XOLAIR clinical study

XOLAIR helped significantly reduce allergic reactions, including anaphylaxis, in individuals with one or more food allergies.

How the study was done:

Allergens included:

Clinical study results:

After 16 to 20 weeks of treatment with XOLAIR or placebo, people were able to consume at least:

Percentage of people

Primary goals:

XOLAIR protected 68% of patients vs 5% of patients treated with placebo from moderate to severe allergic symptoms.

This means they did not have moderate to severe allergic symptoms; no more than mild skin, respiratory, or gastrointestinal symptoms.

After taking XOLAIR for 16 to 20 weeks, 17% of people were still not able to eat more than half of a peanut (100 mg) without moderate to severe allergic symptoms.*

Data is from a double-blind, placebo-controlled food challenge. This means that both participants and researchers were unaware which participants received XOLAIR or the placebo. The maximum amount of peanut tolerated at the start of the study was 100 mg. By the end of 16 to 20 weeks, more people taking XOLAIR could tolerate 600 mg of peanut compared with people taking the placebo.

*This means they did not have moderate to severe allergic symptoms; no more than mild skin, respiratory, or gastrointestinal symptoms occurred.


Secondary goals:

18%, 22%, and 41% of people were not able to consume more than 2 teaspoons of 1% milk (300 mg), 1/12th of an egg (300 mg), or 1 cashew (300 mg), respectively, without moderate to severe allergic symptoms.*

*This means they did not have moderate to severe allergic symptoms; no more than mild skin, respiratory, or gastrointestinal symptoms occurred.


Results of additional secondary goals:

These additional endpoints were measured in a post hoc analysis. A post hoc analysis is a review of clinical trial data that was not planned before data collection was started and it is not designed to prove cause and effect. Therefore, conclusions should not be drawn based on this information.


Each person in the study was tested with peanuts plus 2 more allergens, including cashews, walnuts, hazelnuts, milk, eggs, or wheat.

Percentage of people who could consume at least:


Open-label extension study:

Of the children taking XOLAIR, 38 continued their treatment for an additional 24 to 28 weeks. The improvements seen at 16 to 20 weeks for all foods studied were maintained at 28 weeks.*

*Data is from an uncontrolled open-label study and does not establish efficacy.

Patient Characteristics

Age, years Gender Other atopic disease Demographic
  • Mean: 8%
  • Range: 1-17
  • Aged 1 to <6: 37%
  • Aged 6 to <12: 38%
  • Aged 12 to <18: 25%
  • 44% female
  • 56% male
  • History of asthma: 55%
  • 7% Black or African American
  • 13% Asian
  • 16% Other
  • 63% White

About the clinical study

To learn how XOLAIR might help people with food allergy, medical teams conducted research. People who visited their doctor for food allergy took part—this is known as a clinical study. Researchers wanted to know if XOLAIR could increase:

  • The amount of food that could be consumed 
  • The number of foods that could be consumed

All people are unique, and each person’s food allergy is different. The study looked at people with a peanut allergy plus 2 more food allergies.

What is a placebo?

People were split into 2 groups. One group of people received XOLAIR and the other group received a placebo. A placebo is a look-alike treatment with no active medicine. Because XOLAIR is an injection, the placebo treatment was also an injection. This way, neither the patients nor the researchers knew what each person received.

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IMPORTANT SAFETY INFORMATION & INDICATION

What is XOLAIR?

XOLAIR® (omalizumab) for subcutaneous use is an injectable prescription medicine used to treat food allergy in people 1 year of age and older to reduce allergic reactions that may occur after accidentally eating one or more foods to which you are allergic. While taking XOLAIR you should continue to avoid all foods to which you are allergic. It is not known if XOLAIR is safe and effective in people with food allergy under 1 year of age.

XOLAIR should not be used for the emergency treatment of any allergic reactions, including anaphylaxis.

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.

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 or any other allergies (such as seasonal allergies). The needle cap on the XOLAIR prefilled syringe contains a type of natural rubber latex.
  • have sudden breathing problems (bronchospasm)
  • 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 or autoinjector injections, you should receive training on the right way to prepare and inject XOLAIR.
  • Do not try to inject XOLAIR until you have been shown the right way to give XOLAIR prefilled syringe or autoinjector injections by a healthcare provider. Use XOLAIR exactly as prescribed by your healthcare provider.
  • The XOLAIR autoinjector (all doses) is intended for use only in adults and adolescents aged 12 years and older. For children 12 years of age and older, XOLAIR prefilled syringe or autoinjector may be self-injected under adult supervision. For children 1 to 11 years of age, XOLAIR prefilled syringe should be injected by a caregiver.
  • 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 2 or 4 weeks.
  • In people with food allergy, a blood test for a substance called IgE must be performed before starting XOLAIR to determine the appropriate dose and dosing frequency.
  • Do not decrease or stop taking any of your food allergy medicine or allergen immunotherapy, unless your healthcare providers tell you to.
  • You may not see improvement in your symptoms right away after XOLAIR treatment. If your symptoms do not improve or get worse, call your healthcare provider.
  • If you inject more XOLAIR than prescribed, call your healthcare provider right away.

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 food allergy: injection site reactions and fever.

These are not all the possible side effects of XOLAIR. Call your doctor for medical advice about side effects.

You may report side effects to the FDA at (800) FDA-1088 or www.fda.gov/medwatch. You may also report side effects to Genentech at (888) 835-2555 or Novartis Pharmaceuticals Corporation at (888) 669-6682.

Please see full Prescribing Information, including Medication Guide, for additional Important Safety Information and Instructions for Use.