Table 2.
Patient 1 | Patient 2 | Patient 3 | |
---|---|---|---|
Age (years) | 60 | 60 | 76 |
Histology | HGSOC | Clear cell | HGSOC |
Surgical debulking | Yes | Yes | Yes |
BRCA status | Mutated | Wild-type | Wild-type |
Atopy | No | no | Yes (Latex) |
Treatment administered | Carboplatin | Carboplatin | Carboplatin |
N° of drug administrations before HRs (total) | 7 | 13 | 15 |
Clinical manifestations of initial HRs | Urticaria, dyspnea, hypotension, O2 desaturation | Flushing, malaise, vomiting, nausea | Flushing, chest discomfort, sweating |
HRs Grade | 3 | 2 | 2 |
Skin test | Positive (IDT 0.01 mg/ml) | Positive (IDT 0.1 mg/ml) | Negative |
Details of breakthrough reactions | 2nd DD, 9th step Urticaria, itching, flushing, throat constriction |
2nd DD, 14th step Thoracic pain, nausea, vomiting, flushing, face angioedema |
2nd DD, 8th step Urticaria, angioedema, flushing, throat constriction |
Total serum IgE (UI/L) | 925 | NA | 39.9 |
Dose of omalizumab | 600 mg | 600 mg | 600 mg |
Timing of omalizumab administration | −15 days and − 2 days Prior to the first optimized DD cycle, and then −2 days prior to each subsequent DD |
15 days and − 2 days Prior to the first optimized DD cycle, and then −2 days prior to each subsequent DD |
15 days and − 2 days Prior to the first optimized DD cycle, and then −2 days prior to each subsequent DD |
N* of DD cycles successfully concluded | 4 | 4 | 4 |
Adverse events to omalizumab | No | No | No |
DD: drug desensitization; BRCA: breast related cancer antigen; IDT: intradermal test; FIGO: Federetion of Gynecology and Obstetrics; HGSOC: high grade serous ovarian cancer; HRs: Hypersensitivity reactions; NA: not available.