Omalizumab for management of hypersensitivity reactions to anticancer drugs

Intern Med J. 2024 Aug;54(8):1396-1400. doi: 10.1111/imj.16464. Epub 2024 Jul 19.

Abstract

Hypersensitivity reactions to anticancer drugs include treatment-limiting toxicity. Standard drug desensitisation offers temporary tolerance and hence requires repetition. We used omalizumab, an anti-immunoglobulin E antibody, to overcome immediate and delayed hypersensitivity reactions to various anticancer drugs. Seven of the eight patients in the current study successfully resumed the desired anticancer drug regimen without standard desensitisation. No safety issues from omalizumab were observed.

Keywords: allergy; cancer drugs; desensitisation; omalizumab.

MeSH terms

  • Adult
  • Aged
  • Anti-Allergic Agents / therapeutic use
  • Antineoplastic Agents* / adverse effects
  • Drug Hypersensitivity* / diagnosis
  • Drug Hypersensitivity* / etiology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neoplasms / drug therapy
  • Omalizumab* / adverse effects
  • Omalizumab* / therapeutic use

Substances

  • Omalizumab
  • Antineoplastic Agents
  • Anti-Allergic Agents