Evidence map›Paper›PMID 26362760›Full record

Trial reportClinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology2016

Utility of component analyses in subjects undergoing sublingual immunotherapy for peanut allergy.

C M Burk, M Kulis, N Leung, E H Kim, A W Burks, B P Vickery

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Review
  7. Ara h 2 is the dominant peanut allergen despite similarities with Ara h 6.The Journal of allergy and clinical immunology · 2020
    Article
  8. A WAO - ARIA - GAThe World Allergy Organization journal · 2020
    Article
  9. Evolution of Immune Responses in Food Immunotherapy.Immunology and allergy clinics of North America · 2020
    Review
  10. Biomarkers in Food Allergy Immunotherapy.Current allergy and asthma reports · 2019
    Review
  11. Review
  12. Desensitization for Peanut Allergies in Children.Current treatment options in allergy · 2016
    Article
  13. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

C M BurkDepartment of Pediatrics, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
M KulisDepartment of Pediatrics, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
N LeungDepartment of Pediatrics, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
E H KimDepartment of Pediatrics, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
A W BurksDepartment of Pediatrics, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
B P VickeryDepartment of Pediatrics, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Funding

Sublingual Immunotherapy for Peanut AllergyR01AT004435 · NCCIH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BURKS, A. WESLEY · 2008 to 2018
$3.6M
Optimizing Tolerance Induction in Peanut Allergy: The DEVIL StudyK23AI099083 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI VICKERY, BRIAN · 2012 to 2015
$494k
NCCIH NIH HHS R01 AT004435NCCIH NIH HHS R01-AT004435NIAID NIH HHS K23 AI099083
6 · The paper itself

Abstract

backgroundSublingual immunotherapy (SLIT) with peanut changes clinical and immune responses in most peanut-allergic individuals, but the response is highly variable.

objectiveWe sought to examine the component-specific effects of peanut SLIT and determine whether peanut component testing could predict the outcome of a double-blind, placebo-controlled food challenge (DBPCFC) after 12 months of peanut SLIT.

methodsWe included 33 subjects who underwent peanut SLIT with a DBPCFC of 2500 mg of peanut protein performed after 12 months of therapy. Plasma samples from baseline and after 12 months of peanut SLIT were assayed using ImmunoCAP for IgE and IgG4 against whole peanut, Ara h 1, Ara h 2, Ara h 3, Ara h 8, and Ara h 9.

resultsFollowing 12 months of SLIT, 10 subjects (30%) passed the DBPCFC without symptoms and were considered desensitized. Subjects that failed the DBPCFC tolerated a median of 460 mg peanut protein (range: 10-1710 mg). The desensitized group had significantly lower baseline levels of IgE against peanut (median 40.8 vs. 231 kUA /L, P = 0.0082), Ara h 2 (median 17 vs. 113 kUA /L, P = 0.0082), and Ara h 3 (median 0.3 vs. 8.5 kUA /L, P = 0.0396). ROC curves indicated that baseline IgE against peanut and Ara h 2 were equally effective at discriminating between the two groups (AUC = 0.7957, P = 0.007752 for both). CONCLUSION AND CLINICAL RELEVANCE: In this cohort of subjects undergoing SLIT for peanut allergy, lower baseline levels of IgE against Ara h 2, Ara h 3, and peanut were associated with successful desensitization.

Indexed as

2S Albumins, PlantAllergensAntigens, PlantChildChild, PreschoolDouble-Blind MethodFemaleGlycoproteinsHumansImmunoglobulin EImmunoglobulin GInfantMaleMembrane ProteinsPeanut HypersensitivityPlant Proteins2S Albumins, PlantAllergensAntigens, PlantAra h 1 protein, Arachis hypogaeaAra h 2 allergen, Arachis hypogaeaAra h 3 allergen, Arachis hypogeaAra h 8 allergen, peanutAra h 9 allergen, peanutGlycoproteinsImmunoglobulin EImmunoglobulin GMembrane ProteinsPlant Proteinscomponent resolved diagnosis (CRD)desensitizationpeanut allergysublingual immunotherapy (SLIT)

Identifiers

PMID26362760
PMCPMC4732904

What OpenQuestion holds

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Registered trials

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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.