PMID- 37511681 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230801 IS - 2075-4426 (Print) IS - 2075-4426 (Electronic) IS - 2075-4426 (Linking) VI - 13 IP - 7 DP - 2023 Jun 29 TI - Long-Term Safety of Omalizumab in Children with Asthma and/or Chronic Spontaneous Urticaria: A 4-Year Prospective Study in Real Life. LID - 10.3390/jpm13071068 [doi] LID - 1068 AB - Background: Insufficient data are available on the long-term "real-life" safety profile of omalizumab in children. This study evaluated the long-term safety of omalizumab in a pediatric cohort with severe asthma or chronic spontaneous urticaria (CSU). Methods: A monocentric, prospective study evaluated the long-term safety of omalizumab in patients aged 6-18 years. Each patient completed the standardized MedDRA questionnaire to identify adverse events (AEs). Results: In total, 23 patients, median age 15 (14-18) years, affected by severe asthma (60.8%) or CSU (39.2%), treated with omalizumab for 2 (1-4) years were enrolled. The most common AEs belong to the system organ class (SOC) of general disorders and administration-site conditions (37.17%). Skin and subcutaneous tissue problems represent the second most frequently reported AEs (24.35%). Central nervous system and musculoskeletal disorders were quite frequent (15.38% and 8.97%, respectively). Other adverse events were tachycardia (5.12%), vertigo and abdominal pain (2.60% and 3.86%, respectively), and dry eye (1.3%). Only one patient reported herpes virus infection during treatment (1.3%). No cases of anaphylaxis, hemopathies, uronephropathies, respiratory, psychiatric, hepatobiliary, or oncological pathologies were reported. Conclusions: Long-term "real-life" treatment with omalizumab in children appears well tolerated. Its safety and efficacy profile makes omalizumab an excellent alternative in severe asthma and CSU in children. FAU - Galletta, Francesca AU - Galletta F AUID- ORCID: 0000-0002-4166-2030 AD - Pediatric Unit, Department of Human Pathology in Adult and Developmental Age "Gaetano Barresi", University of Messina, 98124 Messina, Italy. FAU - Caminiti, Lucia AU - Caminiti L AD - Pediatric Unit, Department of Human Pathology in Adult and Developmental Age "Gaetano Barresi", University of Messina, 98124 Messina, Italy. FAU - Lugara, Cecilia AU - Lugara C AD - Pediatric Unit, Department of Human Pathology in Adult and Developmental Age "Gaetano Barresi", University of Messina, 98124 Messina, Italy. FAU - Foti Randazzese, Simone AU - Foti Randazzese S AUID- ORCID: 0000-0001-7084-5605 AD - Pediatric Unit, Department of Human Pathology in Adult and Developmental Age "Gaetano Barresi", University of Messina, 98124 Messina, Italy. FAU - Barraco, Paolo AU - Barraco P AD - Pediatric Unit, Department of Human Pathology in Adult and Developmental Age "Gaetano Barresi", University of Messina, 98124 Messina, Italy. FAU - D'Amico, Federica AU - D'Amico F AUID- ORCID: 0009-0007-3802-0102 AD - Pediatric Unit, Department of Human Pathology in Adult and Developmental Age "Gaetano Barresi", University of Messina, 98124 Messina, Italy. FAU - Irrera, Pierangela AU - Irrera P AD - Department of Clinical and Experimental Medicine, University of Messina, 98124 Messina, Italy. FAU - Crisafulli, Giuseppe AU - Crisafulli G AD - Pediatric Unit, Department of Human Pathology in Adult and Developmental Age "Gaetano Barresi", University of Messina, 98124 Messina, Italy. FAU - Manti, Sara AU - Manti S AUID- ORCID: 0000-0002-7664-3083 AD - Pediatric Unit, Department of Human Pathology in Adult and Developmental Age "Gaetano Barresi", University of Messina, 98124 Messina, Italy. LA - eng PT - Journal Article DEP - 20230629 PL - Switzerland TA - J Pers Med JT - Journal of personalized medicine JID - 101602269 PMC - PMC10381149 OTO - NOTNLM OT - asthma OT - children OT - chronic spontaneous urticaria OT - omalizumab OT - real-life study OT - safety COIS- The authors declare no conflict of interest. EDAT- 2023/07/29 11:47 MHDA- 2023/07/29 11:48 PMCR- 2023/06/29 CRDT- 2023/07/29 01:25 PHST- 2023/06/11 00:00 [received] PHST- 2023/06/24 00:00 [revised] PHST- 2023/06/26 00:00 [accepted] PHST- 2023/07/29 11:48 [medline] PHST- 2023/07/29 11:47 [pubmed] PHST- 2023/07/29 01:25 [entrez] PHST- 2023/06/29 00:00 [pmc-release] AID - jpm13071068 [pii] AID - jpm-13-01068 [pii] AID - 10.3390/jpm13071068 [doi] PST - epublish SO - J Pers Med. 2023 Jun 29;13(7):1068. doi: 10.3390/jpm13071068.