Case Reports

Omalizumab for treatment of refractory urticaria in a patient with metastatic uveal melanoma receiving tebentafusp

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Published: 6 May 2026
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Tebentafusp is an immune-mobilizing monoclonal T-cell receptor approved for the treatment of metastatic uveal melanoma. While this agent improves outcomes in patients with unresectable or metastatic uveal melanoma, tebentafusp commonly results in dermatologic cutaneous toxicities. Herein, we present a case of a 32-year-old patient diagnosed with juxtapapillary choroidal melanoma of the left eye with metastases to the liver who developed a diffuse urticarial skin reaction to tebentafusp that was successfully treated with omalizumab.

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Citations

1. Nathan P, Hassel JC, Rutkowski P, et al. Overall Survival Benefit with Tebentafusp in Metastatic Uveal Melanoma. N Engl J Med 2021;385:1196-206.
2. U.S. Food and Drug Administration. KIMMTRAK® (tebentafusp-tebn) injection: prescribing information. U.S. Food and Drug Administration; 2024. Available from: https://www.accessdata.fda.gov/drugsatfda_docs/label/2024/761228s003lbl.pdf
3. Hassel JC, Stanhope S, Greenshields-Watson A, et al. Tebentafusp Induces a T-Cell–Driven Rash in Melanocyte-Bearing Skin as an Adverse Event Consistent with the Mechanism of Action. J Invest Dermatol 2025;145:559-72.e9.
4. Barrios DM, Phillips GS, Geisler AN, et al. IgE blockade with omalizumab reduces pruritus related to immune checkpoint inhibitors and anti-HER2 therapies. Ann Oncol 2021;32:736-45.
5. Kuo AMS, Gu S, Stoll J, et al. Management of immune-related cutaneous adverse events with dupilumab. J Immunother Cancer 2023;11:e007324.

How to Cite



1.
Simmonds F, Kashua V, McDonnell D, El-Ashmawy M, Coromilas AJ. Omalizumab for treatment of refractory urticaria in a patient with metastatic uveal melanoma receiving tebentafusp. Dermatol Reports [Internet]. 2026 May 6 [cited 2026 May 6];. Available from: https://journals.pagepress.net/dr/article/view/10366