Evidence map›Paper›PMID 40024926›Full record

Trial reportArchives of dermatological research2025

Effect of combining histaglobulin with antihistamines in patients with chronic spontaneous urticaria in a tertiary care hospital setting- a randomized trial.

Kalpana Mali Ramanna, Thota Sai Sumanth, Deepthi Konda, Madhavi Eerike, Soundarya Priyadarsini Kalaiselvan, Chandru Elangovan, Venu Goapala Rao Konda, Siddharam S Janti

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report 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.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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. 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

8 authors.

Kalpana Mali RamannaDepartment of Pharmacology, Neelima Institute of Medical Sciences, Hyderabad, Telangana, India.ORCID http://orcid.org/0000-0002-0378-2779
Thota Sai SumanthDepartment of Dermatology, All India Institute of Medical Sciences, Bibinagar, Hyderabad, Telangana, 508126, India.ORCID http://orcid.org/0009-0002-9840-8145
Deepthi KondaDepartment of Dermatology, All India Institute of Medical Sciences, Bibinagar, Hyderabad, Telangana, 508126, India.ORCID http://orcid.org/0000-0002-3241-2910
Madhavi EerikeDepartment of Pharmacology, All India Institute of Medical Sciences, Bibinagar, Hyderabad, Telangana, 508126, India. dr.madhavieerike@gmail.com.ORCID http://orcid.org/0000-0002-2049-8163
Soundarya Priyadarsini KalaiselvanDepartment of Pharmacology, Shri Satya Sai Medical College & Research Institute, Chennai, Tamilnadu, India.ORCID http://orcid.org/0000-0002-0863-2518
Chandru ElangovanDepartment of Pharmacology, Neelima Institute of Medical Sciences, Hyderabad, Telangana, India.ORCID http://orcid.org/0009-0001-0851-6672
Venu Goapala Rao KondaDepartment of Pharmacology, Neelima Institute of Medical Sciences, Hyderabad, Telangana, India.ORCID http://orcid.org/0009-0006-7929-1358
Siddharam S JantiDepartment of Ophthalmology, All India Institute of Medical Sciences, Bibinagar, Hyderabad, Telangana, 508126, India.ORCID http://orcid.org/0000-0001-5903-4297

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic Spontaneous Urticaria (CSU) significantly affects quality of life. This study evaluates the efficacy of histaglobulin combined with antihistamine (bilastine) versus antihistamine alone in CSU management. A single-center, open-label, randomized trial was conducted in the dermatology OPD of a tertiary care hospital from September 2023 to August 2024. Fifty-seven eligible participants aged > 18 years with symptoms persisting > 6 weeks were randomized into test -histaglobulin plus bilastine group(n = 27) or bilastine alone (n = 30) groups. The test group received weekly histaglobulin injections and daily bilastine (20 mg), while the bilastine alone group received bilastine 20 mg only. Baseline data, including demographics, CSU characteristics, and Urticaria Activity Score (UAS), were recorded. Investigations included blood counts, renal/liver/thyroid function tests, serum IgE, absolute eosinophil count (AEC), vitamin B12 levels, and Autologous Serum Skin Test (ASST). UAS7 scores were recorded weekly for 6 weeks. The primary outcome was the change in UAS, with secondary outcomes assessing symptom control, and adverse events. A total 57 participants were recruited, with 27 and 30 in the test and bilastine alone group respectively. The combination of Histaglobulin with bilastine demonstrated significantly greater efficacy compared to bilastine alone. By Week 6, the Histaglobulin group achieved an 89.9% reduction in UAS versus 59.4% in the bilastine alone group (p < 0.01), with faster symptom resolution observed from Week 2. Laboratory findings showed notable reductions in serum IgE and AEC in the Histaglobulin group, suggesting enhanced modulation of allergic responses. No adverse effects were reported, highlighting the therapy's safety. The addition of Histaglobulin to bilastine provides a superior and well-tolerated treatment option for CSU, delivering faster symptom relief and better disease control. These findings support its use as an effective adjunctive therapy, warranting further investigation in larger sample size studies.

Indexed as

BenzimidazolesChronic UrticariaHistamine AntagonistsPiperidinesAdultDrug Therapy, CombinationFemaleHumansMaleMiddle AgedQuality of LifeTertiary Care CentersTreatment OutcomeBenzimidazolesbilastineHistamine AntagonistsPiperidinesAutologous serum skin testBilastineChronic spontaneous urticariaHistaglobulinUrticaria activity score

Identifiers

PMID40024926

What OpenQuestion holds

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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.