Evidence map›Paper›PMID 40532792›Full record

ReviewThe Journal of allergy and clinical immunology2025

Current and future landscape of Bruton tyrosine kinase inhibitors in allergy.

Erica V Lin, Betania Arce, Santiago Alvarez-Arango, Melanie C Dispenza

Abstract readReview
In one paragraph

Review in The Journal of allergy and clinical immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Review
  2. Article
  3. Emerging Therapies for Anaphylaxis.Immunology and allergy clinics of North America · 2026
    Review
  4. Emerging IgE and non-IgE targeted therapies for chronic urticaria.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2026
    Review
  5. Systemic Treatments for Chronic Spontaneous Urticaria: Anti-IgE and Beyond.The journal of allergy and clinical immunology. In practice · 2026
    Review
  6. Occupational Allergy to Rat and Mouse in Research Laboratories.Current allergy and asthma reports · 2026
    Review
  7. Review
  8. 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

4 authors.

Erica V LinDepartment of Medicine, Division of Allergy and Clinical Immunology, Johns Hopkins University School of Medicine, Baltimore, Md.
Betania ArceDepartment of Medicine, Division of Allergy and Clinical Immunology, Johns Hopkins University School of Medicine, Baltimore, Md.
Santiago Alvarez-ArangoDepartments of Medicine and Pediatrics, Division of Allergy and Immunology, University of Texas Southwestern Medical Center, Dallas, Tex.
Melanie C DispenzaDepartment of Medicine, Division of Allergy and Clinical Immunology, Johns Hopkins University School of Medicine, Baltimore, Md. Electronic address: mdispen1@jhmi.edu.

Funding

Using BTK Inhibitors to Prevent Anaphylactic Drug ReactionsK23AI143965 · NIAID · JOHNS HOPKINS UNIVERSITY · PI DISPENZA, MELANIE C. · 2020 to 2024
$1.1M
NIAID NIH HHS K23 AI143965
6 · The paper itself

Abstract

As an essential component of the FcεRI pathway, Bruton tyrosine kinase (BTK) has become a target for treating allergic diseases. Several proof-of-concept studies using early-generation compounds such as ibrutinib and acalabrutinib demonstrated the ability of short courses of BTK inhibitors (BTKis) to reduce skin test responses to allergens, suppress basophil activation responses, and even completely prevent reactivity to allergenic food ingestion in humans. While early-generation BTKis do not have acceptable adverse effect profiles for chronic administration for nononcologic indications, newer compounds in development have higher selectivity for BTK and fewer adverse effects. In particular, remibrutinib has demonstrated remarkable efficacy and safety with chronic administration for chronic spontaneous urticaria and is poised to become the first BTKi approved in the United States for use in the allergy space. This review summarizes work using BTKis to treat allergic disorders, emphasizing safety and practical considerations for clinicians.

Indexed as

Agammaglobulinaemia Tyrosine KinaseHypersensitivityProtein Kinase InhibitorsAnimalsHumansPiperidinesTyrosine Kinase InhibitorsAgammaglobulinaemia Tyrosine KinaseBTK protein, humanPiperidinesProtein Kinase InhibitorsTyrosine Kinase InhibitorsAcalabrutinibanaphylaxisBruton tyrosine kinasechronic urticariafood allergy

Identifiers

PMID40532792
PMCPMC12309399

What OpenQuestion holds

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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.