Editor's Pick Original Investigation

Treatment of Multifood Allergy With Omalizumab or Multiallergen Oral Immunotherapy

JAMA Pediatrics 10.1001/jamapediatrics.2026.2910

July 27, 2026 at 11:00 AM EDT

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How do omalizumab and oral immunotherapy (OIT) compare in the treatment of patients with multifood allergy? In this randomized clinical trial comparing omalizumab with multiallergen OIT (MOIT) in 117 participants with multifood allergy, omalizumab was superior in terms of both efficacy and safety. Although the intention-to-treat analysis found a higher rate of treatment success in those receiving omalizumab, there was no difference in efficacy after accounting for the high rate of study withdrawals in the group of participants treated with omalizumab-facilitated MOIT.

Corresponding Author: Robert A. Wood, MD, Department of Pediatrics, Johns Hopkins University, 600 N Wolfe St, Blalock 452, Baltimore, MD 21287 (rwood@jhmi.edu).

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