Evidence map›Paper›PMID 40014098›Full record

SynthesisArchives of dermatological research2025

From wheal to wellness: efficacy and safety of ligelizumab in chronic spontaneous urticaria: a systematic review and meta-analysis.

Muhammad Sohaib Khan, Yousra Nadeem, Muhammad Mudassar Bilal, Aiman Baloch, Manayl Rasheed, Hamna Jehandad, Noor Ul Ain, Eisha Sheikh, Bakhtawar Saleem, Maheen Fatima and 3 more

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Archives of dermatological research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

13 authors.

Muhammad Sohaib KhanDOW University of Health Sciences, Bab-E-Urdu Road, Karachi, Sindh, Pakistan. sohaib_khan2002@hotmail.com.
Yousra NadeemZiauddin University, Karachi, Sindh, Pakistan.ORCID http://orcid.org/0009-0007-9341-0592
Muhammad Mudassar BilalMekran Medical College, Turbat, Balochistan, Pakistan.
Aiman BalochMekran Medical College, Turbat, Balochistan, Pakistan.ORCID http://orcid.org/0009-0005-8941-0026
Manayl RasheedAyub Medical College, Ayub Medical Complex, Abbottabad, Khyber Pakhtunkhwa, Pakistan.
Hamna JehandadAyub Medical College, Ayub Medical Complex, Abbottabad, Khyber Pakhtunkhwa, Pakistan.
Noor Ul AinAyub Medical College, Ayub Medical Complex, Abbottabad, Khyber Pakhtunkhwa, Pakistan.
Eisha SheikhSindh Medical College, Karachi Cantonment, Karachi, Sindh, Pakistan.
Bakhtawar SaleemZiauddin University, Karachi, Sindh, Pakistan.ORCID http://orcid.org/0009-0001-8970-9029
Maheen FatimaIndus Medical College, Tando Muhammad Khan, Sindh, Pakistan.
Sibtain ZulfiqarServices Institute of Medical Sciences, Lahore, Punjab, Pakistan.ORCID http://orcid.org/0009-0007-6068-2671
Wania MoeenDOW University of Health Sciences, Bab-E-Urdu Road, Karachi, Sindh, Pakistan.
Muhammad HasanainDOW University of Health Sciences, Bab-E-Urdu Road, Karachi, Sindh, Pakistan.ORCID http://orcid.org/0000-0001-9214-7840

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic spontaneous urticaria (CSU) is characterized by persistent hives and itching that lasts longer than six weeks. Ligelizumab, a humanized monoclonal antibody specifically targeting IgE, has emerged as a promising option for managing CSU. This study evaluates the effectiveness and safety of ligelizumab for this debilitating condition. A comprehensive literature search was conducted at PubMed, Cochrane Library, Google Scholar, and ClinicalTrials.gov to identify relevant studies published until December 2024. The review included randomized controlled trials that compared ligelizumab with a placebo. Our meta-analysis of 2581 patients found that ligelizumab significantly improves outcomes in chronic spontaneous urticaria. A dose-dependent response was observed, with 24 mg being non-superior to placebo. Doses of 72 mg significantly reduced Itch Severity Score (MD: - 3.54; 95% CI - 4.36 to - 2.73; P < 0.00001), Urticaria Activity Score (UAS7) (MD: - 9.79; 95% CI - 10.65 to - 8.93; P < 0.00001),  provided complete UAS7 response (UAS7 = 0) (OR: 7.30; 95% CI 2.99 to 17.83; P < 0.0001), and Angioedema free weeks (MD: 2.22; 95% CI 1.63 to 2.82; P < 0.00001), with further improvements noted at the 120 mg dose. Statistically significant results were also observed for the Dermatological Life Quality Index and Hives Severity Score. No significant adverse effects were reported with ligelizumab 72 mg, but very mild adverse effects were discovered with the 120 mg dose. Ligelizumab, at doses of 72 mg and 120 mg, effectively manages CSU by reducing symptoms and improving overall quality of life compared to placebo, although 120 mg Ligelizumab is associated with mild Adverse Events.

Indexed as

Antibodies, Monoclonal, HumanizedChronic UrticariaDose-Response Relationship, DrugHumansPruritusQuality of LifeRandomized Controlled Trials as TopicSeverity of Illness IndexTreatment OutcomeAntibodies, Monoclonal, HumanizedligelizumabChronic spontaneous urticariaEfficacyLigelizumabMeta-analysisSafety

Identifiers

PMID40014098

What OpenQuestion holds

Textmetadata
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.