A Pilot Study of Omalizumab to Treat Severe Allergic Asthma in South Indian Population

Authors

Abstract

Background: Asthma is a respiratory disease that affects your lungs. In asthma, airways of the lungs constrict due to swelling and accumulation of mucus. Newer remedies known as targeted therapies have evolved as a result of advancements in medical research, greatly relieving these patients. The biologics used in the severe allergic asthma is Omalizumab.

Purpose: Demonstrating the clinical efficacy of Omalizumab in severe allergic asthma by reducing exacerbation rates and increasing quality of life.

Methods: A single-arm prospective pilot study of omalizumab in severe allergic asthma was conducted in a tertiary care hospital for the duration of one year with the help of Asthma Quality of Life Questionnaire (AQLQ).

Results and discussions: On an initial dose of omalizumab of 150 mg in 2 vials subcutaneously every month for 6 months, among our study population, 45% of the patients had their symptoms improve more than they had with prior medications. Results show that the patient's overall score has improved by nearly 50%. This shows that omalizumab improves the quality of life of severe asthmatic patients.

Conclusion: Patients treated with omalizumab have improved their clinical conditions and quality of life, and it can prevent exacerbations by controlling the severity of the condition.

Keywords: AQLQ, Allergic asthma, Exacerbation, IgE, Omalizumab.

Keywords:

AQLQ, Allergic asthma, Exacerbation, IgE, Omalizumab

DOI

https://doi.org/10.22270/jddt.v12i6-S.5855

Author Biographies

D Harshidha, Pharm. D Intern, Department of Pharmacy Practice, C L Baid Metha College of Pharmacy, Chennai, Tamil Nadu

Pharm. D Intern, Department of Pharmacy Practice, C L Baid Metha College of Pharmacy, Chennai, Tamil Nadu

G Dinesh Kumar, Pharm. D Intern, Department of Pharmacy Practice, C L Baid Metha College of Pharmacy, Chennai, Tamil Nadu

Pharm. D Intern, Department of Pharmacy Practice, C L Baid Metha College of Pharmacy, Chennai, Tamil Nadu

Promoth Kumar Ektha, Pharm. D Intern, Department of Pharmacy Practice, C L Baid Metha College of Pharmacy, Chennai, Tamil Nadu

Pharm. D Intern, Department of Pharmacy Practice, C L Baid Metha College of Pharmacy, Chennai, Tamil Nadu

T Dinesh, Pharm. D Intern, Department of Pharmacy Practice, C L Baid Metha College of Pharmacy, Chennai, Tamil Nadu

Pharm. D Intern, Department of Pharmacy Practice, C L Baid Metha College of Pharmacy, Chennai, Tamil Nadu

T Divya, Pharm. D Intern, Department of Pharmacy Practice, C L Baid Metha College of Pharmacy, Chennai, Tamil Nadu

Pharm. D Intern, Department of Pharmacy Practice, C L Baid Metha College of Pharmacy, Chennai, Tamil Nadu

References

Astrazeneca.in. [cited 2022 Oct 11]. Available from: https://www.astrazeneca.in/content/dam/az-in/pdf/PDF/Asthma/Types%20of%20Asthma.pdf

India State-Level Disease Burden Initiative CRD Collaborators. The burden of chronic respiratory diseases and their heterogeneity across the states of India: the Global Burden of Disease Study 1990-2016. Lancet Glob Health [Internet]. 2018; 6(12):e1363–74. Available from: http://dx.doi.org/10.1016/S2214-109X(18)30409-1

Singh S, Sharma BB, Sharma SK, Sabir M, Singh V, ISAAC collaborating investigators. Prevalence and severity of asthma among Indian school children aged between 6 and 14 years: associations with parental smoking and traffic pollution. J Asthma [Internet]. 2016; 53(3):238–44. Available from: http://dx.doi.org/10.3109/02770903.2015.1087558

Jindal SK, Aggarwal AN, Gupta D, Agarwal R, Kumar R, Kaur T, et al. Indian study on epidemiology of asthma, respiratory symptoms and chronic bronchitis in adults (INSEARCH). Int J Tuberc Lung Dis [Internet]. 2012; 16(9):1270–7. Available from: http://dx.doi.org/10.5588/ijtld.12.0005

Singh S, Salvi S, Mangal DK, Singh M, Awasthi S, Mahesh PA, et al. Prevalence, time trends and treatment practices of asthma in India: the Global Asthma Network study. ERJ Open Res [Internet]. 2022; 8(2):00528–2021. Available from: http://dx.doi.org/10.1183/23120541.00528-2021

CDC. Asthma [Internet]. Centers for Disease Control and Prevention. 2022 [cited 2022 Oct 11]. Available from: https://www.cdc.gov/asthma/default.htm

Loureiro CC, Amaral L, Ferreira JA, Lima R, Pardal C, Fernandes I, et al. Omalizumab for severe asthma: Beyond allergic asthma. Biomed Res Int [Internet]. 2018 [cited 2022 Oct 11]; 2018:3254094. Available from: https://www.hindawi.com/journals/bmri/2018/3254094/

Godse K, Mehta A, Patil S, Gautam M, Nadkarni N. Omalizumab-A review. Indian J Dermatol [Internet]. 2015 [cited 2022 Oct 14];60(4):381–4. Available from: http://dx.doi.org/10.4103/0019-5154.160490

Kaplan AP, Giménez-Arnau AM, Saini SS. Mechanisms of action that contribute to efficacy of omalizumab in chronic spontaneous urticaria. Allergy [Internet]. 2017 [cited 2022 Oct 14]; 72(4):519–33. Available from: http://dx.doi.org/10.1111/all.13083

Hanania NA, Alpan O, Hamilos DL, Condemi JJ, Reyes-Rivera I, Zhu J, et al. Omalizumab in severe allergic asthma inadequately controlled with standard therapy: a randomized trial: A randomized trial. Ann Intern Med [Internet]. 2011; 154(9):573–82. Available from: http://dx.doi.org/10.7326/0003-4819-154-9-201105030-00002

Barnes N, Menzies-Gow A, Mansur AH, Spencer D, Percival F, Radwan A, et al. Effectiveness of omalizumab in severe allergic asthma: a retrospective UK real-world study. J Asthma [Internet]. 2013 [cited 2022 Nov 19]; 50(5):529–36. Available from: https://pubmed.ncbi.nlm.nih.gov/23574000/

Published

2022-12-15
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How to Cite

1.
Harshidha D, Dinesh Kumar G, Ektha PK, Dinesh T, Divya T. A Pilot Study of Omalizumab to Treat Severe Allergic Asthma in South Indian Population. J. Drug Delivery Ther. [Internet]. 2022 Dec. 15 [cited 2025 Oct. 25];12(6-S):21-3. Available from: https://www.jddtonline.info/index.php/jddt/article/view/5855

How to Cite

1.
Harshidha D, Dinesh Kumar G, Ektha PK, Dinesh T, Divya T. A Pilot Study of Omalizumab to Treat Severe Allergic Asthma in South Indian Population. J. Drug Delivery Ther. [Internet]. 2022 Dec. 15 [cited 2025 Oct. 25];12(6-S):21-3. Available from: https://www.jddtonline.info/index.php/jddt/article/view/5855