Evidence map›Paper›PMID 38588579›Full record

ReviewToxicological sciences : an official journal of the Society of Toxicology2024

Drug hypersensitivity reactions: review of the state of the science for prediction and diagnosis.

Marc Pallardy, Rami Bechara, Jessica Whritenour, Shermaine Mitchell-Ryan, Danuta Herzyk, Herve Lebrec, Hans Merk, Ian Gourley, Wendy J Komocsar, Joseph R Piccotti and 4 more

Abstract readReview
In one paragraph

Review in Toxicological sciences : an official journal of the Society of Toxicology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Ex vivo Drug Metabolism Using Primary Human Hepatocytes for the Detection of Metabolite-Dependent Antibodies to Red Blood Cells.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2025
    Article
  11. Article
  12. The Expanding Role of Omalizumab: From Food Allergy to Drug Desensitization.International journal of molecular sciences · 2025
    Review
  13. Towards standardized skin testing for drug-induced allergic reactions.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2025
    Review
  14. Review
  15. 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

14 authors.

Marc PallardyUniversité Paris-Saclay, INSERM, Inflammation Microbiome Immunosurveillance, Orsay, 91400, France.
Rami BecharaUniversité Paris-Saclay, INSERM, CEA, Center for Research in Immunology of Viral, Autoimmune, Hematological and Bacterial Diseases (IMVA-HB), Le Kremlin Bicêtre, 94270, France.
Jessica WhritenourPfizer Worldwide Research, Development and Medical, Groton, Connecticut 06340, USA.
Shermaine Mitchell-RyanThe Health and Environmental Science Institute, Immunosafety Technical Committee, Washington, District of Columbia 20005, USA.
Danuta HerzykMerck & Co., Inc, West Point, Pennsylvania 19486, USA.
Herve LebrecAmgen Inc., Translational Safety and Bioanalytical Sciences, South San Francisco, California 94080, USA.
Hans MerkDepartment of Dermatology and Allergology, RWTH Aachen University, Aachen, 52062, Germany.
Ian GourleyJanssen Research & Development, LLC, Immunology Clinical Development, Spring House, Pennsylvania 19002, USA.
Wendy J KomocsarImmunology Business Unit, Eli Lilly and Company, Indianapolis, Indiana 46225, USA.
Joseph R PiccottiDrug Discovery, Schrodinger, Inc, San Diego, California 92121, USA.
Mercedesz BalazsGenentech, Biochemical and Cellular Pharmacology, South San Francisco, California 94080, USA.
Amy SharmaPfizer, Drug Safety Research & Development, New York 10017, USA.
Dana B WalkerNovartis Institute for Biomedical Research, Preclinical Safety-Translational Immunology and Clinical Pathology, Cambridge, Massachusetts 02139, USA.
Daniel WeinstockJanssen Research & Development, LLC, Preclinical Sciences Translational Safety, Spring House, Pennsylvania 19002, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Drug hypersensitivity reactions (DHRs) are a type of adverse drug reaction that can occur with different classes of drugs and affect multiple organ systems and patient populations. DHRs can be classified as allergic or non-allergic based on the cellular mechanisms involved. Whereas nonallergic reactions rely mainly on the innate immune system, allergic reactions involve the generation of an adaptive immune response. Consequently, drug allergies are DHRs for which an immunological mechanism, with antibody and/or T cell, is demonstrated. Despite decades of research, methods to predict the potential for a new chemical entity to cause DHRs or to correctly attribute DHRs to a specific mechanism and a specific molecule are not well-established. This review will focus on allergic reactions induced by systemically administered low-molecular weight drugs with an emphasis on drug- and patient-specific factors that could influence the development of DHRs. Strategies for predicting and diagnosing DHRs, including potential tools based on the current state of the science, will also be discussed.

Indexed as

Drug HypersensitivityHumansdiagnosisdrug allergydrug hypersensitivityprediction

Identifiers

PMID38588579
PMCPMC11199923

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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.