Title |
Omalizumab in allergic bronchopulmonary aspergillosis in patients with cystic fibrosis
|
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Published in |
Journal of Asthma and Allergy, June 2018
|
DOI | 10.2147/jaa.s156049 |
Pubmed ID | |
Authors |
Moshe Ashkenazi, Saray Sity, Ifat Sarouk, Bat El Bar Aluma, Adi Dagan, Yael Bezalel, Lea Bentur, Kris De Boeck, Ori Efrati |
Abstract |
Allergic bronchopulmonary aspergillosis (ABPA) is a condition characterized by a Th2 response, serum eosinophilia, and increased total serum IgE to Aspergillus fumigatus. ABPA occurs in cystic fibrosis (CF) and asthma. Omalizumab is a humanized recombinant monoclonal antibody against IgE. Previous studies reported borderline results when treating ABPA with omalizumab. A retrospective study to investigate the efficacy of omalizumab in the treatment of ABPA in CF patients was conducted at 3 CF centers in Israel and Belgium. Data were obtained from the digital archive. We measured 4 outcome parameters: forced expiratory volume in 1 second, body mass index, pulmonary exacerbations, and steroid sparing. The database was composed on the records of 9 patients. None of the outcome parameters showed any improvement. A favorable outcome was observed in patients with higher levels of posttreatment total IgE than those with lower levels. CF-related diabetes and male gender showed trends for poorer outcomes. No benefits were detected on treating ABPA in CF with omlaizumb. Monitoring the total IgE was not helpful. A prospective randomized double-blind study is needed. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Turkey | 1 | 50% |
Unknown | 1 | 50% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 2 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 65 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Other | 12 | 18% |
Student > Bachelor | 11 | 17% |
Researcher | 10 | 15% |
Student > Master | 9 | 14% |
Student > Ph. D. Student | 5 | 8% |
Other | 10 | 15% |
Unknown | 8 | 12% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 33 | 51% |
Biochemistry, Genetics and Molecular Biology | 7 | 11% |
Agricultural and Biological Sciences | 3 | 5% |
Pharmacology, Toxicology and Pharmaceutical Science | 2 | 3% |
Immunology and Microbiology | 2 | 3% |
Other | 7 | 11% |
Unknown | 11 | 17% |