Trial Outcomes & Findings for Pharmacosurveillance Data Repository of Patients With and Without History of Anaphylactic Reactions Subsequent to Xolair Dosing (NCT NCT00813748)

NCT ID: NCT00813748

Last Updated: 2017-07-11

Results Overview

Clinical signs and symptoms of adjudicated anaphylaxis events included: Cutaneous/Subcutaneous/Mucosal, Respiratory (R), Cardiovascular (CV), and Gastrointestinal (GIT) signs and symptoms.

Recruitment status

COMPLETED

Target enrollment

118 participants

Primary outcome timeframe

Baseline (Enrollment Visit)

Results posted on

2017-07-11

Participant Flow

Participant milestones

Participant milestones
Measure
Omalizumab Cases
Participants who received omalizumab (Xolair) and had anaphylaxis and/or severe hypersensitivity reactions which were adjudicated by an independent clinical expert to determine that they qualified as anaphylaxis or anaphylactoid reactions on the basis of the Sampson Criteria.
Omalizumab Controls
Participants who received omalizumab within 18 months (either before or after) of the matched case participant's anaphylaxis occurrence (index date) and had not experienced anaphylaxis and/or severe hypersensitivity reactions subsequent to omalizumab dosing and were from the same site or region for their matched anaphylaxis case participant.
Main Observational Study
STARTED
30
88
Main Observational Study
COMPLETED
30
88
Main Observational Study
NOT COMPLETED
0
0
Skin Test Substudy
STARTED
3
8
Skin Test Substudy
COMPLETED
3
7
Skin Test Substudy
NOT COMPLETED
0
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Omalizumab Cases
Participants who received omalizumab (Xolair) and had anaphylaxis and/or severe hypersensitivity reactions which were adjudicated by an independent clinical expert to determine that they qualified as anaphylaxis or anaphylactoid reactions on the basis of the Sampson Criteria.
Omalizumab Controls
Participants who received omalizumab within 18 months (either before or after) of the matched case participant's anaphylaxis occurrence (index date) and had not experienced anaphylaxis and/or severe hypersensitivity reactions subsequent to omalizumab dosing and were from the same site or region for their matched anaphylaxis case participant.
Skin Test Substudy
Physician Decision
0
1

Baseline Characteristics

Pharmacosurveillance Data Repository of Patients With and Without History of Anaphylactic Reactions Subsequent to Xolair Dosing

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Omalizumab Cases
n=30 Participants
Participants who received omalizumab and had anaphylaxis and/or severe hypersensitivity reactions which were adjudicated by an independent clinical expert to determine that they qualified as anaphylaxis or anaphylactoid reactions on the basis of the Sampson Criteria.
Omalizumab Controls
n=88 Participants
Participants who received omalizumab within 18 months (either before or after) of the matched case participant's anaphylaxis occurrence (index date) and had not experienced anaphylaxis and/or severe hypersensitivity reactions subsequent to omalizumab dosing and were from the same site or region for their matched anaphylaxis case participant.
Total
n=118 Participants
Total of all reporting groups
Age, Continuous
42.7 years
STANDARD_DEVIATION 16.41 • n=93 Participants
45.4 years
STANDARD_DEVIATION 15.40 • n=4 Participants
44.7 years
STANDARD_DEVIATION 15.64 • n=27 Participants
Sex: Female, Male
Female
27 Participants
n=93 Participants
60 Participants
n=4 Participants
87 Participants
n=27 Participants
Sex: Female, Male
Male
3 Participants
n=93 Participants
28 Participants
n=4 Participants
31 Participants
n=27 Participants

PRIMARY outcome

Timeframe: Baseline (Enrollment Visit)

Population: All enrolled participants.

Clinical signs and symptoms of adjudicated anaphylaxis events included: Cutaneous/Subcutaneous/Mucosal, Respiratory (R), Cardiovascular (CV), and Gastrointestinal (GIT) signs and symptoms.

Outcome measures

Outcome measures
Measure
Omalizumab Cases
n=30 Participants
Participants who received omalizumab and had anaphylaxis and/or severe hypersensitivity reactions which were adjudicated by an independent clinical expert to determine that they qualified as anaphylaxis or anaphylactoid reactions on the basis of the Sampson Criteria.
Omalizumab Controls
Participants who received omalizumab within 18 months (either before or after) of the matched case participant's anaphylaxis occurrence (index date) and had not experienced anaphylaxis and/or severe hypersensitivity reactions subsequent to omalizumab dosing and were from the same site or region for their matched anaphylaxis case participant.
Number of Participants With Clinical Signs and Symptoms of Adjudicated Anaphylaxis Events - Case Participants
Cutaneous/Subcutaneous/Mucosal + R + CV
2 participants
Number of Participants With Clinical Signs and Symptoms of Adjudicated Anaphylaxis Events - Case Participants
Cutaneous/Subcutaneous/Mucosal + R
24 participants
Number of Participants With Clinical Signs and Symptoms of Adjudicated Anaphylaxis Events - Case Participants
Cutaneous/Subcutaneous/Mucosal + R + GIT
1 participants
Number of Participants With Clinical Signs and Symptoms of Adjudicated Anaphylaxis Events - Case Participants
Cutaneous/Subcutaneous/Mucosal + CV
1 participants
Number of Participants With Clinical Signs and Symptoms of Adjudicated Anaphylaxis Events - Case Participants
R + CV + GIT
1 participants
Number of Participants With Clinical Signs and Symptoms of Adjudicated Anaphylaxis Events - Case Participants
CV
1 participants

PRIMARY outcome

Timeframe: Baseline (Enrollment Visit)

Population: All enrolled participants. Here, number of participants analyzed signifies participants with available data for this outcome.

