Evidence map›Paper›PMID 29512827›Full record

Trial reportAllergy2018

Short course of grass allergen peptides immunotherapy over 3 weeks reduces seasonal symptoms in allergic rhinoconjunctivitis with/without asthma: A randomized, multicenter, double-blind, placebo-controlled trial.

R Mösges, C Bachert, P Panzner, M A Calderon, L Haazen, S Pirotton, N Wathelet, S R Durham, M-A Bonny, T Legon and 3 more

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Allergy, 2018. 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
5.1field-weighted citation impact, top 4% 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

13 citing papers in PubMed, 49 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Efficacy ofJournal of asthma and allergy · 2026
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  11. Towards definitive management of allergic rhinitis: best use of new and established therapies.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2020
    Review
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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

13 authors at 5 institutions in 4 countries.

R MösgesInstitute of Medical Statistics, Informatics and Epidemiology, Cologne, Germany.ORCID 0000-0002-1928-810X
C BachertUpper Airways Research Laboratory, Ghent University Hospital, Ghent, Belgium.ORCID 0000-0003-4742-1665
P PanznerDepartment of Immunology and Allergology, Faculty of Medicine and Faculty Hospital in Pilsen, Charles University in Prague, Pilsen, Czech Republic.
M A CalderonImmune Tolerance Group, Allergy and Clinical Immunology, Inflammation, Repair and Development, NHLI, Imperial College, London, MRC Asthma UK Centre, UK.
L HaazenASIT Biotech, Brussels, Belgium.
S PirottonASIT Biotech, Brussels, Belgium.
N WatheletASIT Biotech, Brussels, Belgium.
S R DurhamImmune Tolerance Group, Allergy and Clinical Immunology, Inflammation, Repair and Development, NHLI, Imperial College, London, MRC Asthma UK Centre, UK.
M-A BonnyASIT Biotech, Brussels, Belgium.
T LegonASIT Biotech, Brussels, Belgium.
R von FrenckellFreelance Biostatistics Consultant, Waterloo, Belgium.
O PfaarDepartment of Otorhinolaryngology, Head and Neck Surgery, Universitätsmedizin Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.ORCID 0000-0003-4374-9639
M H ShamjiImmune Tolerance Group, Allergy and Clinical Immunology, Inflammation, Repair and Development, NHLI, Imperial College, London, MRC Asthma UK Centre, UK.ORCID 0000-0003-3425-3463
ASIT Biotech (Belgium) · BEAsthma UK · GBCharles University · CZGhent University Hospital · BEHeidelberg University · DE

Funding

Medical Research Council G1000758
6 · The paper itself

Abstract

backgroundImmunotherapy with peptide hydrolysates from Lolium perenne (LPP) is an alternative treatment for seasonal allergic rhinitis with or without asthma. The aim of this study was to assess the clinical efficacy and safety of a cumulative dose of 170 μg LPP administered subcutaneously over 3 weeks.

methodsIn a randomized, double-blind, placebo-controlled trial, 554 adults with grass pollen rhinoconjunctivitis were randomized (1:2 ratio) to receive 8 subcutaneous injections of placebo or 170 μg LPP administered in increasing doses in 4 visits over 3 weeks. The primary outcome was the combined symptom and medication score (CSMS) measured over the peak pollen season. Reactivity to conjunctival provocation test (CPT) and quality of life (QOL) was assessed as secondary endpoints.

resultsThe mean reduction in CSMS in the LPP vs placebo group was -15.5% (P = .041) during the peak period and -17.9% (P = .029) over the entire pollen season. LPP-treated group had a reduced reactivity to CPT (P < .001) and, during the pollen season, a lower rhinoconjunctivitis QOL global score (P = .005) compared with placebo group. Mostly mild and WAO grade 1 early systemic reaction (ESR) were observed ≤30 minutes in 10.5% of LPP-treated patients, whereas 3 patients with a medical history of asthma (<1%) experienced a serious ESR that resolved with rescue medication.

conclusionLolium perenne pollen peptides administered over 3 weeks before the grass pollen season significantly reduced seasonal symptoms and was generally safe and well-tolerated.

Indexed as

Desensitization, ImmunologicAllergensAsthmaCase-Control StudiesDrug Administration ScheduleFemaleHumansMalePeptidesPoaceaePollenQuality of LifeRhinitis, Allergic, SeasonalSeasonsTreatment OutcomeAllergensPeptidesclinical trialgrass pollenLolium perennepeptide immunotherapysubcutaneous immunotherapy

Identifiers

PMID29512827
PMCPMC6175232
OpenAlexW2790503589

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.