Clinical and Translational Science (Aug 2023)

The evolving landscape of immunotherapy for the treatment of allergic conditions

  • Aarti Pandya,
  • Esosa Adah,
  • Bridgette Jones,
  • Rachel Chevalier

DOI
https://doi.org/10.1111/cts.13546
Journal volume & issue
Vol. 16, no. 8
pp. 1294 – 1308

Abstract

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Abstract Allergic conditions, such as asthma, chronic urticaria, atopic dermatitis (AD), and eosinophilic esophagitis, have long been treated with oral and topical steroids which resulted in negative off‐target effects. However, newer biologic medications are increasingly being developed and approved for treatment of these conditions. These medications have a variety of mechanisms of action to target pathophysiology specific to these diseases. As biologics become more targeted, fewer off‐target effects are seen improving tolerability for patients as well as expanded options for treatment of these conditions. This review discusses monoclonal antibody therapies (omalizumab, mepolizumab, reslizumab, benralizumab, dupilumab, tezepelumab, and tralokinumab) including their safety and use in asthma, chronic urticaria, AD, and eosinophilic esophagitis.