Outcome measures

Outcome measures
Measure
Omalizumab Cases
n=27 Participants
Participants who received omalizumab and had anaphylaxis and/or severe hypersensitivity reactions which were adjudicated by an independent clinical expert to determine that they qualified as anaphylaxis or anaphylactoid reactions on the basis of the Sampson Criteria.
Omalizumab Controls
Participants who received omalizumab within 18 months (either before or after) of the matched case participant's anaphylaxis occurrence (index date) and had not experienced anaphylaxis and/or severe hypersensitivity reactions subsequent to omalizumab dosing and were from the same site or region for their matched anaphylaxis case participant.
Time From Last Omalizumab Dose to Adjudicated Anaphylactic Symptoms - Case Participants
30 minutes
Interval 0.0 to 210.0

PRIMARY outcome

Timeframe: Baseline (Enrollment Visit)

Population: All enrolled participants.

Time from last omalizumab dose to adjudicated anaphylactic symptoms was classified as: less than (\<) 30 minutes, 30-60 minutes, greater than (\>) 60-90 minutes, \>90-120 minutes, \>120 minutes to 360 minutes, and missing. Number of participants in each time category is reported.

Outcome measures

Outcome measures
Measure
Omalizumab Cases
n=30 Participants
Participants who received omalizumab and had anaphylaxis and/or severe hypersensitivity reactions which were adjudicated by an independent clinical expert to determine that they qualified as anaphylaxis or anaphylactoid reactions on the basis of the Sampson Criteria.
Omalizumab Controls
Participants who received omalizumab within 18 months (either before or after) of the matched case participant's anaphylaxis occurrence (index date) and had not experienced anaphylaxis and/or severe hypersensitivity reactions subsequent to omalizumab dosing and were from the same site or region for their matched anaphylaxis case participant.
Categorical Time From Last Omalizumab Dose to Adjudicated Anaphylactic Symptoms - Case Participants
>60-90 minutes
3 participants
Categorical Time From Last Omalizumab Dose to Adjudicated Anaphylactic Symptoms - Case Participants
<30 minutes
13 participants
Categorical Time From Last Omalizumab Dose to Adjudicated Anaphylactic Symptoms - Case Participants
30-60 minutes
8 participants
Categorical Time From Last Omalizumab Dose to Adjudicated Anaphylactic Symptoms - Case Participants
>90-120 minutes
2 participants
Categorical Time From Last Omalizumab Dose to Adjudicated Anaphylactic Symptoms - Case Participants
>120-360 minutes
1 participants
Categorical Time From Last Omalizumab Dose to Adjudicated Anaphylactic Symptoms - Case Participants
Missing
3 participants

PRIMARY outcome

Timeframe: Baseline (Enrollment Visit)

Population: All enrolled participants.

Omalizumab doses were classified as: 1 dose, 2 doses, 3 doses, 4-20 doses, 21-40 doses, 41-60 doses, \>60 doses, and missing. Number of participants in each dose category is reported.

Outcome measures

Outcome measures
Measure
Omalizumab Cases
n=30 Participants
Participants who received omalizumab and had anaphylaxis and/or severe hypersensitivity reactions which were adjudicated by an independent clinical expert to determine that they qualified as anaphylaxis or anaphylactoid reactions on the basis of the Sampson Criteria.
Omalizumab Controls
Participants who received omalizumab within 18 months (either before or after) of the matched case participant's anaphylaxis occurrence (index date) and had not experienced anaphylaxis and/or severe hypersensitivity reactions subsequent to omalizumab dosing and were from the same site or region for their matched anaphylaxis case participant.
Total Omalizumab Doses Received When Adjudicated Anaphylactic Event Occurred - Case Participants
1 Dose
6 participants
Total Omalizumab Doses Received When Adjudicated Anaphylactic Event Occurred - Case Participants
2 Doses
3 participants
Total Omalizumab Doses Received When Adjudicated Anaphylactic Event Occurred - Case Participants
3 Doses
2 participants
Total Omalizumab Doses Received When Adjudicated Anaphylactic Event Occurred - Case Participants
4-20 Doses
8 participants
Total Omalizumab Doses Received When Adjudicated Anaphylactic Event Occurred - Case Participants
21-40 Doses
4 participants
Total Omalizumab Doses Received When Adjudicated Anaphylactic Event Occurred - Case Participants
41-60 Doses
4 participants
Total Omalizumab Doses Received When Adjudicated Anaphylactic Event Occurred - Case Participants
>60 Doses
1 participants
Total Omalizumab Doses Received When Adjudicated Anaphylactic Event Occurred - Case Participants
Missing
2 participants

PRIMARY outcome

Timeframe: Baseline (Enrollment Visit)

Population: All enrolled participants.

Treatment received following adjudicated anaphylactic event was classified as: antihistamine, epinephrine, inhaled beta agonists, systemic corticosteroids, and other. Number of participants in each treatment category is reported. Participants could have received more than 1 treatment.

Outcome measures

Outcome measures
Measure
Omalizumab Cases
n=30 Participants
Participants who received omalizumab and had anaphylaxis and/or severe hypersensitivity reactions which were adjudicated by an independent clinical expert to determine that they qualified as anaphylaxis or anaphylactoid reactions on the basis of the Sampson Criteria.
Omalizumab Controls
Participants who received omalizumab within 18 months (either before or after) of the matched case participant's anaphylaxis occurrence (index date) and had not experienced anaphylaxis and/or severe hypersensitivity reactions subsequent to omalizumab dosing and were from the same site or region for their matched anaphylaxis case participant.
Treatment Received Following Adjudicated Anaphylactic Event - Case Participants
Antihistamine
23 participants
Treatment Received Following Adjudicated Anaphylactic Event - Case Participants
Epinephrine
21 participants
Treatment Received Following Adjudicated Anaphylactic Event - Case Participants
Inhaled Beta Agonists
13 participants
Treatment Received Following Adjudicated Anaphylactic Event - Case Participants
Systemic Corticosteroids
19 participants
Treatment Received Following Adjudicated Anaphylactic Event - Case Participants
Other
6 participants

PRIMARY outcome

Timeframe: Baseline (Enrollment Visit)

Population: All enrolled participants.

