Ligelizumab improves angioedema, disease severity and quality-of-life in patients with chronic spontaneous urticaria
Metz, Martin (Fraunhofer Institute for Translational Medicine and Pharmacology ITMP (Berlin, Alemanya))
Bernstein, Jonathan (University of Cincinnati College of Medicine and Bernstein Clinical Research Center)
Giménez-Arnau, Ana M 1961- (Institut Hospital del Mar d'Investigacions Mèdiques)
Hide, Michihiro (Hiroshima City Hospital)
Maurer, Marcus (Fraunhofer Institute for Translational Medicine and Pharmacology ITMP)
Sitz, Karl (Little Rock Allergy and Asthma Clinic)
Soong, Weily (AllerVie Health-Alabama Allergy and Asthma Center)
Sussman, Gordon (University of Toronto)
Hua, Eva (Shanghai Novartis Trading Ltd)
Barve, Avantika (Novartis Pharmaceuticals Corporation)
Barbier, Nathalie (Novartis Pharma AG)
Balp, Maria Magdalena (Novartis Pharma AG)
Severin, Thomas (Novartis Pharma AG)
Universitat Autònoma de Barcelona

Fecha:	2022
Resumen:	Disease burden is particularly high in Chronic Spontaneous Urticaria (CSU) patients with angioedema, and patients whose signs and symptoms are inadequately controlled by H-antihistamines need new treatment options. Here we report an exploratory analysis, from the ligelizumab Phase 2b study, investigating angioedema occurrence in patients with CSU and describe the changes in angioedema following treatment with ligelizumab, omalizumab, or placebo. Data from the ligelizumab Phase 2b core (ligelizumab 72 mg, 240 mg, omalizumab 300 mg and placebo) and extension study (ligelizumab 240 mg) were used. Changes in Weekly Angioedema Activity Score (AAS7), the Dermatology Life Quality Index (DLQI), and Weekly Urticaria Activity Score (UAS7) among each time point were analyzed for each treatment arm. From a total of 297 patients analyzed, 165 (55. 6%) reported angioedema occurrence at baseline, with mean AAS7 ranging 30. 6-42. 2 across treatment arms. At Week 12 of the core study 87. 5%, 84. 6%, 75. 0%, and 61. 0% of patients were angioedema free for ligelizumab 72 mg, 240 mg, omalizumab 300 mg, and placebo arms, respectively. In CSU patients with angioedema at baseline, the largest change from baseline in AAS7 score was observed with ligelizumab 72 mg (−31. 9) at week 16 in the core study. Patients with angioedema had a higher mean DLQI at baseline (14. 9-16. 1) vs. patients without angioedema (10. 6-12. 0). In patients with angioedema, low AAS7 was significantly associated with complete response on UAS7 (UAS7 = 0) and complete normalization of DLQI (DLQI 0-1). In the Phase 2b study, ligelizumab effectively reduced angioedema and urticaria symptoms, and improve health related quality of life in patients with moderate-to-severe CSU. ; .
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Angioedema ; Chronic spontaneous urticaria ; Dermatology life quality index ; IgE ; Ligelizumab
Publicado en:	The World Allergy Organization Journal, Vol. 15 (november 2022) , ISSN 1939-4551

DOI: 10.1016/j.waojou.2022.100716
PMID: 36440464

12 p, 1.1 MB

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