XOLAIR Has Been Shown to Help Relieve CIU Symptoms
XOLAIR is a once-monthly injectable prescription medicine, given under the skin by a nurse or doctor, that treats CIU in patients 12 years of age and older who are not controlled by H1 antihistamines. H1 antihistamines are a type of medicine used to treat allergic reactions such as hay fever, hives, and insect bites and stings. XOLAIR is not used to treat other forms of urticaria.
Learn how CIU is diagnosed.
In clinical studies, **XOLAIR was shown to help reduce the severity of itch* and the number of hives† in patients who continued to have symptoms that were not controlled by H1 antihistamine treatment. Individual results may vary.
Scroll down to learn more about clinical study results.
Watch real patient stories of people like you, who understand what it's like living with CIU.
*To measure itch severity, patients were asked to
write down how itchy they felt every morning and night on a scale of
0-3. The average daily score was then added together over 7 days for
the weekly itch severity score.
**Based on results from CIU Studies 1 and 2.
†To measure the hive score, patients were asked to count the number of hives on their bodies twice daily. (0= no hives, 1= 1 to 6 hives, 2= 7 to 12 hives, 3= more than 12 hives) The average daily score was then added together over 7 days for the weekly hive count score.
Important Safety Information
What is the most important information I should know about XOLAIR? Severe allergic reaction. A severe allergic reaction called anaphylaxis can happen when you receive XOLAIR. The reaction can occur after the first dose, or after many doses. It may also occur right after a XOLAIR injection or days later. Anaphylaxis is a life-threatening condition and can lead to death. Go to the nearest emergency room right away if you have any of these symptoms of an allergic reaction:
- wheezing, shortness of breath, cough, chest tightness, or trouble breathing
- low blood pressure, dizziness, fainting, rapid or weak heartbeat, anxiety, or feeling of “impending doom”
- flushing, itching, hives, or feeling warm
- swelling of the throat or tongue, throat tightness, hoarse voice, or trouble swallowing
Your healthcare provider will monitor you closely for symptoms of an allergic reaction while you are receiving XOLAIR and for a period of time after treatment is initiated. Your healthcare provider should talk to you about getting medical treatment if you have symptoms of an allergic reaction.
XOLAIR Clinical Studies and Results
Results of a CIU Study in Adults and Adolescents
XOLAIR was studied for 24 weeks to measure the severity of itch* and number of hives† (on a weekly basis) of CIU patients who continued to have hives while on antihistamine therapy. Open the tab below to see the results of the study and how it was done. Individual results may vary.
How the study was done:§
- A total of 319 patients with CIU who were already taking an antihistamine participated in the study.
- 81 patients were given 300 mg of XOLAIR.
- 80 patients were given 150 mg of XOLAIR.
- 80 patients were given a placebo.
‡Based on results from CIU Study 1, a 24-week clinical
§78 patients were given 75 mg of XOLAIR. The 75 mg dose did not demonstrate consistent evidence of efficacy and is not approved for use.
Possible Level of Hive Reduction
After 12 weeks on XOLAIR*:
- At 300 mg, patients’ weekly hive count score† was reduced by over two-thirds (67%)
- At 150 mg, patients’ weekly hive count score† was reduced by one-half (50%)
Individual results may vary.
Itch and hives resolved completely in more than 1 in 3 patients on 300 mg
After 12 weeks on XOLAIR*:
- At 300 mg, more than 1 in 3 (36%) were completely itch‡ and hive†-free
- At 150 mg,
almost 1 in 6 patients (15%) were completely itch‡ and
Important Safety Information (continued)
Do not receive and use XOLAIR if you are allergic to omalizumab or any of the ingredients in XOLAIR.
Before receiving XOLAIR, tell your healthcare provider about all of your medical conditions, including if you:
- have a latex allergy. The needle cap on the XOLAIR prefilled syringe contains a type of natural rubber latex
- have ever had a severe allergic reaction called anaphylaxis
- have or have had a parasitic infection
- have or have had cancer
- are pregnant or plan to become pregnant. It is not known if XOLAIR may harm your unborn baby.
