PMID- 32249957 OWN - NLM STAT- MEDLINE DCOM- 20210514 LR - 20211002 IS - 1398-9995 (Electronic) IS - 0105-4538 (Print) IS - 0105-4538 (Linking) VI - 75 IP - 10 DP - 2020 Oct TI - Past, present, and future of anti-IgE biologics. PG - 2491-2502 LID - 10.1111/all.14308 [doi] AB - About 20 years after the identification of immunoglobulin E (IgE) and its key role in allergic hypersensitivity reactions against normally harmless substances, scientists have started inventing strategies to block its pathophysiological activity in 1986. The initial concept of specific IgE targeting through the use of anti-IgE antibodies has gained a lot of momentum and within a few years independent research groups have reported successful generation of first murine monoclonal anti-IgE antibodies. Subsequent generation of optimized chimeric and humanized versions of these antibodies has paved the way for the development of therapeutic anti-IgE biologicals as we know them today. With omalizumab, there is currently still only one therapeutic anti-IgE antibody approved for the treatment of allergic conditions. Since its application is limited to the treatment of moderate-to-severe persistent asthma and chronic spontaneous urticaria, major efforts have been undertaken to develop alternative anti-IgE biologicals that could potentially be used in a broader spectrum of allergic diseases. Several new drug candidates have been generated and are currently assessed in pre-clinical studies or clinical trials. In this review, we highlight the molecular properties of past and present anti-IgE biologicals and suggest concepts that might improve treatment efficacy of future drug candidates. CI - (c) 2020 EAACI and John Wiley and Sons A/S. Published by John Wiley and Sons Ltd. FAU - Guntern, Pascal AU - Guntern P AUID- ORCID: 0000-0001-8840-8577 AD - Graduate School of Cellular and Biomedical Sciences, University of Bern, Bern, Switzerland. AD - Department of BioMedical Research, University of Bern, Bern, Switzerland. AD - Department of Rheumatology, Immunology and Allergology, University Hospital Bern, Bern, Switzerland. FAU - Eggel, Alexander AU - Eggel A AUID- ORCID: 0000-0001-8746-3339 AD - Department of BioMedical Research, University of Bern, Bern, Switzerland. AD - Department of Rheumatology, Immunology and Allergology, University Hospital Bern, Bern, Switzerland. LA - eng GR - R01 HL141493/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20200421 PL - Denmark TA - Allergy JT - Allergy JID - 7804028 RN - 0 (Anti-Allergic Agents) RN - 0 (Antibodies, Anti-Idiotypic) RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Biological Products) RN - 0 (anti-IgE antibodies) RN - 2P471X1Z11 (Omalizumab) SB - IM MH - Animals MH - *Anti-Allergic Agents MH - Antibodies, Anti-Idiotypic MH - Antibodies, Monoclonal/therapeutic use MH - Antibodies, Monoclonal, Humanized MH - *Biological Products/therapeutic use MH - Humans MH - Mice MH - Omalizumab/therapeutic use PMC - PMC7541678 MID - NIHMS1590258 OTO - NOTNLM OT - IgE OT - allergy treament OT - anti-IgE OT - b cells OT - basophils OT - biologics OT - mast cells COIS- Conflicts of interest: The authors declare no conflict of interest. EDAT- 2020/04/07 06:00 MHDA- 2021/05/15 06:00 PMCR- 2021/10/01 CRDT- 2020/04/07 06:00 PHST- 2020/02/03 00:00 [received] PHST- 2020/03/09 00:00 [revised] PHST- 2020/03/28 00:00 [accepted] PHST- 2020/04/07 06:00 [pubmed] PHST- 2021/05/15 06:00 [medline] PHST- 2020/04/07 06:00 [entrez] PHST- 2021/10/01 00:00 [pmc-release] AID - 10.1111/all.14308 [doi] PST - ppublish SO - Allergy. 2020 Oct;75(10):2491-2502. doi: 10.1111/all.14308. Epub 2020 Apr 21.