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Table 2 Literature review of patients receiving treatment combining omalizumab and other biological agents

From: Dual biological treatments in immune-mediated disorders: a single center experience

Molecular target of non-omalizumab biological agent

Non-IgE-targeting

Monoclonal antibodies

N

Age (years)

Gender

Indication for Omalizumab/ dose

Non-IgE-targeting biologic indication/ dose

Period of Oma. (months)

Period of dual treatment (months)

Adverse reactions to both monoclonal antibodies

Dual treatment enabled tapering down CS

(Baseline dose/follow-up dose)

F/U (months)

Ref.

IL-5/IL-5Rα

Mepolizumab

1

12

F

Asthma/ 300 mg every 4 weeks

Asthma/ 100 mg every 4 weeks

10

24

None

Yes

(NA)

34

[9]

1

55

F

Asthma/NA

Asthma/NA

24

7

None

Yes

(20/4)

11

[10]

1

58

F

ABPA/ 300 mg every 2 weeks

ABPA/100 mg every 4 weeks

8

15

None

Yes

(1 mg/kg /0 mg)

15

[11]

12*

12–73

6 F

6 M

Asthma/225–300 mg every 4 weeks (n = 6)

ABPA/375 mg every 4 weeks (n = 2)

CSU/NA (n = 1)

CRSwNP/300 mg every 4 weeks (n = 1)

Non-specific inflammatory lung disease/375 mg every 4 weeks (n = 1)

EGPA/100 mg every 4 weeks (n = 1)

Asthma/300 mg every 4 weeks (n = 7)

ABPA/100 mg every 4 weeks (n = 2)

HES/300 mg every 4 weeks (n = 1)

Non-specific inflammatory lung disease/100 mg every 4 weeks (n = 1)

6–72

1–48

None

NA

NA

[12]

1

68

F

Asthma/300 mg every 4 weeks

Asthma/ 100 mg every 4 weeks

108

36

None

Yes

(25/20)

144

[13]

1

51

M

CSU/ 300 mg every 4 weeks

Asthma/ 100 mg every 4 weeks

6 months with mepolizumab monotherapy

6

None

Yes

(30/0)

12

[14]

1**

53

M

Asthma/450 every 4 weeks

Asthma/30 mg every 4 weeks

29

18

None

Asthma is controlled

(NA)

11 years

[15]

1

55

F

Asthma/300 mg every 4 weeks

Asthma/ 100 mg every 4 weeks

12 months omalizumab monotherapy.

14 months mepolizumab monotherapy

24

None

Yes

(20/2.5)

50

[16]

Benralizumab

4

27–53

3 F

1 M

Asthma/150–450 every 4 weeks (n = 4)

Asthma/30 mg every 4 weeks (n = 4)

NA

3–36

None

NA

NA

[12]

CD20

Rituximab

17

47–88

8 M

9 F

Bullous pemphigoid

Bullous pemphigoid

NA

NA

None

NA

NA

[17]

TNFα

Etanercept

1

64

F

CSU/ 300 mg every 4 weeks

RA/ 50 mg every 2 weeks

 

3

None

NA

NA

[7]

Adalimumab

1

21

F

CSU/300 mg every 4 weeks for 6 months

psoriatic arthritis/40 mg every week

6

6

None

NA

18

[18]

IL-17

Secukinumab

1

58

F

CSU/300 mg every 4 weeks

chronic refractory psoriasis vulgaris/ loading dose 300 mg /week for 4 weeks followed by maintenance dose of 300 mg every 4 weeks

1

18

None

NA

20

[19]

IL-23

Guselkumab

1

57

M

CSU/NA

psoriasis vulgaris/ NA

9 years

21

None

NA

129

[8]

IL-4/IL-13 Rα

Dupilumab

1

70

M

Bullous pemphigoid/ 300 mg every 4 weeks

Bullous pemphigoid/ first dose 600 mg followed by 300 mg every week

2

10

None

Yes

(NA/0)

10

[20]

6

26–63

4 F

2 M

CSU/ 125–300 mg every 4 weeks (n = 5)

APBA/ 375 mg every 2 weeks (n = 1)

AD/ 300 mg every 2 weeks (n = 3)

ABPA/300 mg every 2 weeks (n = 1)

CSU/300 mg every 2 weeks (n = 2)

3–16

2–24

None

NA

NA

[12]

  1. M Male, F Female, NA Data is not available, CS corticosteroids, AD Atopic dermatitis, ABPA allergic bronchopulmonary aspergillosis, CSU Chronic spontaneous urticaria, RA Rheumatoid arthritis
  2. *Eleven patients were treated with omalizumab + mepolizumab and one patient received a combination of omalizumab, dupilumab and mepolizumab
  3. **This patient received dual biological treatment of omalizumab and mepolizumab followed by omalizumab and benralizumab