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Drug Drastically Reduces Children's Reactions to Traces of Food Allergens

Drug Drastically Reduces Childrens Reactions to Traces of Food Allergens
Xolair cuts the risk of dangerous reactions after exposure to minute amounts of allergens, researchers reported. But people taking it still must avoid risky foods.
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Drug Drastically Reduces Children’s Reactions to Traces of Food Allergens

Xolair cuts the risk of dangerous reactions after exposure to minute amounts of allergens, researchers reported. But people taking it still must avoid risky foods.

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A 5-year-old boy slides down a small slide in a playroom with a smile and his hands extended in the air.
Liam, 5, has multiple food allergies and participated in the clinical trial. “It’s been very liberating for us, but it’s also liberating for him — we don’t watch him like a hawk everywhere for the accidental exposures,” said Dr. Kevin Wang, his father.Credit...Nathan Weyland for The New York Times
Roni Caryn Rabin
Feb. 25, 2024

A drug that has been used for decades to treat allergic asthma and hives significantly reduced the risk of life-threatening reactions in children with severe food allergies who were exposed to trace amounts of peanuts, cashews, milk and eggs, researchers reported on Sunday.

The drug, Xolair, has already been approved by the Food and Drug Administration for adults and children over age 1 with food allergies. It is the first treatment that drastically cuts the risk of serious reactions — like anaphylaxis, a life-threatening allergic reaction that causes the body to go into shock — after accidental exposures to various food allergens.

The results of the researchers’ study on children and adolescents, presented at the annual conference of the American Academy of Allergy, Asthma and Immunology in Washington, were published in The New England Journal of Medicine.

“For a certain population of food allergy patients, this medication will be life-changing,” said Dr. Robert A. Wood, the paper’s first author and director of the Eudowood Division of Pediatric Allergy, Immunology and Rheumatology at Johns Hopkins Children’s Center.

“If you have a severe milk or egg allergy, or something that was not even part of this study — like garlic or mustard — you cannot eat in a restaurant, ever,” Dr. Wood said.

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