Outcomes of adjudicated anaphylactic event were classified as: death, life-threatening, required in-patient hospitalization or its prolongation, disabling, congenital anomaly/birth defect in offspring of participant, and other (outcome did not meet any of the above criteria, but may jeopardize the participant, and may require medical or surgical intervention to prevent one of the outcomes listed above). Number of participants in each outcome category is reported. Only outcomes with results are reported.

Outcome measures

Outcome measures
Measure
Omalizumab Cases
n=30 Participants
Participants who received omalizumab and had anaphylaxis and/or severe hypersensitivity reactions which were adjudicated by an independent clinical expert to determine that they qualified as anaphylaxis or anaphylactoid reactions on the basis of the Sampson Criteria.
Omalizumab Controls
Participants who received omalizumab within 18 months (either before or after) of the matched case participant's anaphylaxis occurrence (index date) and had not experienced anaphylaxis and/or severe hypersensitivity reactions subsequent to omalizumab dosing and were from the same site or region for their matched anaphylaxis case participant.
Outcome Attributed to Adjudicated Anaphylactic Event - Case Participants
Life-Threatening
12 participants
Outcome Attributed to Adjudicated Anaphylactic Event - Case Participants
In-Patient Hospitalization or its Prolongation
6 participants
Outcome Attributed to Adjudicated Anaphylactic Event - Case Participants
Other
12 participants

PRIMARY outcome

Timeframe: Baseline (Enrollment Visit)

Population: All enrolled participants.

Outcome measures

Outcome measures
Measure
Omalizumab Cases
n=30 Participants
Participants who received omalizumab and had anaphylaxis and/or severe hypersensitivity reactions which were adjudicated by an independent clinical expert to determine that they qualified as anaphylaxis or anaphylactoid reactions on the basis of the Sampson Criteria.
Omalizumab Controls
Participants who received omalizumab within 18 months (either before or after) of the matched case participant's anaphylaxis occurrence (index date) and had not experienced anaphylaxis and/or severe hypersensitivity reactions subsequent to omalizumab dosing and were from the same site or region for their matched anaphylaxis case participant.
Number of Participants Reinitiating Omalizumab After Adjudicated Anaphylactic Event - Case Participants
4 participants

PRIMARY outcome

Timeframe: Baseline (Enrollment Visit)

Population: All enrolled participants.

Outcome measures

Outcome measures
Measure
Omalizumab Cases
n=30 Participants
Participants who received omalizumab and had anaphylaxis and/or severe hypersensitivity reactions which were adjudicated by an independent clinical expert to determine that they qualified as anaphylaxis or anaphylactoid reactions on the basis of the Sampson Criteria.
Omalizumab Controls
Participants who received omalizumab within 18 months (either before or after) of the matched case participant's anaphylaxis occurrence (index date) and had not experienced anaphylaxis and/or severe hypersensitivity reactions subsequent to omalizumab dosing and were from the same site or region for their matched anaphylaxis case participant.
Number of Participants With Prior Unadjudicated Anaphylactic Events - Case Participants
7 participants

PRIMARY outcome

Timeframe: Baseline (Enrollment Visit)

Population: All enrolled participants. Here, number of participants analyzed signifies participants with available data for this outcome.

Treatment received following prior unadjudicated anaphylactic events was classified as: antihistamine, epinephrine, inhaled beta agonists, systemic corticosteroids, and other. Number of participants in each treatment category is reported. Participants could have received more than 1 treatment.

Outcome measures

Outcome measures
Measure
Omalizumab Cases
n=5 Participants
Participants who received omalizumab and had anaphylaxis and/or severe hypersensitivity reactions which were adjudicated by an independent clinical expert to determine that they qualified as anaphylaxis or anaphylactoid reactions on the basis of the Sampson Criteria.
Omalizumab Controls
Participants who received omalizumab within 18 months (either before or after) of the matched case participant's anaphylaxis occurrence (index date) and had not experienced anaphylaxis and/or severe hypersensitivity reactions subsequent to omalizumab dosing and were from the same site or region for their matched anaphylaxis case participant.
Treatment Following Prior Unadjudicated Anaphylactic Events - Case Participants
Antihistamine
4 participants
Treatment Following Prior Unadjudicated Anaphylactic Events - Case Participants
Epinephrine
2 participants
Treatment Following Prior Unadjudicated Anaphylactic Events - Case Participants
Inhaled Beta Agonists
3 participants
Treatment Following Prior Unadjudicated Anaphylactic Events - Case Participants
Systemic Corticosteroids
1 participants
Treatment Following Prior Unadjudicated Anaphylactic Events - Case Participants
Other
1 participants

PRIMARY outcome

Timeframe: Baseline (Enrollment Visit)

Population: All enrolled participants.

