Abstract
The article presents a generalized 2-year Russian experience in the application of monoclonal antibodies to IgE in children and adolescents with severe, resistant to standard treatment of bronchial asthma. Data on 65 patients treated with anti-IgE therapy with omalizumab within more than 6 months period in 6 centers of the Russian Federation from 2007 to 2010 were analyzed. The results of this analysis demonstrate the safety and high clinical effectiveness of anti-IgE-therapy in children and adolescents with severe uncontrolled atopic bronchial asthma. Full control of the disease or marked improvement can be achieved in 73% patients, the effect in most cases significantly increases during the first 6 months of treatment and becomes stable in the future, providing a good quality of life and normal lung function.
Key words: bronchial asthma, anti-IgE-therapy, treatment, adolescents, children, quality of life, omalizumab.
About the Authors
T.V. Kulichenko
Scientific Center of Children’s Health, Russian Academy of Medical Sciences, Moscow
Russian Federation
A.A. Baranov
Scientific Center of Children’s Health, Russian Academy of Medical Sciences, Moscow
I.M. Sechenov First Moscow State University
Russian Federation
M.M. Abelevich
Nizhny Novgorod State Medical Academy
Russian Federation
E.V. Balashova
City Hospital № 3, Saratov
Russian Federation
E.A. Vishneva
Scientific Center of Children’s Health, Russian Academy of Medical Sciences, Moscow
Russian Federation
A.N. Galustyan
St. Petersburg Pediatric Medical Academy
Russian Federation
S.Yu. Elizarova
Saratov State Medical University
Russian Federation
I.V. Koroleva
City Hospital № 3, Saratov
Russian Federation
A.G. Manvelyan
City Hospital № 3, Saratov
Russian Federation
L.S. Namazova-Baranova
Scientific Center of Children’s Health, Russian Academy of Medical Sciences, Moscow
I.M. Sechenov First Moscow State University
Russian Federation
Yu.V. Peshekhonova
St. Petersburg Pediatric Medical Academy
Russian Federation
E.V. Timofeeva
Regional Children’s Hospital, Nizhny Novgorod
Russian Federation
R.M. Torshhoeva
Scientific Center of Children’s Health, Russian Academy of Medical Sciences, Moscow
I.M. Sechenov First Moscow State University
Russian Federation
N.V. Tursina
City Hospital № 3, Saratov
Russian Federation
T.E. Chashina
Children’s Republican Clinical Hospital № 2 of the Republic of Mordovia
Russian Federation