Evidence map›Paper›PMID 34123366›Full record

ArticleClinical and translational allergy2021

Anaphylactic risk related to omalizumab, benralizumab, reslizumab, mepolizumab, and dupilumab.

Lisha Li, Zixi Wang, Le Cui, Yingyang Xu, Kai Guan, Bin Zhao

Open access · goldAbstract read
In one paragraph

Article in Clinical and translational allergy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
6.6field-weighted citation impact, top 3% 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

30 citing papers in PubMed, 53 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. IgE and non-IgE-mediated pathways in anaphylaxis.Seminars in immunopathology · 2025
    Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Unanswered questions on the use of biologics in pediatric asthma.The World Allergy Organization journal · 2023
    Review
  15. Review
  16. Article
  17. Research Advances in Mast Cell Biology and Their Translation Into Novel Therapies for Anaphylaxis.The journal of allergy and clinical immunology. In practice · 2023
    Review
  18. Article
  19. Review
  20. 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

6 authors at 1 institution in 1 country.

Lisha LiDepartment of Allergy Peking Union Medical College Hospital Chinese Academy of Medical Sciences & Peking Union Medical College Beijing Key Laboratory of Precision Medicine for Diagnosis and Treatment on Allergic Diseases National Clinical Research Center for Dermatologic and Immunologic Diseases Beijing China.ORCID https://orcid.org/0000-0002-1171-1858
Zixi WangDepartment of Allergy Peking Union Medical College Hospital Chinese Academy of Medical Sciences & Peking Union Medical College Beijing Key Laboratory of Precision Medicine for Diagnosis and Treatment on Allergic Diseases National Clinical Research Center for Dermatologic and Immunologic Diseases Beijing China.
Le CuiDepartment of Allergy Peking Union Medical College Hospital Chinese Academy of Medical Sciences & Peking Union Medical College Beijing Key Laboratory of Precision Medicine for Diagnosis and Treatment on Allergic Diseases National Clinical Research Center for Dermatologic and Immunologic Diseases Beijing China.
Yingyang XuDepartment of Allergy Peking Union Medical College Hospital Chinese Academy of Medical Sciences & Peking Union Medical College Beijing Key Laboratory of Precision Medicine for Diagnosis and Treatment on Allergic Diseases National Clinical Research Center for Dermatologic and Immunologic Diseases Beijing China.ORCID https://orcid.org/0000-0002-0583-1925
Kai GuanDepartment of Allergy Peking Union Medical College Hospital Chinese Academy of Medical Sciences & Peking Union Medical College Beijing Key Laboratory of Precision Medicine for Diagnosis and Treatment on Allergic Diseases National Clinical Research Center for Dermatologic and Immunologic Diseases Beijing China.
Bin ZhaoDepartment of Pharmacy Peking Union Medical College Hospital Chinese Academy of Medical Sciences & Peking Union Medical College Beijing China.
Chinese Academy of Medical Sciences & Peking Union Medical College · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMonoclonal antibodies (mAbs) are novel, effective therapeutics for the treatment of inadequately controlled severe asthma. Knowledge of the anaphylaxis risks related to different mAbs is essential for their appropriate and safe administration. This study aimed to evaluate the associations between different mAbs and anaphylactic reactions by applying statistical approaches to pharmacovigilance data.

methodsThis was a retrospective study using data from the US Food and Drug Administration Adverse Event Reporting System database from January 2004 to September 2020. A total of 2006 reports of anaphylaxis related to benralizumab, dupilumab, mepolizumab, omalizumab, and reslizumab were obtained through data mining. The clinical characteristics of the cases were analyzed, and the risk signals of anaphylactic reactions and corresponding outcomes were investigated in the five mAbs.

resultsThe patients were mainly young and middle-aged adults, with markedly more women than men. Omalizumab, benralizumab, reslizumab, and mepolizumab showed positive signals for anaphylaxis, while only dupilumab showed a negative signal. The risk of initial or prolonged hospitalization due to anaphylaxis was significantly higher in the benralizumab group than in the omalizumab group (42.86% vs. 28.92%,

conclusionIn the current real-world study, the positive anaphylaxis signals related to omalizumab, benralizumab, reslizumab, and mepolizumab suggested the need for the close monitoring of patients after drug use, and dupilumab showed a negative signal for anaphylaxis.

Indexed as

anaphylaxislife‐threatening outcomesmonoclonal antibodiespharmacovigilance studysevere asthma

Identifiers

PMID34123366
PMCPMC8175040
OpenAlexW3169023839

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.