Outcome measures

Outcome measures
Measure
Omalizumab Cases
n=30 Participants
Participants who received omalizumab and had anaphylaxis and/or severe hypersensitivity reactions which were adjudicated by an independent clinical expert to determine that they qualified as anaphylaxis or anaphylactoid reactions on the basis of the Sampson Criteria.
Omalizumab Controls
Participants who received omalizumab within 18 months (either before or after) of the matched case participant's anaphylaxis occurrence (index date) and had not experienced anaphylaxis and/or severe hypersensitivity reactions subsequent to omalizumab dosing and were from the same site or region for their matched anaphylaxis case participant.
Number of Participants With Subsequent Unadjudicated Anaphylactic Events - Case Participants
3 participants

PRIMARY outcome

Timeframe: Baseline (Enrollment Visit)

Population: All enrolled participants. Here, number of participants analyzed signifies participants with available data for this outcome.

Treatment received following subsequent unadjudicated anaphylactic event was classified as: antihistamine, epinephrine, inhaled beta agonists, systemic corticosteroids, and other. Number of participants in each treatment category is reported. Participants could have received more than 1 treatment.

Outcome measures

Outcome measures
Measure
Omalizumab Cases
n=3 Participants
Participants who received omalizumab and had anaphylaxis and/or severe hypersensitivity reactions which were adjudicated by an independent clinical expert to determine that they qualified as anaphylaxis or anaphylactoid reactions on the basis of the Sampson Criteria.
Omalizumab Controls
Participants who received omalizumab within 18 months (either before or after) of the matched case participant's anaphylaxis occurrence (index date) and had not experienced anaphylaxis and/or severe hypersensitivity reactions subsequent to omalizumab dosing and were from the same site or region for their matched anaphylaxis case participant.
Treatment Following Subsequent Unadjudicated Anaphylactic Events - Case Participants
Antihistamine
1 participants
Treatment Following Subsequent Unadjudicated Anaphylactic Events - Case Participants
Epinephrine
1 participants
Treatment Following Subsequent Unadjudicated Anaphylactic Events - Case Participants
Inhaled Beta Agonists
1 participants
Treatment Following Subsequent Unadjudicated Anaphylactic Events - Case Participants
Systemic Corticosteroids
1 participants
Treatment Following Subsequent Unadjudicated Anaphylactic Events - Case Participants
Other
1 participants

PRIMARY outcome

Timeframe: Baseline (Enrollment Visit)

Population: All enrolled participants.

Number of participants in each medication class is reported. Participants could have received more than 1 medication class. NEC: Not Elsewhere Classified.

Outcome measures

Outcome measures
Measure
Omalizumab Cases
n=30 Participants
Participants who received omalizumab and had anaphylaxis and/or severe hypersensitivity reactions which were adjudicated by an independent clinical expert to determine that they qualified as anaphylaxis or anaphylactoid reactions on the basis of the Sampson Criteria.
Omalizumab Controls
Participants who received omalizumab within 18 months (either before or after) of the matched case participant's anaphylaxis occurrence (index date) and had not experienced anaphylaxis and/or severe hypersensitivity reactions subsequent to omalizumab dosing and were from the same site or region for their matched anaphylaxis case participant.
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Calcium Channel Blocking Agents
3 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Cephalosporin Antibiotics
1 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
5-Hydroxytryptamine Receptor 1 (5-HT1) Agonists
1 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Adrenergics/Sympathomimetics
3 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Aminoglycoside Antimicrobials
1 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Analgesic/Other Drug Combinations
2 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Analgesics
4 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Angiotensin II Receptor Antagonists
2 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Antacids NEC
1 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Antianxiety Agents
1 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Antidepressants NEC
1 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Antidiuretics
1 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Antiemetics NEC
2 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Antihistamines
16 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Antipsychotic and Antimanic Agents
2 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Benzodiazepines
6 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Biguanides
1 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Bisphosphonates
1 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Bronchodilators and Antiasthmatics
29 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Cough Preparations
2 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Diuretics NEC
1 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Glycopeptide Antibiotics
1 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Herbal,Homeopathic,& Dietary Supplements
1 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Histamine H2-receptor Antagonists
3 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Laxatives and Stool Softeners
1 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Leukotriene Receptor Antagonists
21 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Macrolide Antibiotics
2 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Miscellaneous Gastrointestinal Agents
1 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Muscle Relaxants
1 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Non-steroidal Anti-inflammatories
2 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Opioid Analgesics
1 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Penicillins
1 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Peripheral and Cerebral Vascular Agents
1 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Proton Pump Inhibitors
10 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Salicylates
1 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Sedatives and Hypnotics
1 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Selective Serotonin Re-uptake Inhibitors
4 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Sex Hormones
3 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Statins
2 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Steroid/Other Drug Combinations
1 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Steroids
22 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Supplements
2 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Thiazide Diuretics
1 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Thyroid Hormones
4 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Tricyclic Antidepressants
4 participants
Medications Received Within Two Weeks Prior to the Adjudicated Anaphylactic Event - Case Participants
Vitamins and Minerals
2 participants

PRIMARY outcome

Timeframe: Baseline (Enrollment Visit)

Population: All enrolled participants.

Number of participants in each medication class is reported. Participants could have received more than 1 medication class.

