Omalizumab for treatment of anti-GD2 antibody-related urticaria Journal Article


Authors: Glincher, R.; Lentini-Rivera, A.; Jones, L. A.; D'Andrea, L.; Durney, C.; Kasper, C.; Lin, Y.; Shrager, L.; Markova, A.; Lacouture, M.; Modak, S.
Article Title: Omalizumab for treatment of anti-GD2 antibody-related urticaria
Abstract: Outcomes for high-risk neuroblastoma have improved with the addition of antidisialoganglioside (GD2) antibody-mediated immunotherapy to multimodality therapy. Urticaria is an expected side effect of anti-GD2 immunotherapy. Rarely, despite maximal use of antihistamines and H2 receptor antagonists, refractory urticaria can result in impaired quality of life, and delays or discontinuation of immunotherapy. The anti-IgE monoclonal antibody, omalizumab, is approved for the treatment of asthma and chronic spontaneous urticaria. We successfully managed grade 3, naxitamab-related urticaria refractory to standard management in 2 patients using omalizumab, allowing for continued anti-GD2 immunotherapy. Omalizumab did not impact antitumor activity or immunogenicity of naxitamab. Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.
Keywords: child; clinical article; preschool child; school child; child, preschool; unclassified drug; case report; drug withdrawal; temozolomide; quality of life; multiple cycle treatment; phase 2 clinical trial; bone marrow; granulocyte macrophage colony stimulating factor; antineoplastic activity; high risk patient; irinotecan; immunology; neuroblastoma; immunogenicity; outcomes research; methylprednisolone; asthma; drug therapy; urticaria; antihistaminic agent; diphenhydramine; premedication; immunoglobulin e; gangliosides; ganglioside; histamine h2 receptor antagonist; ganglioside, gd2; ganglioside antibody; hydroxyzine; loratadine; famotidine; chemoimmunotherapy; cetirizine; humans; human; male; female; article; immunoglobulin antibody; dinutuximab; omalizumab; naxitamab; anti-allergic agents; anti disialoganglioside antibody; antiallergic agent
Journal Title: Journal of Pediatric Hematology/Oncology
Volume: 46
Issue: 7
ISSN: 1077-4114
Publisher: Lippincott Williams & Wilkins  
Date Published: 2024-10-01
Start Page: e531
End Page: e533
Language: English
DOI: 10.1097/mph.0000000000002939
PUBMED: 39177945
PROVIDER: scopus
PMCID: PMC12103884
DOI/URL:
Notes: Article -- MSK Cancer Center Support Grant (P30 CA008748) acknowledged in PDF -- MSK corresponding author is Shakeel Modak -- Source: Scopus
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MSK Authors
  1. Mario E Lacouture
    457 Lacouture
  2. Shakeel Modak
    249 Modak
  3. Yi-Chih Lin
    3 Lin
  4. Latisha A Jones
    1 Jones
  5. Christina M Durney
    2 Durney
  6. Alina Markova
    87 Markova
  7. Christine Kasper
    2 Kasper