Evidence map›Paper›PMID 26924470›Full record

Trial reportThe Journal of allergy and clinical immunology2016

Long-term treatment with egg oral immunotherapy enhances sustained unresponsiveness that persists after cessation of therapy.

Stacie M Jones, A Wesley Burks, Corinne Keet, Brian P Vickery, Amy M Scurlock, Robert A Wood, Andrew H Liu, Scott H Sicherer, Alice K Henning, Robert W Lindblad and 7 more

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The Journal of 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 73 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 1 pooled it
19.2field-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.

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

73 citing papers in PubMed, 1 synthesis or guideline pooled it, 178 citations in OpenAlex.

  1. Oral and sublingual immunotherapy for egg allergy.The Cochrane database of systematic reviews · 2018
    Pooled it
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  8. Review
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  12. Recent Advances in Oral Immunotherapy for Food Allergies.Clinical reviews in allergy & immunology · 2025
    Review
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  14. Article
  15. Review
  16. Zéro allergie research clinic: a clinical and research initiative in oral immunotherapy for managing IgE-mediated food allergy.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2024
    Article
  17. Review
  18. Review
  19. Article
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13 more citing papers are in PubMed but not listed here.

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

17 authors at 9 institutions in 1 country.

Stacie M JonesDepartment of Pediatrics, University of Arkansas for Medical Sciences and Arkansas Children's Hospital, Little Rock, Ark. Electronic address: JonesStacieM@uams.edu.
A Wesley BurksDepartment of Pediatrics, University of North Carolina, Chapel Hill, NC.
Corinne KeetDepartment of Pediatrics, Johns Hopkins School of Medicine, Baltimore, Md.
Brian P VickeryDepartment of Pediatrics, University of North Carolina, Chapel Hill, NC.
Amy M ScurlockDepartment of Pediatrics, University of Arkansas for Medical Sciences and Arkansas Children's Hospital, Little Rock, Ark.
Robert A WoodDepartment of Pediatrics, Johns Hopkins School of Medicine, Baltimore, Md.
Andrew H LiuDepartment of Pediatrics, National Jewish Health, Denver, Colo.
Scott H SichererDepartment of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY.
Alice K HenningEMMES Corporation, Rockville, Md.
Robert W LindbladEMMES Corporation, Rockville, Md.
Peter DawsonEMMES Corporation, Rockville, Md.
Cecilia BerinDepartment of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY.
David M FleischerDepartment of Pediatrics, National Jewish Health, Denver, Colo.
Donald Y M LeungDepartment of Pediatrics, National Jewish Health, Denver, Colo.
Marshall PlautNational Institutes of Health (National Institute of Allergy and Infectious Diseases), Bethesda, Md.
Hugh A SampsonDepartment of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY.
Consortium of Food Allergy Research (CoFAR)
Emmes (United States) · USIcahn School of Medicine at Mount Sinai · USJohns Hopkins Medicine · USNational Jewish Health · USUniversity of North Carolina at Chapel Hill · USArkansas Children's Hospital · USNational Institutes of Health · USUniversity of Arkansas for Medical Sciences · USUniversity of Colorado Denver · US

Funding

Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
Mechanistic CoreU19AI066738 · NIAID · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI SAMPSON, HUGH A · 2005 to 2016
$43.6M
MSHS Translational Science HubUL1TR001433 · NCATS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI WRIGHT, ROSALIND J · 2015 to 2019
$26.6M
Colorado Clinical and Translational Science Institute (UL1)UL1TR000154 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2012 to 2013
$20.4M
Mount Sinai Institutes for Clinical and Translational SciencesUL1TR000067 · NCATS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI SAMPSON, HUGH A · 2012 to 2014
$16.5M
Food Allergy Research Consortium and Statistical CenterU01AI066560 · NIAID · THE EMMES COMPANY, LLC · PI DAWSON, PETER RUSSELL, LINDBLAD, ROBERT · 2005 to 2016
$12.8M
UNC Clinical and Translational Science AwardUL1TR000083 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RUNGE, MARSCHALL S. · 2012 to 2013
$11.6M
Arkansas Center for Clinical and Translational ResearchUL1TR000039 · NCATS · UNIV OF ARKANSAS FOR MED SCIS · PI BECK, CORNELIA MARIE, JAMES, LAURA P · 2012 to 2014
$10.0M
Institute for Clinical and Translational ResearchUL1TR000424 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2012 to 2012
$6.0M
Genetic and Environmental Determinants of Food AllergyK23AI103187 · NIAID · JOHNS HOPKINS UNIVERSITY · PI KEET, CORINNE · 2012 to 2016
$684k
NCATS NIH HHS UL1 TR000039NCATS NIH HHS UL1 TR000067NCATS NIH HHS UL1 TR000083NCATS NIH HHS UL1 TR000154NCATS NIH HHS UL1 TR000424NCATS NIH HHS UL1 TR001082NCATS NIH HHS UL1 TR001433NIAID NIH HHS K23 AI103187NIAID NIH HHS U01 AI066560NIAID NIH HHS U01AI066560NIAID NIH HHS U19 AI066738NIAID NIH HHS U19AI066738
6 · The paper itself

Abstract

backgroundWe previously reported the results of a randomized placebo-controlled study of egg oral immunotherapy (eOIT) in which 27.5% of subjects achieved sustained unresponsiveness (SU) after 2 years. Here we report the results of treatment through 4 years and long-term follow-up.

objectiveWe sought to evaluate the efficacy and safety of eOIT in participants treated up to 4 years.

methodsChildren with egg allergy (5-18 years old) received eOIT (n = 40) for up to 4 years or placebo (n = 15) for 1 year or less. The key outcome was the percentage of subjects achieving SU by year 4. Safety and immunologic assessments were performed, and long-term follow-up questionnaires (LFQs) were administered after study conclusion (LFQ-1) and 1 year later (LFQ-2).

resultsOf 40 eOIT-treated subjects, 20 (50.0%) of 40 demonstrated SU by year 4. For those subjects still dosing during years 3 and 4, mild symptoms were present in 12 (54.5%) of 22 subjects. At the time of the LFQ, more subjects receiving eOIT (LFQ-1, 23/34 [68%]; LFQ-2, 21/33 [64%]) were consuming unbaked and baked egg versus placebo (LFQ-1, 2/11 [18%], P = .006; LFQ-2, 3/12 [25%], P = .04). Of subjects achieving SU, 18 (90%) of 20 completed the LFQ, with 18 (100%) of 18 reporting consumption of all forms of egg. When compared with subjects not achieving SU, subjects achieving SU had higher IgG4 values (P = .001) and lower egg skin prick test scores (P = .0002) over time and a lower median baseline ratio of egg-specific IgE to total IgE (1.1% vs 2.7%, P = .04).

conclusionsSU after eOIT is enhanced with longer duration of therapy and increases the likelihood of tolerating unbaked egg in the diet.

Indexed as

AdolescentChildChild, PreschoolDesensitization, ImmunologicDouble-Blind MethodEgg HypersensitivityFemaleFollow-Up StudiesHumansMaleSurveys and QuestionnairesTime FactorsTreatment OutcomedesensitizationEgg allergyfollow-upfood allergyIgEimmune toleranceoral immunotherapysustained unresponsiveness

Identifiers

PMID26924470
PMCPMC4826859
OpenAlexW2278243114

What OpenQuestion holds

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LicenceTDM
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Registered trials

None linked

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.