Outcome measures

Outcome measures
Measure
Omalizumab Cases
n=30 Participants
Participants who received omalizumab and had anaphylaxis and/or severe hypersensitivity reactions which were adjudicated by an independent clinical expert to determine that they qualified as anaphylaxis or anaphylactoid reactions on the basis of the Sampson Criteria.
Omalizumab Controls
n=88 Participants
Participants who received omalizumab within 18 months (either before or after) of the matched case participant's anaphylaxis occurrence (index date) and had not experienced anaphylaxis and/or severe hypersensitivity reactions subsequent to omalizumab dosing and were from the same site or region for their matched anaphylaxis case participant.
Medications Within Two Weeks Prior to Blood Draw
Antiviral Agents NEC
0 participants
1 participants
Medications Within Two Weeks Prior to Blood Draw
Benzodiazepines
9 participants
10 participants
Medications Within Two Weeks Prior to Blood Draw
Beta-adrenoceptor Blocking Agents
2 participants
4 participants
Medications Within Two Weeks Prior to Blood Draw
Biguanides
1 participants
5 participants
Medications Within Two Weeks Prior to Blood Draw
Bisphosphonates
1 participants
3 participants
Medications Within Two Weeks Prior to Blood Draw
Bronchodilators and Antiasthmatics
27 participants
70 participants
Medications Within Two Weeks Prior to Blood Draw
Calcium Channel Blocking Agents
6 participants
12 participants
Medications Within Two Weeks Prior to Blood Draw
Calcium Compounds and Regulators
4 participants
7 participants
Medications Within Two Weeks Prior to Blood Draw
Cephalosporin Antibiotics
0 participants
1 participants
Medications Within Two Weeks Prior to Blood Draw
Cold and Sinus Remedies
1 participants
3 participants
Medications Within Two Weeks Prior to Blood Draw
Cough Preparations
0 participants
5 participants
Medications Within Two Weeks Prior to Blood Draw
Cox-2 Inhibitors
1 participants
2 participants
Medications Within Two Weeks Prior to Blood Draw
Dermatologic Agents
1 participants
2 participants
Medications Within Two Weeks Prior to Blood Draw
Diuretics NEC
0 participants
6 participants
Medications Within Two Weeks Prior to Blood Draw
Dopaminergic Agents
2 participants
0 participants
Medications Within Two Weeks Prior to Blood Draw
Enzymes
0 participants
1 participants
Medications Within Two Weeks Prior to Blood Draw
Fibrates
0 participants
2 participants
Medications Within Two Weeks Prior to Blood Draw
Folic Acid and Derivatives
1 participants
2 participants
Medications Within Two Weeks Prior to Blood Draw
Herbal,Homeopathic,& Dietary Supplements
4 participants
16 participants
Medications Within Two Weeks Prior to Blood Draw
Histamine H2-receptor Antagonists
5 participants
6 participants
Medications Within Two Weeks Prior to Blood Draw
Hypertensives
1 participants
0 participants
Medications Within Two Weeks Prior to Blood Draw
Hypoglycemics NEC
1 participants
3 participants
Medications Within Two Weeks Prior to Blood Draw
Immunosuppressants
1 participants
2 participants
Medications Within Two Weeks Prior to Blood Draw
Insulins
0 participants
2 participants
Medications Within Two Weeks Prior to Blood Draw
Laxatives and Stool Softeners
1 participants
3 participants
Medications Within Two Weeks Prior to Blood Draw
Leukotriene Receptor Antagonists
19 participants
49 participants
Medications Within Two Weeks Prior to Blood Draw
Lipid Regulating Agents NEC
0 participants
2 participants
Medications Within Two Weeks Prior to Blood Draw
Local Anesthetics
1 participants
0 participants
Medications Within Two Weeks Prior to Blood Draw
Loop Diuretics
2 participants
9 participants
Medications Within Two Weeks Prior to Blood Draw
Macrolide Antibiotics
3 participants
2 participants
Medications Within Two Weeks Prior to Blood Draw
Miscellaneous Cardiovascular Agents
0 participants
1 participants
Medications Within Two Weeks Prior to Blood Draw
Miscellaneous Drugs
0 participants
1 participants
Medications Within Two Weeks Prior to Blood Draw
Sulfonylureas
2 participants
1 participants
Medications Within Two Weeks Prior to Blood Draw
Supplements
1 participants
12 participants
Medications Within Two Weeks Prior to Blood Draw
Mucosal Protectants
1 participants
0 participants
Medications Within Two Weeks Prior to Blood Draw
Muscle Relaxants
2 participants
6 participants
Medications Within Two Weeks Prior to Blood Draw
Nitrofurans
0 participants
1 participants
Medications Within Two Weeks Prior to Blood Draw
Non Drug Therapies
1 participants
1 participants
Medications Within Two Weeks Prior to Blood Draw
Non-steroidal Anti-inflammatories
6 participants
9 participants
Medications Within Two Weeks Prior to Blood Draw
Opioid Analgesics
2 participants
6 participants
Medications Within Two Weeks Prior to Blood Draw
Parasympathomimetics and Antimyasthenics
1 participants
0 participants
Medications Within Two Weeks Prior to Blood Draw
Penicillins
1 participants
2 participants
Medications Within Two Weeks Prior to Blood Draw
Anticonvulsants NEC
3 participants
12 participants
Medications Within Two Weeks Prior to Blood Draw
Antidepressants NEC
1 participants
10 participants
Medications Within Two Weeks Prior to Blood Draw
Antidiuretics
1 participants
0 participants
Medications Within Two Weeks Prior to Blood Draw
Antiemetics NEC
2 participants
4 participants
Medications Within Two Weeks Prior to Blood Draw
Antifungal Agents
