PMID- 26059424 OWN - NLM STAT- MEDLINE DCOM- 20161017 LR - 20220330 IS - 1651-2057 (Electronic) IS - 0001-5555 (Linking) VI - 96 IP - 1 DP - 2016 Jan TI - Targeting IgE in Severe Atopic Dermatitis with a Combination of Immunoadsorption and Omalizumab. PG - 72-6 LID - 10.2340/00015555-2165 [doi] AB - Patients with atopic dermatitis (AD) tend to have greatly elevated levels of serum immunoglobulin E (IgE). However, the role of IgE in the pathogenesis of AD is debated. This investigator-initiated open-label pilot study evaluates an anti-IgE-treatment approach by combining extracorporeal immunoadsorption and anti-IgE antibody omalizumab in 10 patients with severe, therapy-refractory AD. IgE levels decreased after immunoadsorption and decreased continuously in all patients during anti-IgE therapy. The reverse trend was observed during 6 months follow-up without treatment. In parallel with these observations, an improvement in AD was observed during the treatment period, with aggravation during follow-up. Further research is needed, based on the principle of reducing IgE levels in order to improve clinical symptoms, using a combination anti-IgE treatment approach, adjusted according to IgE levels. FAU - Zink, Alexander AU - Zink A AD - Department of Dermatology and Allergy, Technische Universitat Munchen (TUM), Biedersteiner Str. 29, DE-80802 Munich, Germany. zink@lrz.tum.de. FAU - Gensbaur, Anna AU - Gensbaur A FAU - Zirbs, Michael AU - Zirbs M FAU - Seifert, Florian AU - Seifert F FAU - Suarez, Isabel Leon AU - Suarez IL FAU - Mourantchanian, Vagkan AU - Mourantchanian V FAU - Weidinger, Stephan AU - Weidinger S FAU - Mempel, Martin AU - Mempel M FAU - Ring, Johannes AU - Ring J FAU - Ollert, Markus AU - Ollert M LA - eng PT - Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Sweden TA - Acta Derm Venereol JT - Acta dermato-venereologica JID - 0370310 RN - 0 (Anti-Allergic Agents) RN - 0 (Biomarkers) RN - 2P471X1Z11 (Omalizumab) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Adult MH - Aged MH - Anti-Allergic Agents/adverse effects/*therapeutic use MH - Biomarkers/blood MH - *Blood Component Removal/adverse effects MH - Combined Modality Therapy MH - Dermatitis, Atopic/blood/diagnosis/immunology/*therapy MH - Disease Progression MH - Female MH - Humans MH - Immunoglobulin E/*blood MH - *Immunosorbent Techniques/adverse effects MH - Male MH - Middle Aged MH - Omalizumab/adverse effects/*therapeutic use MH - Pilot Projects MH - Remission Induction MH - Severity of Illness Index MH - Time Factors MH - Treatment Outcome EDAT- 2015/06/11 06:00 MHDA- 2016/10/19 06:00 CRDT- 2015/06/11 06:00 PHST- 2015/06/11 06:00 [entrez] PHST- 2015/06/11 06:00 [pubmed] PHST- 2016/10/19 06:00 [medline] AID - 10.2340/00015555-2165 [doi] PST - ppublish SO - Acta Derm Venereol. 2016 Jan;96(1):72-6. doi: 10.2340/00015555-2165.