Evidence map›Paper›PMID 40822749›Full record

ArticleThe World Allergy Organization journal2025

Effectiveness of transitioning from omalizumab to dupilumab in chronic spontaneous urticaria patients with inadequate response to omalizumab.

Koremasa Hayama, Mana Ito-Watanabe, Hideki Fujita

Abstract read
In one paragraph

Article in The World Allergy Organization journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Omalizumab to dupilumab switch in chronic spontaneous urticaria.The World Allergy Organization journal · 2025
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Koremasa HayamaDivision of Cutaneous Science, Department of Dermatology, Nihon University School of Medicine, Tokyo, Japan.
Mana Ito-WatanabeDivision of Cutaneous Science, Department of Dermatology, Nihon University School of Medicine, Tokyo, Japan.
Hideki FujitaDivision of Cutaneous Science, Department of Dermatology, Nihon University School of Medicine, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dupilumab is effective for chronic spontaneous urticaria (CSU), but its clinical benefit of switching to dupilumab in omalizumab-resistant CSU remains unclear. This prospective pilot study evaluated the effectiveness of dupilumab in 12 CSU patients whose Urticaria Control Test (UCT) scores remained <12 after receiving at least 4 doses of omalizumab. Patients were transitioned to dupilumab after inadequate response to omalizumab. UCT scores were assessed at baseline, and 1 and 4 months after starting dupilumab. Laboratory parameters including eosinophil and basophil counts, total IgE, C-reactive protein, and anti-thyroid peroxidase antibody levels were also evaluated. The mean UCT score at the initiation of dupilumab was 6.5 ± 2.2, improving to 8.4 ± 3.0 at 1 month (P = 0.016) and 8.1 ± 3.9 at 4 months (P = 0.045), compared to 4.9 ± 3.1 before omalizumab treatment. Three patients achieved UCT ≥12 after switching to dupilumab. No significant differences were found in clinical characteristics or laboratory markers between effective and ineffective groups. Interestingly, 3 patients who returned to omalizumab after inadequate response to dupilumab achieved UCT ≥12. Dupilumab may improve disease control in a subset of omalizumab-resistant CSU patients. Further studies are needed to identify which patients benefit most from switching therapies.

Indexed as

Chronic spontaneous urticariaDupilumabImmunoglobulin EInterleukin-4Omalizumab

Identifiers

PMID40822749
PMCPMC12355504

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.