Table 1.
Source | Study design
|
Baseline characteristicsa
|
Efficacy
|
|||||
---|---|---|---|---|---|---|---|---|
Study design | Number of patients | Treatment duration (wk) | Age (yr) | FEV1 (%pred) | Serum IgE level (IU/mL) | Baseline ICS use (μg/d) | Primary end points | |
MacGlashan et al23 Omalizumab |
OL | 15 | n/a | 29.8 | n/a | 192 | n/a | Free IgE levels: decrease to 1% of pretreatment levels. FcεRI densities: 97% reduction. |
Humbert et al28 Omalizumab Control |
DB | 419 | 28 | 43.4 43.3 |
61.0 61.6 |
197.6 189.6 |
2,359b 2,301b |
Clinically significant asthma exacerbation rate: 0.68 vs 0.91 with placebo (RR =0.738, P=0.042). |
Lanier et al35 Omalizumab Control |
DB | 627 | 52 | 8.7 8.4 |
86.0 87.2 |
476.0 456.9 |
517.8c 509.5c |
Clinically significant asthma exacerbations: 31% (24 wk), 43% (52 wk) reductions. ICS dose (adjustable steroid phase): 4% reduction vs 2% increase in placebo. Safety: no difference in overall incidence of AE. |
Milgrom et al36 Omalizumab Control |
DB | 334 | 28 | 9.4 9.5 |
84 85 |
348 323 |
284b 267b |
Steroid-reduction phase: 1. % patient with complete BDP withdrawal: 55% vs 39% with placebo. 2. % patients had asthma exacerbation episodes: 18.2% vs 38.5% with placebo. Safety: no evidence of clinically significant drug toxicity or serious treatment-related AEs. |
Notes:
Data are shown as mean;
BDP equivalent;
fluticasone propionate equivalent.
Abbreviations: BDP, beclomethasone dipropionate; FEV1, forced expiratory volume in 1 second; ICS, inhaled corticosteroid; IgE, immunoglobulin E; OL, open-label; DB, double-blind; AEs, adverse events; wk, weeks; yr, year; n/a, not applicable; RR, risk ratio.