0 participants
1 participants
Medications Within Two Weeks Prior to Blood Draw
Antiglaucoma Agents
0 participants
1 participants
Medications Within Two Weeks Prior to Blood Draw
Antigout Agents
0 participants
5 participants
Medications Within Two Weeks Prior to Blood Draw
Antihistamines
19 participants
57 participants
Medications Within Two Weeks Prior to Blood Draw
Antihypertensive Agents NEC
2 participants
9 participants
Medications Within Two Weeks Prior to Blood Draw
Antimalarial Agents
0 participants
1 participants
Medications Within Two Weeks Prior to Blood Draw
Antimetabolites
0 participants
2 participants
Medications Within Two Weeks Prior to Blood Draw
Antimicrobial/Other Drug Combinations
0 participants
1 participants
Medications Within Two Weeks Prior to Blood Draw
Antiparkinsonism Agents NEC
0 participants
1 participants
Medications Within Two Weeks Prior to Blood Draw
Antipsychotic and Antimanic Agents
3 participants
3 participants
Medications Within Two Weeks Prior to Blood Draw
Antispasmodics and Anticholinergics
5 participants
1 participants
Medications Within Two Weeks Prior to Blood Draw
Antitrichomonal Agents
1 participants
1 participants
Medications Within Two Weeks Prior to Blood Draw
5-HT1 Agonists
0 participants
2 participants
Medications Within Two Weeks Prior to Blood Draw
5-Hydroxytryptamine Receptor 3 (5-HT3) Antagonists
1 participants
0 participants
Medications Within Two Weeks Prior to Blood Draw
Adrenergics/Sympathomimetics
2 participants
0 participants
Medications Within Two Weeks Prior to Blood Draw
Alpha-adrenoreceptor Antagonists
2 participants
4 participants
Medications Within Two Weeks Prior to Blood Draw
Aminoglycoside Antimicrobials
0 participants
1 participants
Medications Within Two Weeks Prior to Blood Draw
Aminosalicylates
0 participants
1 participants
Medications Within Two Weeks Prior to Blood Draw
Analgesic/Other Drug Combinations
3 participants
5 participants
Medications Within Two Weeks Prior to Blood Draw
Analgesics
5 participants
11 participants
Medications Within Two Weeks Prior to Blood Draw
Androgens and Anabolic Steroids
0 participants
3 participants
Medications Within Two Weeks Prior to Blood Draw
Angiotensin II Receptor Antagonists
5 participants
6 participants
Medications Within Two Weeks Prior to Blood Draw
Angiotensin-converting Enzyme Inhibitors
1 participants
6 participants
Medications Within Two Weeks Prior to Blood Draw
Anorexiants and CNS Stimulants
2 participants
6 participants
Medications Within Two Weeks Prior to Blood Draw
Antacids NEC
0 participants
1 participants
Medications Within Two Weeks Prior to Blood Draw
Antiallergic Agents NEC
0 participants
1 participants
Medications Within Two Weeks Prior to Blood Draw
Antiandrogens
0 participants
2 participants
Medications Within Two Weeks Prior to Blood Draw
Antianemic Agents
0 participants
2 participants
Medications Within Two Weeks Prior to Blood Draw
Antianginal Agents NEC
0 participants
1 participants
Medications Within Two Weeks Prior to Blood Draw
Antianxiety Agents
1 participants
2 participants
Medications Within Two Weeks Prior to Blood Draw
Anticoagulants
0 participants
4 participants
Medications Within Two Weeks Prior to Blood Draw
Peripheral and Cerebral Vascular Agents
1 participants
0 participants
Medications Within Two Weeks Prior to Blood Draw
Pharmaceutic Aids
1 participants
2 participants
Medications Within Two Weeks Prior to Blood Draw
Pharmacotherapeutic Class (ES) Not Known
0 participants
3 participants
Medications Within Two Weeks Prior to Blood Draw
Phenothiazines
1 participants
0 participants
Medications Within Two Weeks Prior to Blood Draw
Platelet Aggregation Inhibitors
0 participants
3 participants
Medications Within Two Weeks Prior to Blood Draw
Proton Pump Inhibitors
13 participants
36 participants
Medications Within Two Weeks Prior to Blood Draw
Quinolone Antibiotics
0 participants
3 participants
Medications Within Two Weeks Prior to Blood Draw
Salicylates
4 participants
12 participants
Medications Within Two Weeks Prior to Blood Draw
Sedatives and Hypnotics
2 participants
5 participants
Medications Within Two Weeks Prior to Blood Draw
Selective Serotonin Re-uptake Inhibitors
8 participants
15 participants
Medications Within Two Weeks Prior to Blood Draw
Sex Hormones
8 participants
14 participants
Medications Within Two Weeks Prior to Blood Draw
Statins
3 participants
20 participants
Medications Within Two Weeks Prior to Blood Draw
Steroid/Other Drug Combinations
0 participants
3 participants
Medications Within Two Weeks Prior to Blood Draw
Steroids
24 participants
53 participants
Medications Within Two Weeks Prior to Blood Draw
Tetracyclines
1 participants
0 participants
Medications Within Two Weeks Prior to Blood Draw
Therapeutic Gases
2 participants
2 participants
Medications Within Two Weeks Prior to Blood Draw
Thiazide Diuretics
3 participants
3 participants
Medications Within Two Weeks Prior to Blood Draw
Thiazolidinediones
0 participants
2 participants
Medications Within Two Weeks Prior to Blood Draw
Thyroid Hormones
5 participants
12 participants
Medications Within Two Weeks Prior to Blood Draw
Tricyclic Antidepressants
3 participants
4 participants
Medications Within Two Weeks Prior to Blood Draw
Vaccines, Toxoids and Serologic Agents
1 participants
1 participants
Medications Within Two Weeks Prior to Blood Draw
Vitamins and Minerals
9 participants
24 participants

