Biologic Therapy in Pediatric Chronic Rhinosinusitis: A Systematic Review Publisher Pubmed



Rahaviezabadi S¹ ; Zhou S² ; Lee SE³ ; Ference E⁴ ; Magit A^{5, 6} ; Leuin S^{5, 6} ; Mohamed K^{7, 8} ; Rezaei N^{9, 10} ; Patel VA^{5, 6}
Source: Otolaryngology - Head and Neck Surgery (United States) Published:2024

Abstract

Objective: Provide clinicians with current evidence for biologic therapy in children with chronic rhinosinusitis with nasal polyposis (CRSwNP). Data Sources: PubMed, MEDLINE, Cochrane, and clinical trial registries. Review Methods: Key search terms related to biologic therapy in pediatric CRSwNP were identified via a structured query of current medical literature and clinical trial databases. Conclusions: There is a dearth of active clinical trials and research studies for biologics targeting pediatric CRSwNP. There is an ongoing compassionate-use clinical trial involving Dupilumab for children with nasal polyps as well as only 1 published work specifically focused on Dupilumab for pediatric CRSwNP in the setting of aspirin-exacerbated respiratory disease. Implications for Practice: For children with atopic dermatitis, asthma, and chronic idiopathic urticaria, biologic therapies such as Omalizumab, Dupilumab, and Mepolizumab have gained Food and Drug Administration approval. The role of biologic therapy in pediatric CRSwNP demonstrates significant promise in the comprehensive management of the unified airway. Additional Phase III trials are necessary to broaden clinical indications for children with comorbid conditions and complex sinonasal disease. © 2024 American Academy of Otolaryngology–Head and Neck Surgery Foundation.