Evidence map›Paper›PMID 32408641›Full record

ReviewMedicina (Kaunas, Lithuania)2020

Hypersensitivity Reactions to Monoclonal Antibodies in Children.

Francesca Mori, Francesca Saretta, Annamaria Bianchi, Giuseppe Crisafulli, Silvia Caimmi, Lucia Liotti, Paolo Bottau, Fabrizio Franceschini, Claudia Paglialunga, Giampaolo Ricci and 2 more

Open access · goldAbstract readReview
In one paragraph

Review in Medicina (Kaunas, Lithuania), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

10 citing papers in PubMed, 18 citations in OpenAlex.

  1. Attitudes of caregivers of children labeled with drug allergy after delabeling by provocation tests.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Article
  2. Immediate and delayed hypersensitivity to biologicals in children-A practical approach: An EAACI task force report.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Review
  3. Review
  4. Review
  5. Immune Reactions in Major Types of Oncological Treatment.International journal of molecular sciences · 2023
    Review
  6. Article
  7. Hypersensitivity to Intravenous Iron Preparations.Children (Basel, Switzerland) · 2022
    Review
  8. Hypersensitivity and Immune-related Adverse Events in Biologic Therapy.Clinical reviews in allergy & immunology · 2022
    Review
  9. Article
  10. Article
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

12 authors at 8 institutions in 1 country.

Francesca MoriAllergy Unit, Meyer Children's Hospital, 50139, Florence, Italy.
Francesca SarettaSC Pediatria, Ospedale Latisana-Palmanova, Dipartimento Materno-Infantile Azienda Sanitaria Universitaria Friuli Centrale, 33057 Palmanova (UD), Italy.
Annamaria BianchiPediatria, Ospedale San Camillo, 00149 Roma, Italy.
Giuseppe CrisafulliUO Allergologia, Dipartimento di Pediatria, Università di Messina, 98124 Messina, Italy.
Silvia CaimmiClinica Pediatrica Policlinico San Matteo, University di Pavia, 27100 Pavia, Italy.
Lucia LiottiPediatria, Ospedale Principi di Piemonte, 60019 Senigallia, Italy.
Paolo BottauPediatria e Neonatologia , Ospedale di Imola, 40026 Imola, Italy.
Fabrizio FranceschiniUOC Pediatria, Azienda Ospedaliero-Universitaria "Ospedali Riuniti", 60020 Ancona, Italy.
Claudia PaglialungaUOC di Pediatria, Azienda Ospedaliera-Universitaria "Consorziale-Policlinico", Ospedale Pediatrico Giovanni XXIII, 70123 Bari, Italy.
Giampaolo RicciPediatric Unit, Department of Medical and Surgical Sciences, University of Bologna, 40138 Bologna, Italy.
Angelica SantoroClinica Pediatrica, Dipartimento Medicina e Chirurgia, Università di Parma, 43126 Parma, Italy.
Carlo CaffarelliClinica Pediatrica, Dipartimento Medicina e Chirurgia, Università di Parma, 43126 Parma, Italy.
University of Parma · ITAzienda Ospedaliero Universitaria Ospedali Riuniti · ITMeyer Children's Hospital · ITOspedale di Latisana · ITOspedale generale di zona San Camillo Treviso · ITOspedale Pediatrico Giovanni XXIII · ITUniversity of Bologna · ITUniversity of Messina · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Biologic drugs are widely used in pediatric medicine. Monoclonal antibodies (mAbs) in particular are a therapeutic option for rheumatic, autoinflammatory and oncologic diseases. Adverse drug reactions and hypersensitivity reactions (HSR) to mAbs may occur in children. Clinical presentation of HSRs to mAbs can be classified according to phenotypes in infusion-related reactions, cytokine release syndrome, both alpha type reactions and type I (IgE/non-IgE), type III, and type IV reactions, all beta-type reactions. The aim of this review is to focus on HSRs associated with the most frequent mAbs in childhood, with particular attention to beta-type reactions. When a reaction to mAbs is suspected a diagnostic work-up including in-vivo and in-vitro testing should be performed. A drug provocation test is recommended only when no alternative drugs are available. In selected patients with immediate IgE-mediated drug allergy a desensitization protocol is indicated. Despite the heavy use of mAbs in childhood, studies evaluating the reliability of diagnostic test are lacking. Although desensitization may be effective in reducing the risk of reactions in children, standardized pediatric protocols are still not available.

Indexed as

AdolescentAntibodies, MonoclonalBiological ProductsChildCytokine Release SyndromeDrug HypersensitivityFemaleHumansImmunologic FactorsMaleAntibodies, MonoclonalBiological ProductsImmunologic Factorsbiologic drugchallengedesensitizationdrug allergyhypersensitivity reactionsmonoclonal antibodiesprick test

Identifiers

PMID32408641
PMCPMC7279169
OpenAlexW3024881337

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.