wilches CUnidad de Asma y Alergia del Hospital Monte Sinai, Cuenca, Ecuador.
Valeria L MataUniversidad Espíritu Santo, Samborondón, Ecuador.
Annia CherrezRespiralab, Respiralab Research Group, Guayaquil, Ecuador.
Universidad de Especialidades Espíritu Santo · ECCentro Peruano de Estudios Sociales · PECharité - Universitätsmedizin Berlin · DEInstituto de Física del Sur · ARUniversidad Chapultepec · MXUniversidad de Antioquia · COUniversidade Federal de São Paulo · BRUniversidad Nacional Pedro Henríquez Ureña · DOUniversity of Cincinnati Medical Center · USUniversity of Rostock · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUpdated urticaria guidelines recommend that patients should be assessed for disease activity, severity, control, and quality of life at baseline and follow up. Regarding treatment, guidelines consider second generation antihistamines as the cornerstone in therapy for chronic urticaria (CU), while other drugs, such as omalizumab, are conceived as second-line alternatives. In regards to omalizumab, despite advances in the management of CU, there are still open questions about timing, dosing, and objective measures for clinical response. This study was designed to portray the use of patient-reported outcomes (PROs) in chronic urticaria management, as well as the effectiveness and treatment patterns of omalizumab in CU, as seen in a real-life setting in Latin America.

methodsThis is a retrospective observational study, involving 72 Latin American patients with chronic urticaria treated with omalizumab. Patient reported outcomes and treatment patterns, response, quality of life improvement and discontinuation were analyzed.

resultsFrom the 72 patients, 91.7% (n = 66) were assessed through PROs, where urticaria control test (UCT) was the most used (79.2%; n = 57). Overall, 80.0% (n = 44) responded to omalizumab at some point of the treatment. Omalizumab 300 mg was associated with earlier response compared to lower doses. Regardless of dosage, most patients assessed with CU-Q2oL improved quality of life (80.8%; n = 21). With respect to omalizumab discontinuation, 20.8% (n = 15) patients interrupted omalizumab before the 3rd month of treatment (p = .000).

conclusionsThe present study highlights how the use of PROs and omalizumab in Latin America differ from guidelines' recommendations and clinical trials. Even though most patients were initiated under omalizumab 300 mg, most of them finished with lower doses. Regardless of dosage, most patients responded to omalizumab and improved quality of life at some point during treatment. However, such features were seen earlier with omalizumab 300 mg. Regarding treatment discontinuation, one-fifth of patients interrupted omalizumab before the third month.

Indexed as

Chronic spontaneous urticariaCU, chronic urticariaCU-Q2oL, chronic urticaria quality of life questionnaireEAACI/GA2LEN/EDF/WAO, European Academy of Allergology and Clinical ImmunologyGlobal Allergy and Asthma European Network, European Dermatology Forum and World Allergy OrganizationLA, Latin AmericaLatin AmericaMCID, minimal clinical important differenceOmalizumabPatient-reported outcomesPRO, patient-reported outcomesQuality of lifeSD, standard deviationUAS7, urticaria activity score 7UCT, urticaria control test

Identifiers

PMID30937137
PMCPMC6439401
OpenAlexW2916061930

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.