- are breastfeeding or plan to breastfeed. It is not known if XOLAIR passes into your breast milk. Talk with your healthcare provider about the best way to feed your baby while you receive and use XOLAIR.
Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.
How should I receive and use XOLAIR?
- When starting treatment XOLAIR should be given by your healthcare provider in a healthcare setting.
- If your healthcare provider decides that you or a caregiver may be able to give your own XOLAIR prefilled syringe injections, you should receive training on the right way to prepare and inject XOLAIR.
- Do not try to inject your XOLAIR prefilled syringe until you have been shown the right way to give XOLAIR injections by a healthcare provider. Use XOLAIR exactly as prescribed by your healthcare provider. For children 12 years of age and older, XOLAIR prefilled syringe may be self-injected under adult supervision.
- See the detailed Instructions for Use that comes with XOLAIR for information on the right way to prepare and inject XOLAIR.
- XOLAIR is given in 1 or more injections under the skin (subcutaneous), 1 time every 4 weeks.
- In patients with chronic hives, a blood test is not necessary to determine the dose or dosing frequency.
- Do not decrease or stop taking any of your other hive medicine unless your healthcare providers tell you to.
- You may not see improvement in your symptoms right away after XOLAIR treatment.
- If you inject more XOLAIR than prescribed, call your healthcare provider right away.
Results of Another CIU Study in Adults and Adolescents
XOLAIR was studied for 12 weeks to measure the severity of itch* and
number of hives† (on a weekly basis) of CIU patients who
continued to have hives while on antihistamine therapy. Open the tab
below to see the results of the study and how it was done. Your
results may vary.
How the study was done:‖
- A total of 322 patients already taking an antihistamine participated in the study.
- 79 patients were given 300 mg of XOLAIR.
- 82 patients were given 150 mg of XOLAIR.
- 79 patients were given a placebo.
‖82 patients were given 75 mg of XOLAIR. The 75 mg dose did not demonstrate consistent evidence of efficacy and is not approved for use.
What are the possible side effects of XOLAIR?
XOLAIR may cause serious side effects, including:
- Cancer. Cases of cancer were observed in some people who received XOLAIR.
- Fever, muscle aches, and rash. Some people get these symptoms 1 to 5 days after receiving a XOLAIR injection. If you have any of these symptoms, tell your healthcare provider.
- Parasitic infection. Some people who are at a high risk for parasite (worm) infections, get a parasite infection after receiving XOLAIR. Your healthcare provider can test your stool to check if you have a parasite infection.
- Heart and circulation problems. Some people who receive XOLAIR have had chest pain, heart attack, blood clots in the lungs or legs, or temporary symptoms of weakness on one side of the body, slurred speech, or altered vision. It is not known whether these are caused by XOLAIR.
The most common side effects of XOLAIR:
- In people with chronic idiopathic urticaria: nausea, headaches, swelling of the inside of your nose, throat or sinuses, cough, joint pain, and upper respiratory tract infection.
These are not all the possible side effects of XOLAIR. Call your doctor for medical advice about side effects.
XOLAIR Clinical Studies
What are clinical studies?
To learn how XOLAIR might help patients with CIU, medical teams did
research—this is known as clinical studies. Experts wanted to know how
much XOLAIR could reduce 1) the severity of itch and 2) the number of
Not all clinical studies are the same. However, many factors, such
as the number of people who participate, types of people, the location
of the participants, and other external or internal matters, can play
a role in the outcome of a clinical study. This is why they are so
important to do—and why more than one study may be done. Also remember
that all people are unique—even if they do share a common condition
such as CIU.
Two studies were conducted looking at the effect of XOLAIR in
patients with CIU. In the studies, all the patients remained on an H1
antihistamine. Patients were then split into 3 different groups. Two
groups (the XOLAIR groups) received different doses of XOLAIR,
and the third (the Control group) received a placebo.
What is a "Control Group"?
In this group, patients received H1 antihistamine treatment and a
placebo. A placebo is a look-alike treatment with no active medicine
that can affect an illness. Placebos can take many forms, such as a
pill, an injection, or even a procedure. In this case, it was an