Evidence map›Paper›PMID 22808958›Full record

Trial reportThe New England journal of medicine2012

Oral immunotherapy for treatment of egg allergy in children.

A Wesley Burks, Stacie M Jones, Robert A Wood, David M Fleischer, Scott H Sicherer, Robert W Lindblad, Donald Stablein, Alice K Henning, Brian P Vickery, Andrew H Liu and 5 more

Registry-linked trialOpen access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The New England journal of medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00461097 (Oral Desensitization to Egg With Subsequent Induction of Tolerance for Egg-Allergic Children), which is not on this map. Cited by 286 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
286citing papers in PubMed, 2 pooled it
34.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00461097 phase2completednot on this map

Oral Desensitization to Egg With Subsequent Induction of Tolerance for Egg-Allergic Children (CoFAR 3)

TypeinterventionalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2007 to 2013Enrolled55ConditionsHypersensitivity, Immediate Hypersensitivity, Food HypersensitivityArmsEgg oral immunotherapy, Control Group
3 · Its place in the literature

Who cites it

286 citing papers in PubMed, 2 syntheses or guidelines pooled it, 694 citations in OpenAlex.

  1. Pooled it
  2. Oral and sublingual immunotherapy for egg allergy.The Cochrane database of systematic reviews · 2018
    Pooled it
  3. Dosing Reactions and Missed Doses Affect Peanut Oral Immunotherapy Outcomes.The journal of allergy and clinical immunology. In practice · 2026
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  16. High- and low-dose oral immunotherapy similarly suppress pro-allergic cytokines and basophil activation in young children.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2019
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226 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 10 institutions in 1 country.

A Wesley BurksDepartment of Pediatrics, Duke University Medical Center, Durham, NC 27599-7220, USA. wburks@email.unc.edu
Stacie M Jones
Robert A Wood
David M Fleischer
Scott H Sicherer
Robert W Lindblad
Donald Stablein
Alice K Henning
Brian P Vickery
Andrew H Liu
Amy M Scurlock
Wayne G Shreffler
Marshall Plaut
Hugh A Sampson
Consortium of Food Allergy Research (CoFAR)
Emmes (United States) · USDuke Medical Center · USIcahn School of Medicine at Mount Sinai · USArkansas Children's Hospital · USHarvard University · USJohns Hopkins University · USNational Institutes of Health · USNational Jewish Health · USUniversity of Arkansas for Medical Sciences · USUniversity of Colorado Denver · US

Funding

Institute for Clinical and Translational Research (UL1)UL1RR025005 · NCRR · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2007 to 2011
$75.8M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025780 · NCRR · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2008 to 2011
$61.3M
Pilot Project for the DTMI CRA ProgramUL1RR024128 · NCRR · DUKE UNIVERSITY · PI CALIFF, ROBERT M · 2006 to 2010
$48.1M
Mechanistic CoreU19AI066738 · NIAID · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI SICHERER, SCOTT H · 2005 to 2016
$43.6M
ROLE OF DIETARY CONSTITUENTS ON GENE EXPRESSION IN INTESTINAL EPITHELIUMP30DK040561 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI Alessio Fasano · 1994 to 2026
$31.6M
MOUNT SINAI INSTITUTES FOR CLINICAL AND TRANSLATIONAL SCIENCESUL1RR029887 · NCRR · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI SAMPSON, HUGH A · 2009 to 2011
$19.2M
Food Allergy Research Consortium and Statistical CenterU01AI066560 · NIAID · THE EMMES COMPANY, LLC · PI DAWSON, PETER RUSSELL, LINDBLAD, ROBERT · 2005 to 2016
$12.8M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR029884 · NCRR · UNIV OF ARKANSAS FOR MED SCIS · PI LOWERY, CURTIS L · 2009 to 2011
$11.4M
NCRR NIH HHS RR-024128NCRR NIH HHS RR-025005NCRR NIH HHS RR-025780NCRR NIH HHS RR-029884NCRR NIH HHS RR-029887NCRR NIH HHS UL1 RR024128NCRR NIH HHS UL1 RR025005NCRR NIH HHS UL1 RR025780NCRR NIH HHS UL1 RR029884NCRR NIH HHS UL1 RR029887NIAID NIH HHS U01 AI066560NIAID NIH HHS U01AI066560NIAID NIH HHS U19 AI066738NIAID NIH HHS U19AI066738NIDDK NIH HHS P30 DK040561
6 · The paper itself

Abstract

backgroundFor egg allergy, dietary avoidance is the only currently approved treatment. We evaluated oral immunotherapy using egg-white powder for the treatment of children with egg allergy.

methodsIn this double-blind, randomized, placebo-controlled study, 55 children, 5 to 11 years of age, with egg allergy received oral immunotherapy (40 children) or placebo (15). Initial dose-escalation, build-up, and maintenance phases were followed by an oral food challenge with egg-white powder at 10 months and at 22 months. Children who successfully passed the challenge at 22 months discontinued oral immunotherapy and avoided all egg consumption for 4 to 6 weeks. At 24 months, these children underwent an oral food challenge with egg-white powder and a cooked egg to test for sustained unresponsiveness. Children who passed this challenge at 24 months were placed on a diet with ad libitum egg consumption and were evaluated for continuation of sustained unresponsiveness at 30 months and 36 months.

resultsAfter 10 months of therapy, none of the children who received placebo and 55% of those who received oral immunotherapy passed the oral food challenge and were considered to be desensitized; after 22 months, 75% of children in the oral-immunotherapy group were desensitized. In the oral-immunotherapy group, 28% (11 of 40 children) passed the oral food challenge at 24 months and were considered to have sustained unresponsiveness. At 30 months and 36 months, all children who had passed the oral food challenge at 24 months were consuming egg. Of the immune markers measured, small wheal diameters on skin-prick testing and increases in egg-specific IgG4 antibody levels were associated with passing the oral food challenge at 24 months.

conclusionsThese results show that oral immunotherapy can desensitize a high proportion of children with egg allergy and induce sustained unresponsiveness in a clinically significant subset. (Funded by the National Institutes of Health; ClinicalTrials.gov number, NCT00461097.).

Indexed as

Desensitization, ImmunologicAdministration, OralAge of OnsetChildChild, PreschoolDouble-Blind MethodEgg HypersensitivityEggsFemaleHumansImmunoglobulin EImmunoglobulin GMaleImmunoglobulin EImmunoglobulin G

Identifiers

PMID22808958
PMCPMC3424505
OpenAlexW2162344297

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.