PRIMARY outcome

Timeframe: Baseline (Enrollment Visit)

Population: All enrolled participants. Here, number of participants analyzed signifies participants with available data for this outcome.

Participants with positive immunoglobulin G (IgG) ATA, negative IgG ATA, positive immunoglobulin E (IgE) ATA, and negative IgE ATA are reported.

Outcome measures

Outcome measures
Measure
Omalizumab Cases
n=21 Participants
Participants who received omalizumab and had anaphylaxis and/or severe hypersensitivity reactions which were adjudicated by an independent clinical expert to determine that they qualified as anaphylaxis or anaphylactoid reactions on the basis of the Sampson Criteria.
Omalizumab Controls
n=10 Participants
Participants who received omalizumab within 18 months (either before or after) of the matched case participant's anaphylaxis occurrence (index date) and had not experienced anaphylaxis and/or severe hypersensitivity reactions subsequent to omalizumab dosing and were from the same site or region for their matched anaphylaxis case participant.
Number of Participants With Anti-Therapeutic Antibodies (ATA) - Main Study
Participants with Positive IgE ATA
0 participants
0 participants
Number of Participants With Anti-Therapeutic Antibodies (ATA) - Main Study
Participants with Negative IgE ATA
21 participants
10 participants
Number of Participants With Anti-Therapeutic Antibodies (ATA) - Main Study
Participants with Positive IgG ATA
0 participants
0 participants
Number of Participants With Anti-Therapeutic Antibodies (ATA) - Main Study
Participants with Negative IgG ATA
21 participants
10 participants

PRIMARY outcome

Timeframe: Substudy Day 1

Population: Skin test substudy: all enrolled participants. One participant discontinued prematurely from the skin test substudy before providing data and was excluded.

Outcome measures

Outcome measures
Measure
Omalizumab Cases
n=3 Participants
Participants who received omalizumab and had anaphylaxis and/or severe hypersensitivity reactions which were adjudicated by an independent clinical expert to determine that they qualified as anaphylaxis or anaphylactoid reactions on the basis of the Sampson Criteria.
Omalizumab Controls
n=7 Participants
Participants who received omalizumab within 18 months (either before or after) of the matched case participant's anaphylaxis occurrence (index date) and had not experienced anaphylaxis and/or severe hypersensitivity reactions subsequent to omalizumab dosing and were from the same site or region for their matched anaphylaxis case participant.
Number of Participants With Positive Skin Reaction After Skin Prick Test - Skin Testing Substudy
0 participants
2 participants

PRIMARY outcome

Timeframe: Substudy Week 10

Population: Skin test substudy: all enrolled participants. Here, number of participants analyzed signifies participants with available data for this outcome.

Participants with positive IgG ATA, negative IgG ATA, positive IgE ATA, and negative IgE ATA are reported.

Outcome measures

Outcome measures
Measure
Omalizumab Cases
n=3 Participants
Participants who received omalizumab and had anaphylaxis and/or severe hypersensitivity reactions which were adjudicated by an independent clinical expert to determine that they qualified as anaphylaxis or anaphylactoid reactions on the basis of the Sampson Criteria.
Omalizumab Controls
n=6 Participants
Participants who received omalizumab within 18 months (either before or after) of the matched case participant's anaphylaxis occurrence (index date) and had not experienced anaphylaxis and/or severe hypersensitivity reactions subsequent to omalizumab dosing and were from the same site or region for their matched anaphylaxis case participant.
Number of Participants With ATA - Skin Testing Substudy
Participants with Positive IgG ATA
0 participants
0 participants
Number of Participants With ATA - Skin Testing Substudy
Participants with Negative IgG ATA
3 participants
6 participants
Number of Participants With ATA - Skin Testing Substudy
Participants with Positive IgE ATA
0 participants
0 participants
Number of Participants With ATA - Skin Testing Substudy
Participants with Negative IgE ATA
3 participants
6 participants

Adverse Events

Observational Study: Omalizumab Cases - With Anaphylaxis

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Observational Study: Omalizumab Controls - Without Anaphylaxis

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Skin Test Substudy: Omalizumab Cases - With Anaphylaxis

Serious events: 1 serious events
Other events: 1 other events
Deaths: 0 deaths

Skin Test Substudy: Omalizumab Controls - Without Anaphylaxis

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Observational Study: Omalizumab Cases - With Anaphylaxis
n=30 participants at risk
Participants who received omalizumab and had anaphylaxis and/or severe hypersensitivity reactions which were adjudicated by an independent clinical expert to determine that they qualified as anaphylaxis or anaphylactoid reactions on the basis of the Sampson Criteria.
Observational Study: Omalizumab Controls - Without Anaphylaxis
n=88 participants at risk
Participants who received omalizumab within 18 months (either before or after) of the matched case participant's anaphylaxis occurrence (index date) and had not experienced anaphylaxis and/or severe hypersensitivity reactions and were from the same site or region for their matched anaphylaxis case participant.
Skin Test Substudy: Omalizumab Cases - With Anaphylaxis
n=3 participants at risk
Participants who received omalizumab and had anaphylaxis and/or severe hypersensitivity reactions which were adjudicated by an independent clinical expert to determine that they qualified as anaphylaxis or anaphylactoid reactions on the basis of the Sampson Criteria.
Skin Test Substudy: Omalizumab Controls - Without Anaphylaxis
n=7 participants at risk
Participants who received omalizumab within 18 months (either before or after) of the matched case participant's anaphylaxis occurrence (index date) and had not experienced anaphylaxis and/or severe hypersensitivity reactions and were from the same site or region for their matched anaphylaxis case participant.
Respiratory, thoracic and mediastinal disorders
Status asthmaticus
0.00%
0/30 • Main observational study: Baseline (enrollment visit); Skin test substudy: 10 weeks
One participant discontinued prematurely from the skin test substudy before providing data and was excluded. The term non-systematic signifies that the adverse events (AEs) were collected in a non-systematic manner where in addition to scheduled assessments, voluntary AE reporting was also allowed.
0.00%
0/88 • Main observational study: Baseline (enrollment visit); Skin test substudy: 10 weeks
One participant discontinued prematurely from the skin test substudy before providing data and was excluded. The term non-systematic signifies that the adverse events (AEs) were collected in a non-systematic manner where in addition to scheduled assessments, voluntary AE reporting was also allowed.
33.3%
1/3 • Main observational study: Baseline (enrollment visit); Skin test substudy: 10 weeks
One participant discontinued prematurely from the skin test substudy before providing data and was excluded. The term non-systematic signifies that the adverse events (AEs) were collected in a non-systematic manner where in addition to scheduled assessments, voluntary AE reporting was also allowed.
0.00%
0/7 • Main observational study: Baseline (enrollment visit); Skin test substudy: 10 weeks
One participant discontinued prematurely from the skin test substudy before providing data and was excluded. The term non-systematic signifies that the adverse events (AEs) were collected in a non-systematic manner where in addition to scheduled assessments, voluntary AE reporting was also allowed.

