Original Investigation

Drug Survival of Omalizumab and Factors Associated With Discontinuation in Chronic Urticaria

JAMA Dermatology 10.1001/jamadermatol.2026.2043

September 09, 2026 at 11:00 AM EDT

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The results of this systematic review and meta-analysis suggest that omalizumab demonstrates long-term drug survival in CU, with discontinuation more often due to disease control than adverse events. Autoimmune comorbidities (mainly thyroid-related) were associated with reduced drug survival, primarily due to lack of efficacy, whereas atopic comorbidities were associated with discontinuation after disease control, underscoring the need for improved endotype-driven treatment strategies.

Corresponding Author: Muhammed Elhadi, MBBCh, MSc, College of Medicine, Korea University, Anam-ro, Seongbuk-gu, Seoul 02841, South Korea (muhammed-elhadi@korea.ac.kr).

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