The impact of home treatment and self-administration of omalizumab on chronic urticaria

Background: Patients suffering from Chronic Spontaneous Urticaria (CSU) may be recalcitrant to treatment with high dose second-generation antihistamines. These patients are, according to international guidelines, eligible to treatment with omalizumab. Treatment with omalizumab has proven to be very...

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Main Authors: Anne Christine Wiuff, MBBS, Malthe Alexander Knudsgaard Wiis, MBBS, Sofine Heilskov, MD, Anne Sofie Frølunde, MD, Jennifer Astrup Sørensen, MD, Mette Deleuran, MD, DMSc, Simon Francis Thomsen, MD, PhD, DMSc, Christian Vestergaard, MD, PhD, DMSc
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:World Allergy Organization Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1939455122001016
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author Anne Christine Wiuff, MBBS
Malthe Alexander Knudsgaard Wiis, MBBS
Sofine Heilskov, MD
Anne Sofie Frølunde, MD
Jennifer Astrup Sørensen, MD
Mette Deleuran, MD, DMSc
Simon Francis Thomsen, MD, PhD, DMSc
Christian Vestergaard, MD, PhD, DMSc
author_facet Anne Christine Wiuff, MBBS
Malthe Alexander Knudsgaard Wiis, MBBS
Sofine Heilskov, MD
Anne Sofie Frølunde, MD
Jennifer Astrup Sørensen, MD
Mette Deleuran, MD, DMSc
Simon Francis Thomsen, MD, PhD, DMSc
Christian Vestergaard, MD, PhD, DMSc
author_sort Anne Christine Wiuff, MBBS
collection DOAJ
description Background: Patients suffering from Chronic Spontaneous Urticaria (CSU) may be recalcitrant to treatment with high dose second-generation antihistamines. These patients are, according to international guidelines, eligible to treatment with omalizumab. Treatment with omalizumab has proven to be very effective for this group of patients. Until 2018, when the self-administration of omalizumab was approved, patients have had to visit an outpatient clinic to receive the treatment. Methods: In this study we performed a survey among 75 CSU patients who had changed their treatment from administration at an outpatient clinic to self-administration at home. Results: None of the patients experienced decreased effect of the treatment with omalizumab, whereas 41.4% reported improved effect of the treatment during self-administration.The most common reported benefits for the patients were decreased travel time and the ability to choose dosing time at the day of treatment, whereas the most reported concern was fear of performing the injection. Conclusions: Patients are very content with self-administration of omalizumab. There has been no decreased effect of the treatment, and as discussed in this paper, there might be other societal benefits from self-administration. Thus, self-administration at home of omalizumab should be standard of care when using this treatment.
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spelling doaj.art-b27f7204e6fe4bc280fcbc686aa964152022-12-22T04:23:14ZengElsevierWorld Allergy Organization Journal1939-45512022-12-011512100725The impact of home treatment and self-administration of omalizumab on chronic urticariaAnne Christine Wiuff, MBBS0Malthe Alexander Knudsgaard Wiis, MBBS1Sofine Heilskov, MD2Anne Sofie Frølunde, MD3Jennifer Astrup Sørensen, MD4Mette Deleuran, MD, DMSc5Simon Francis Thomsen, MD, PhD, DMSc6Christian Vestergaard, MD, PhD, DMSc7Department of Dermatology, Aarhus University Hospital, Aarhus, DenmarkDepartment of Dermatology, Aarhus University Hospital, Aarhus, DenmarkDepartment of Dermatology, Aarhus University Hospital, Aarhus, DenmarkDepartment of Dermatology, Aarhus University Hospital, Aarhus, DenmarkDepartment of Dermatology, Bispebjerg Hospital, Copenhagen, DenmarkDepartment of Dermatology, Aarhus University Hospital, Aarhus, DenmarkDepartment of Dermatology, Bispebjerg Hospital, Copenhagen, DenmarkDepartment of Dermatology, Aarhus University Hospital, Aarhus, Denmark; Corresponding author. Department of Dermatology, Aarhus University Hospital, 8200 Aarhus N, DenmarkBackground: Patients suffering from Chronic Spontaneous Urticaria (CSU) may be recalcitrant to treatment with high dose second-generation antihistamines. These patients are, according to international guidelines, eligible to treatment with omalizumab. Treatment with omalizumab has proven to be very effective for this group of patients. Until 2018, when the self-administration of omalizumab was approved, patients have had to visit an outpatient clinic to receive the treatment. Methods: In this study we performed a survey among 75 CSU patients who had changed their treatment from administration at an outpatient clinic to self-administration at home. Results: None of the patients experienced decreased effect of the treatment with omalizumab, whereas 41.4% reported improved effect of the treatment during self-administration.The most common reported benefits for the patients were decreased travel time and the ability to choose dosing time at the day of treatment, whereas the most reported concern was fear of performing the injection. Conclusions: Patients are very content with self-administration of omalizumab. There has been no decreased effect of the treatment, and as discussed in this paper, there might be other societal benefits from self-administration. Thus, self-administration at home of omalizumab should be standard of care when using this treatment.http://www.sciencedirect.com/science/article/pii/S1939455122001016Chronic spontaneous urticariaOmalizumabSelf-administrationHome-treatmentPatient satisfaction
spellingShingle Anne Christine Wiuff, MBBS
Malthe Alexander Knudsgaard Wiis, MBBS
Sofine Heilskov, MD
Anne Sofie Frølunde, MD
Jennifer Astrup Sørensen, MD
Mette Deleuran, MD, DMSc
Simon Francis Thomsen, MD, PhD, DMSc
Christian Vestergaard, MD, PhD, DMSc
The impact of home treatment and self-administration of omalizumab on chronic urticaria
World Allergy Organization Journal
Chronic spontaneous urticaria
Omalizumab
Self-administration
Home-treatment
Patient satisfaction
title The impact of home treatment and self-administration of omalizumab on chronic urticaria
title_full The impact of home treatment and self-administration of omalizumab on chronic urticaria
title_fullStr The impact of home treatment and self-administration of omalizumab on chronic urticaria
title_full_unstemmed The impact of home treatment and self-administration of omalizumab on chronic urticaria
title_short The impact of home treatment and self-administration of omalizumab on chronic urticaria
title_sort impact of home treatment and self administration of omalizumab on chronic urticaria
topic Chronic spontaneous urticaria
Omalizumab
Self-administration
Home-treatment
Patient satisfaction
url http://www.sciencedirect.com/science/article/pii/S1939455122001016
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