{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T22:10:23Z","timestamp":1781907023899,"version":"3.54.5"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,12,23]],"date-time":"2019-12-23T00:00:00Z","timestamp":1577059200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int Forum Allergy Rhinol"],"published-print":{"date-parts":[[2020,2]]},"abstract":"Background<\/jats:title>Chronic rhinosinusitis (CRS) refractory to medical and surgical treatment is challenging. It impacts patients\u2019 quality of life significantly. The pathophysiology of CRS has some similarities to allergic asthma and allergic rhinitis (AR) and includes eosinophilia, T\u2010helper cell 2 cytokines, and local immunoglobilin E formation. Monoclonal antibody therapy has been used successfully in asthma and AR and more recently in CRS. Our was aim to systematically review the literature and identify the role of monoclonal antibodies (MAbs) in the treatment of CRS with polyps (CRSwNP) and without polyps (CRSsNP), especially with regard to comparability with current medical treatment, efficacy, and risk of complications. In addition, the role of surgery and biologics was evaluated.<\/jats:p><\/jats:sec>Methods<\/jats:title>We identified at total of 5341 relevant studies after a comprehensive database search. Six studies met the inclusion criteria, all 6 randomized, controlled trials.<\/jats:p><\/jats:sec>Results<\/jats:title>Treatment with omalizumab and mepolizumab demonstrated improvements in endoscopic nasal polyp score (EPS) and symptoms score in patients with CRSwNP when compared with placebo. Reslizumab reduced nasal polyp size in patients with raised intranasal interleukin\u20105 levels. Dupilumab treatment resulted in a 70% reduction in EPS compared with 20% in the placebo group (p<\/jats:italic> < 0.001). These MAbs target different inflammatory markers involved in the pathophysiology of CRSwNP. None of the studies reported on CRSsNP or combined surgery with biologics. No severe adverse events were reported.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Evidence demonstrates that use of MAbs leads to clinical improvement in CRSwNP. However, further research is required to determine their long\u2010term effects, comparability to other medical treatments, and potential side effects.<\/jats:p><\/jats:sec>","DOI":"10.1002\/alr.22473","type":"journal-article","created":{"date-parts":[[2019,12,23]],"date-time":"2019-12-23T22:20:45Z","timestamp":1577139645000},"page":"165-174","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":39,"title":["The role of biologics in chronic rhinosinusitis: a systematic review"],"prefix":"10.1002","volume":"10","author":[{"given":"Isma Z.","family":"Iqbal","sequence":"first","affiliation":[{"name":"Department of Otolaryngology The Newcastle upon Tyne NHS Hospitals Newcastle United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen Shih\u2010Teng","family":"Kao","sequence":"additional","affiliation":[{"name":"Surgeon Scientist"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eng Hooi","family":"Ooi","sequence":"additional","affiliation":[{"name":"Flinders University and Head of Otolaryngology and Head & Neck Surgery, Flinders Medical Centre Adelaide SA 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