Evidence map›Paper›PMID 41802568›Full record

ArticleThe journal of allergy and clinical immunology. In practice2026

Oral Food Challenges After Treatment With Omalizumab in the Clinical Setting.

Hao Tseng, Robert A Wood, Jackie Isola, Nicholas Anania, Jennifer Dantzer

Abstract read
In one paragraph

Article in The journal of allergy and clinical immunology. In practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Hao TsengDivision of Pediatric Allergy, Immunology, and Rheumatology, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Md.
Robert A WoodDivision of Pediatric Allergy, Immunology, and Rheumatology, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Md.
Jackie IsolaDivision of Pediatric Allergy, Immunology, and Rheumatology, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Md.
Nicholas AnaniaDivision of Pediatric Allergy, Immunology, and Rheumatology, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Md.
Jennifer DantzerDivision of Pediatric Allergy, Immunology, and Rheumatology, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Md. Electronic address: jwrubel1@jhmi.edu.

Funding

RESEARCH TRAINING IN PEDIATRIC ALLERGY &IMMUNOLOGYT32AI007007 · NIAID · JOHNS HOPKINS UNIVERSITY · PI ROBERT A WOOD · 1985 to 2026
$5.4M
Patient-Centered Outcomes of the First Approved Peanut Allergy TreatmentK23AI159143 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Jennifer Anne Dantzer · 2022 to 2026
$994k
NIAID NIH HHS K23 AI159143NIAID NIH HHS T32 AI007007
6 · The paper itself

Abstract

backgroundAlthough omalizumab is now approved for the treatment of food allergy, little is known about its use in the clinical setting.

objectiveTo examine the outcome of oral food challenges (OFCs) after treatment with omalizumab.

methodsWe conducted a retrospective chart review of clinic patients who underwent OFCs after treatment with omalizumab, including cumulative tolerated doses and all adverse events.

resultsA total of 51 patients (45% female; median age, 9 [range, 1-23] years; median total IgE, 512 [interquartile range, 285 to 1080] IU/mL) underwent 73 OFCs, with milk (n = 27), egg (n = 23), and wheat (n = 9) accounting for 81% of the OFCs. A reaction history was documented for 95% and all challenged foods had a positive allergen-specific IgE (median, 34 [interquartile range, 12 to >100] kUA/L). OFCs were performed at a median of 7 (range, 4-14) months after starting omalizumab. Among OFCs to any food with a goal dose ≥6000 mg (n = 56), 89% successfully consumed ≥1000 mg, 86% ≥2000 mg, 75% ≥4000 mg, and 66% ≥6000 mg. Allergic reactions occurred in 45% (n = 33) of all OFCs, with 21 treated with antihistamines and 2 treated with epinephrine. Dietary introduction of allergenic foods was permitted following 92% of OFCs. Omalizumab treatment response was associated with higher baseline total IgE, every 2-week dosing versus every 4-week dosing, higher total omalizumab dose per 4 weeks per weight, and lower allergen-specific IgE to total IgE ratio.

conclusionsOmalizumab can be effectively used for the treatment of food allergy in the clinical setting and may enable the introduction of allergenic foods into the diet for most patients.

Indexed as

Anti-Allergic AgentsFood HypersensitivityOmalizumabAdministration, OralAdolescentAllergensChildChild, PreschoolFemaleHumansImmunoglobulin EInfantMaleRetrospective StudiesTreatment OutcomeYoung AdultAllergensAnti-Allergic AgentsImmunoglobulin EOmalizumabAnti-IgEFood allergyOmalizumabOral food challengePredictors

Identifiers

PMID41802568
PMCPMC13148622

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LicenceCC BY-NC-ND
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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.