Other adverse events

Other adverse events
Measure
Observational Study: Omalizumab Cases - With Anaphylaxis
n=30 participants at risk
Participants who received omalizumab and had anaphylaxis and/or severe hypersensitivity reactions which were adjudicated by an independent clinical expert to determine that they qualified as anaphylaxis or anaphylactoid reactions on the basis of the Sampson Criteria.
Observational Study: Omalizumab Controls - Without Anaphylaxis
n=88 participants at risk
Participants who received omalizumab within 18 months (either before or after) of the matched case participant's anaphylaxis occurrence (index date) and had not experienced anaphylaxis and/or severe hypersensitivity reactions and were from the same site or region for their matched anaphylaxis case participant.
Skin Test Substudy: Omalizumab Cases - With Anaphylaxis
n=3 participants at risk
Participants who received omalizumab and had anaphylaxis and/or severe hypersensitivity reactions which were adjudicated by an independent clinical expert to determine that they qualified as anaphylaxis or anaphylactoid reactions on the basis of the Sampson Criteria.
Skin Test Substudy: Omalizumab Controls - Without Anaphylaxis
n=7 participants at risk
Participants who received omalizumab within 18 months (either before or after) of the matched case participant's anaphylaxis occurrence (index date) and had not experienced anaphylaxis and/or severe hypersensitivity reactions and were from the same site or region for their matched anaphylaxis case participant.
Nervous system disorders
Headache
0.00%
0/30 • Main observational study: Baseline (enrollment visit); Skin test substudy: 10 weeks
One participant discontinued prematurely from the skin test substudy before providing data and was excluded. The term non-systematic signifies that the adverse events (AEs) were collected in a non-systematic manner where in addition to scheduled assessments, voluntary AE reporting was also allowed.
0.00%
0/88 • Main observational study: Baseline (enrollment visit); Skin test substudy: 10 weeks
One participant discontinued prematurely from the skin test substudy before providing data and was excluded. The term non-systematic signifies that the adverse events (AEs) were collected in a non-systematic manner where in addition to scheduled assessments, voluntary AE reporting was also allowed.
33.3%
1/3 • Main observational study: Baseline (enrollment visit); Skin test substudy: 10 weeks
One participant discontinued prematurely from the skin test substudy before providing data and was excluded. The term non-systematic signifies that the adverse events (AEs) were collected in a non-systematic manner where in addition to scheduled assessments, voluntary AE reporting was also allowed.
0.00%
0/7 • Main observational study: Baseline (enrollment visit); Skin test substudy: 10 weeks
One participant discontinued prematurely from the skin test substudy before providing data and was excluded. The term non-systematic signifies that the adverse events (AEs) were collected in a non-systematic manner where in addition to scheduled assessments, voluntary AE reporting was also allowed.
Respiratory, thoracic and mediastinal disorders
Asthma
0.00%
0/30 • Main observational study: Baseline (enrollment visit); Skin test substudy: 10 weeks
One participant discontinued prematurely from the skin test substudy before providing data and was excluded. The term non-systematic signifies that the adverse events (AEs) were collected in a non-systematic manner where in addition to scheduled assessments, voluntary AE reporting was also allowed.
0.00%
0/88 • Main observational study: Baseline (enrollment visit); Skin test substudy: 10 weeks
One participant discontinued prematurely from the skin test substudy before providing data and was excluded. The term non-systematic signifies that the adverse events (AEs) were collected in a non-systematic manner where in addition to scheduled assessments, voluntary AE reporting was also allowed.
0.00%
0/3 • Main observational study: Baseline (enrollment visit); Skin test substudy: 10 weeks
One participant discontinued prematurely from the skin test substudy before providing data and was excluded. The term non-systematic signifies that the adverse events (AEs) were collected in a non-systematic manner where in addition to scheduled assessments, voluntary AE reporting was also allowed.
14.3%
1/7 • Main observational study: Baseline (enrollment visit); Skin test substudy: 10 weeks
One participant discontinued prematurely from the skin test substudy before providing data and was excluded. The term non-systematic signifies that the adverse events (AEs) were collected in a non-systematic manner where in addition to scheduled assessments, voluntary AE reporting was also allowed.

Additional Information

Medical Communications

Hoffmann-La Roche

Phone: 800-821-8590

Results disclosure agreements

  • Principal investigator is a sponsor employee The Study being conducted under this Agreement is part of the Overall Study. Investigator is free to publish in reputable journals or to present at professional conferences the results of the Study, but only after the first publication or presentation that involves the Overall Study. The Sponsor may request that Confidential Information be deleted and/or the publication be postponed in order to protect the Sponsor's intellectual property rights.
  • Publication restrictions are in place

Restriction type: OTHER