Evidence map›Paper›PMID 29322510›Full record

ArticleAllergy2018

Lolium perenne peptide immunotherapy is well tolerated and elicits a protective B-cell response in seasonal allergic rhinitis patients.

R Mösges, A F Koch, E Raskopf, J Singh, K Shah-Hosseini, A Astvatsatourov, B Hauswald, Y Yarin, F Corazza, L Haazen and 6 more

Abstract read
In one paragraph

Article in Allergy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Mechanisms of Allergen Immunotherapy in Allergic Rhinitis.Current allergy and asthma reports · 2020
    Review
  8. EAACI Allergen Immunotherapy User's Guide.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2020
    Review
  9. Article
  10. Article
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

16 authors.

R MösgesInstitute of Medical Statistics, Informatics and Epidemiology (IMSIE), Faculty of Medicine, University of Cologne, Cologne, Germany.
A F KochInstitute of Medical Statistics, Informatics and Epidemiology (IMSIE), Faculty of Medicine, University of Cologne, Cologne, Germany.
E RaskopfInstitute of Medical Statistics, Informatics and Epidemiology (IMSIE), Faculty of Medicine, University of Cologne, Cologne, Germany.
J SinghInstitute of Medical Statistics, Informatics and Epidemiology (IMSIE), Faculty of Medicine, University of Cologne, Cologne, Germany.
K Shah-HosseiniInstitute of Medical Statistics, Informatics and Epidemiology (IMSIE), Faculty of Medicine, University of Cologne, Cologne, Germany.
A AstvatsatourovInstitute of Medical Statistics, Informatics and Epidemiology (IMSIE), Faculty of Medicine, University of Cologne, Cologne, Germany.
B HauswaldDepartment of Oto-Rhino-Laryngology, University Clinic Carl Gustav Carus, Technical University Dresden, Dresden, Germany.
Y YarinDepartment of Oto-Rhino-Laryngology, University Clinic Carl Gustav Carus, Technical University Dresden, Dresden, Germany.
F CorazzaLaboratory of Brussels University Hospitals, Laboratory of Translational Research, Brugmann University Hospital, ULB, Brussels, Belgium.
L HaazenASIT biotech s.a., Brussels, Belgium.
S PirottonASIT biotech s.a., Brussels, Belgium.
S AllekotteInstitute of Medical Statistics, Informatics and Epidemiology (IMSIE), Faculty of Medicine, University of Cologne, Cologne, Germany.
G ZadoyanInstitute of Medical Statistics, Informatics and Epidemiology (IMSIE), Faculty of Medicine, University of Cologne, Cologne, Germany.
T LegonASIT biotech s.a., Brussels, Belgium.
S R DurhamImmunomodulation and Tolerance Group, Allergy and Clinical Immunology, Respiratory Science Division, National Heart and Lung Institute, Imperial College, London, UK.
M H ShamjiImmunomodulation and Tolerance Group, Allergy and Clinical Immunology, Respiratory Science Division, National Heart and Lung Institute, Imperial College, London, UK.

Funding

Medical Research Council G1000758
6 · The paper itself

Abstract

backgroundSystemic allergic reactions are a risk for allergen immunotherapy that utilizes intact allergen preparations. We evaluated the safety, efficacy and immune mechanisms of short-course treatment with adjuvant-free Lolium perenne peptides (LPP) following a 6-week dose-escalation protocol.

methodsIn a prospective, dose-escalation study, 61 grass pollen-allergic patients received 2 subcutaneous injections of LPP once weekly for 6 weeks. Safety was assessed evaluating local reactions, systemic reactions and adverse events. The clinical effect of LPP was determined by reactivity to the conjunctival provocation test (CPT). Specific IgE, IgG

resultsNo fatality, serious adverse event or epinephrine use was reported. Mean wheal diameters after injections were <0.6 cm and mean redness diameters <2.5 cm, independent of dose. Transient and mostly mild adverse events were reported in 33 patients. Two patients experienced a grade I and 4 patients a grade II reaction (AWMF classification). At V8, 69.8% of patients became nonreactive to CPT. sIgG

conclusionIncreasing doses of subcutaneous LPP appeared safe, substantially diminished reactivity to CPT and induced blocking antibodies as early as 4 weeks after treatment initiation. The benefit/risk balance of LPP immunotherapy remains to be further evaluated in large studies.

Indexed as

Desensitization, ImmunologicImmune ToleranceAdolescentAdultAllergensB-LymphocytesChildChild, PreschoolFemaleHumansImmunoglobulin ELoliumMaleMiddle AgedNasal Provocation TestsPeptidesAllergensImmunoglobulin EPeptidesallergengrass pollen peptidessafetysubcutaneous immunotherapytolerability

Identifiers

PMID29322510
PMCPMC6032848

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.