Evidence map›Paper›PMID 41937341›Full record

ReviewPediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology2026

Immediate and delayed hypersensitivity to biologicals in children-A practical approach: An EAACI task force report.

Francesca Mori, Marina Atanaskovic-Markovic, Annick Barbaud, Sevim Bavbek, Jean-Christoph Caubet, Leticia de Las Vecillas, Mattia Giovannini, Ekaterina Khaleva, Marina Labella, Luis Moral and 4 more

Abstract readReviewCase Reports
In one paragraph

Review in Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Immediate and delayed hypersensitivity to biologicals in children-A practical approach: An EAACI task force report.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    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

14 authors.

Francesca MoriAllergy Unit, Meyer Children's Hospital IRCCS, Florence, Italy.ORCID https://orcid.org/0000-0001-7483-0128
Marina Atanaskovic-MarkovicUniversity Children's Hospital of Belgrade, Belgrade, Serbia.ORCID https://orcid.org/0000-0003-1354-6072
Annick BarbaudSante Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, AP-HP. Sorbonne Université, Paris, France.ORCID https://orcid.org/0000-0001-8889-1589
Sevim BavbekDepartment of Chest Disease, Division of Immunology and Allergy, Ankara University School of Medicine, Ankara, Türkiye.ORCID https://orcid.org/0000-0002-7884-0830
Jean-Christoph CaubetPediatric Allergy Unit, Department of Pediatrics, Gynecology and Obstetrics, University Hospitals of Geneva, Geneva, Switzerland.ORCID https://orcid.org/0000-0001-5006-5724
Leticia de Las VecillasDepartment of Allergy, La Paz University Hospital, Madrid, Spain.ORCID https://orcid.org/0000-0003-4969-5678
Mattia GiovanniniAllergy Unit, Meyer Children's Hospital IRCCS, Florence, Italy.ORCID https://orcid.org/0000-0001-9568-6882
Ekaterina KhalevaHuman Development and Health, Faculty of Medicine, University of Southampton, Southampton, UK.ORCID https://orcid.org/0000-0002-2220-7745
Marina LabellaAllergy Research Group, Instituto de Investigación Biomédica de Málaga y Plataforma en Nanomedicina-IBIMA Plataforma BIONAND, Málaga, Spain.ORCID https://orcid.org/0000-0001-9618-4067
Luis MoralPediatric Allergy and Respiratory Unit, Dr. Balmis General University Hospital, Alicante, Spain.ORCID https://orcid.org/0000-0002-7066-6073
Carmen RiggioniDivision of Immunology and Allergy, The Hospital for Sick Children and the SickKids Food Allergy and Anaphylaxis Program, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-8745-0228
Vito SabatoDepartment of Immunology, Allergology and Rheumatology, University of Antwerp, Antwerpen, Belgium.
Sophia TsabouriFaculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, Greece.ORCID https://orcid.org/0000-0001-7584-5401
Stefania ArasiTranslational Research in Pediatric Specialties Area, Division of Allergy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID https://orcid.org/0000-0002-8135-0568

Funding

European Academy of Allergy and Clinical Immunology
6 · The paper itself

Abstract

In the era of precision medicine, biologicals demonstrate how therapies can be personalized and directed against new targets. This type of therapy includes different molecules such as growth factors, immune modulators, vaccines, and monoclonal antibodies (mAbs). In recent years, biologicals have been increasingly developed and authorized, although their use in children is limited compared to that in adults, due to the complexity of the pharmacokinetics and pharmacodynamics of the involved proteins, as well as other factors, such as regulations governing clinical trials. Regardless, biologicals are used with efficacy in children to treat various diseases, including oncological, hematological, atopic, and rheumatological diseases. In parallel with the increased use of biologicals, there has been an increase in the unwanted effects of these agents. This paper aims to provide physicians with a practical approach to differentiate between the types of reactions to biologicals in children, especially mAbs, based on the frequency of use, for a comprehensive allergy workup. Starting from a clinical case (i.e., phenotype), specific biomarkers of the involved molecular mechanism (i.e., endotype) are described, providing the reader with currently known instruments to guide the diagnosis. Finally, practical limitations, preventive measures, and unmet needs were discussed by a panel of experts.

Indexed as

Biological ProductsDrug HypersensitivityHypersensitivity, DelayedHypersensitivity, ImmediateAntibodies, MonoclonalBiomarkersChildHumansAntibodies, MonoclonalBiological ProductsBiomarkersbiologicalschildrendelayedhypersensitivityimmediate

Identifiers

PMID41937341
PMCPMC13051007

What OpenQuestion holds

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Registered trials

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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.