Volume 10 Supplement 2

Canadian Society of Allergy and Clinical Immunology and AllerGen Abstracts 2014

Open Access

Omalizumab treatment of moderate to severe asthma in the adolescent and pediatric population

  • John O’Quinn1,
  • Stephanie Santucci1,
  • Diana Pham1,
  • Zave Chad2,
  • Ian MacLusky2,
  • Joseph Reisman2 and
  • William Yang1, 3
Allergy, Asthma & Clinical Immunology201410(Suppl 2):A34

https://doi.org/10.1186/1710-1492-10-S2-A34

Published: 18 December 2014

Background

In Canada and the US, omalizumab is indicated for adults and adolescents (>12 years of age) with moderate to severe persistent allergic asthma. In the EU, omalizumab has been approved for children (age 6 – 11 years) since 2009. The pediatric population within Canada and the United States has very few treatment options available for severe asthma. Current treatments options can lead to other health concerns such as adrenal insufficiency and osteoporosis. These cases demonstrate that early treatment of moderate to severe asthma with omalizumab is an effective treatment and can help to prevent or reverse damage done by long-term use of other treatment options.

Methods

A retrospective chart review of our database was performed and patients ≤ 17 years of age receiving omalizumab treatment were evaluated. Data was collected on FEV1, inhaled corticosteroid (ICS) and oral corticosteroid (OCS) use.

Results

12 patients were identified as 17 years old or younger at the start of treatment with omalizumab. After the first 6 months of treatment, all 12 patients showed an increase in FEV1 results and a decrease in ICS dose. Results also indicated a decrease in OCS use for those patients taking daily dose as well as those who required periodic bursts to control asthma exacerbations.

Conclusion

Early treatment of moderate to severe asthma with omalizumab in adolescent/pediatric patients may improve quality of life and help prevent health concerns associated with side effects and/or long term use of ICS and OCS in growing children. Juvenile osteoporosis can be a significant problem because it occurs during the prime bone-building years and may lead to reduced peak bone mass and increased risk for osteoporosis later in life. Regular re-evaluation of the treatment regime to ensure the use of the lowest effective dose of corticosteroids and consideration of other treatments would also be beneficial.

Authors’ Affiliations

(1)
llergy and Asthma Research Centre
(2)
Department of Pediatrics, University of Ottawa
(3)
University of Ottawa Medical School

Copyright

© O’Quinn et al; licensee BioMed Central Ltd. 2014

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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