How do multifood allergy treatments compare?
Investigators compared omalizumab with omalizumab-facilitated multiallergen oral immunotherapy.
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By
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Kathryn Wighton
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September 30, 2026
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Clinical Scorecard: How do multifood allergy treatments compare?
At a Glance
| Category | Detail |
| Condition | Multifood Allergy |
| Key Mechanisms | Omalizumab and multiallergen oral immunotherapy (MOIT) |
| Target Population | Patients aged 1 to 55 years with peanut allergy and allergies to at least 2 additional foods |
| Care Setting | Multicenter, double-blind, placebo-controlled clinical trial |
Key Highlights
- 36% of participants receiving omalizumab met the primary endpoint vs. 19% receiving MOIT
- Serious adverse events occurred in 31% of those receiving MOIT vs. 0% receiving omalizumab
- 88% of participants receiving omalizumab completed the study vs. 51% receiving MOIT
- 72% of participants receiving omalizumab tolerated at least 444 mg of all 3 allergens vs. 39% receiving MOIT
- Epinephrine was administered for adverse events in 37% of MOIT patients vs. 7% of omalizumab patients
Guideline-Based Recommendations
Diagnosis
- Eligibility required dose-limiting symptoms during oral food challenges
Management
- Both omalizumab and omalizumab-facilitated MOIT are viable treatment options
Monitoring & Follow-up
- Monitor for adverse events, particularly in MOIT group
Risks
- Serious adverse events and treatment discontinuation more common in MOIT group
Patient & Prescribing Data
Patients with multifood allergies and low baseline cumulative tolerated doses
Omalizumab may offer a higher rate of treatment success compared to MOIT
Clinical Best Practices
- Consider individual patient needs and preferences when weighing treatment options
- Monitor for eosinophilic esophagitis in patients receiving MOIT
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