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Omalizumab Treatment in Venom Immunotherapy With Systemic Reactions

Not Applicable
Conditions
Allergy
Bee Venom
Immunotherapy
Omalizumab
Interventions
Registration Number
NCT02968394
Lead Sponsor
The University Clinic of Pulmonary and Allergic Diseases Golnik
Brief Summary

The purpose of this study is to evaluate if omalizumab co-treatment may allow reintroduction of honey bee venom immunotherapy in patients with immunotherapy treatment failure due to systemic reactions.

Detailed Description

Some honey bee venom allergic patients cannot be treated with venom immunotherapy due to systemic reactions during immunotherapy - immunotherapy failure due to systemic reactions. High basophil allergen sensitivity is a risk factor for venom immunotherapy failure due to systemic reactions. Omalizumab decreases basophil sensitivity. Venom immunotherapy failure patients will be co-treated with omalizumab during another attempt of immunotherapy introduction. Patients will be clinically and immunologically followed up after the introduction.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
11
Inclusion Criteria
  • severe anaphylactic reaction after honey-bee sting (Mueller grade III or IV) confirmed sensitization to honey-bee venom,
  • honey-bee venom immunotherapy treatment failure due to systemic reactions.
Exclusion Criteria
  • systemic mastocytosis,
  • pregnancy,
  • use of beta-adrenergic blocking agents.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
NEVITomalizumabCo treatment with omalizumab during another attempt of immunotherapy introduction
Primary Outcome Measures
NameTimeMethod
Number of systemic reactions during ultra rush immunotherapy build up phase and maintenance phase followed by omalizumab co-treatment.2 months
Secondary Outcome Measures
NameTimeMethod
Changes in basophil sensitivity during omalizumab co-treatment2 years

Trial Locations

Locations (1)

University Clinic of Pulmonary and Allergic Diseases Golnik

🇸🇮

Golnik, Slovenia

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