Chinese Journal of Dermatology ›› 2019, Vol. 52 ›› Issue (9): 652-655.doi: 10.3760/cma.j.issn.0412-4030.2019.09.014

• Reviews • Previous Articles     Next Articles

Chronic spontaneous urticaria: therapeutic mechanism of omalizumab and assessment of its clinical efficacy

Chen Yudi, Geng Peng, Zhao Jiahui, Tu Ping, Zhao Zuotao   

  1. Department of Dermatology and Venereology, Peking University First Hospital, Beijing 100034, China

  • Received:2018-06-12 Revised:2018-08-02 Online:2019-09-15 Published:2019-08-30
  • Contact: Zhao Zuotao E-mail:zhaozuotaotao@163.com
  • Supported by:
    Sino-German Cooperation Project of National Natural Science Foundation of China(GZ901)

Abstract: 【Abstract】 Chronic spontaneous urticaria (CSU) is characterized by recurrent wheals with severe itching, and greatly affects the life quality of patients. The European guideline on chronic urticaria recommends the anti-IgE monoclonal antibody omalizumab as the only third-line therapy for patients with CSU whose condition can not be controlled by high doses of antihistamines. Although a lot of researches have shown that omalizumab is effective and safe for the treatment of CSU, its therapeutic mechanisms have not yet been fully elucidated. This review summarizes therapeutic mechanisms of omalizumab in the treatment of CSU, and indices for predicting and monitoring its clinical efficacy.

Key words: Urticaria, Immunoglobulin epsilon-chains, Immunoglobulin E, Omalizumab, Chronic spontaneous urticaria