The evolving landscape of immunotherapy for the treatment of allergic conditions

Clin Transl Sci. 2023 Aug;16(8):1294-1308. doi: 10.1111/cts.13546. Epub 2023 Jun 2.

Abstract

Allergic conditions, such as asthma, chronic urticaria, atopic dermatitis (AD), and eosinophilic esophagitis, have long been treated with oral and topical steroids which resulted in negative off-target effects. However, newer biologic medications are increasingly being developed and approved for treatment of these conditions. These medications have a variety of mechanisms of action to target pathophysiology specific to these diseases. As biologics become more targeted, fewer off-target effects are seen improving tolerability for patients as well as expanded options for treatment of these conditions. This review discusses monoclonal antibody therapies (omalizumab, mepolizumab, reslizumab, benralizumab, dupilumab, tezepelumab, and tralokinumab) including their safety and use in asthma, chronic urticaria, AD, and eosinophilic esophagitis.

Publication types

  • Review

MeSH terms

  • Asthma*
  • Chronic Urticaria* / drug therapy
  • Dermatitis, Atopic* / drug therapy
  • Eosinophilic Esophagitis* / drug therapy
  • Humans
  • Immunotherapy
  • Omalizumab / therapeutic use

Substances

  • Omalizumab

Supplementary concepts

  • Eosinophilic enteropathy