Evidence map›Paper›PMID 40186041›Full record

SynthesisClinical drug investigation2025

Efficacy and Safety of Ligelizumab in Chronic Spontaneous Urticaria: A Systematic Review and Meta-analysis of Randomized Controlled Trials.

Ana Carolina Putini Vieira, Ana Carolina Ventura de Santana de Jesus, Anelise Poluboiarinov Cappellaro, Lucas M Barbosa, Ana Clara Felix de Farias Santos, Carolina Mira Dilly de Medeiros, Mable Pereira, Gabriel Gomes Lopes, Fernanda Valeriano Zamora

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Clinical drug investigation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Review
  3. Review
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

9 authors.

Ana Carolina Putini VieiraDivision of Medicine, University of Santo Amaro, São Paulo, São Paulo, Brazil.
Ana Carolina Ventura de Santana de JesusDivision of Medicine, Bahiana School of Medicine and Public Health, Salvador, Bahia, Brazil.
Anelise Poluboiarinov CappellaroDivision of Medicine, Centro Universitário Maurício de Nassau de Barreiras, Barreiras, Bahia, Brazil.
Lucas M BarbosaDivision of Medicine, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Ana Clara Felix de Farias SantosDivision of Medicine, City University of São Paulo, São Paulo, São Paulo, Brazil.
Carolina Mira Dilly de MedeirosDivision of Medicine, Catholic University of Brasília, Brasília, Distrito Federal, Brazil.
Mable PereiraDivision of Medicine, Lincoln American University School of Medicine, Kingston, Georgetown, Guyana.
Gabriel Gomes LopesDivision of Medicine, Federal University of Ceará, Fortaleza, Ceará, Brazil.
Fernanda Valeriano ZamoraDepartment of Medicine, Federal University of Minas Gerais, Dos Andradas 3323, 905 Avenue, Belo Horizonte, Brazil. dra.fernandavaleriano@gmail.com.ORCID http://orcid.org/0009-0008-9861-0670

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveThis meta-analysis aims to evaluate ligelizumab's efficacy and safety for chronic spontaneous urticaria (CSU) treatment by analyzing recent clinical trials and comparing it with placebo and omalizumab.

methodsPubMed, Embase, and Cochrane were searched up to October 2024. Eligible studies were randomized controlled trials (RCTs) comparing ligelizumab with placebo or omalizumab, reporting relevant outcomes. Nonrandomized studies, or those without control groups, were excluded. Risk of bias was assessed using the Cochrane RoB-2 tool, and the Grading of Recommendation, Assessment, Development, and Evaluations approach rated evidence certainty. Statistical analysis used R software (v.4.4.2), assessing heterogeneity by Cochran Q and I

resultsFour RCTs with 2488 patients were included. Ligelizumab (< 72 mg) significantly improved itch severity score over 7 days (ISS7) [risk ratio (RR) 5.07; 95% confidence interval (CI) 3.12-8.24; prediction interval (PI) 2.31-11.15; P < 0.01; I DISCUSSION: Ligelizumab significantly improves CSU symptoms compared with placebo, reducing disease severity, itching, and hives, with similar safety to omalizumab. Ligelizumab's higher affinity for immunoglobulin E (IgE) may provide better symptom control. Limitations include a small number of studies, short follow-up periods, and patient variability. PROTOCOL REGISTRATION: International Prospective Register of Systematic Reviews (PROSPERO), CRD42024593072.

Indexed as

Anti-Allergic AgentsAntibodies, Monoclonal, HumanizedChronic UrticariaHumansOmalizumabRandomized Controlled Trials as TopicTreatment OutcomeAnti-Allergic AgentsAntibodies, Monoclonal, HumanizedligelizumabOmalizumab

Identifiers

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.