Predictors of Super/Poor Omalizumab Response in Chinese Refractory Chronic Spontaneous Urticaria

Read full text
Authors: Anqi Chen, Huan Yang, Xianjie Yang, Xuewei Huang, Shifei Li, Sisi Deng, Huan Wang, Zhiqiang Song, Qiquan Chen
Cited by: 1
References: 35

Abstract

Introduction: Omalizumab is an effective treatment for antihistamine-refractory chronic spontaneous urticaria (CSU), although treatment responses vary significantly. While fast and slow responders are well characterized, the profile of super responders (SRs) remains poorly understood. This study aimed to identify clinical and laboratory predictors of super response (SR) and poor/non-response (PR) to omalizumab in refractory CSU. METHODS: This retrospective study analyzed 307 CSU patients treated with omalizumab at a UCARE center between January 2023 and December 2024. SR was defined as achieving Urticaria Activity Score (UAS) = 0 within 1 week and sustained control (UAS7 ≤6, Urticaria Control Test [UCT] >12); PR was defined as UCT

Fields of Study & Subjects

Urticaria and Related Conditions Drug-Induced Adverse Reactions Coagulation Bradykinin Polyphosphates and Angioedema

Publication details

Journal / source
Dermatology
Publisher
S. Karger AG
Volume
242
Issue
4
Pages
471–481
Publication date
18 April 2026
Language
EN