Evidence map›Paper›PMID 31950282›Full record

ArticlePharmaceutical research2020

Immunogenicity of Milk Protein-Containing Hydrophilic Gel Patch for Epicutaneous Immunotherapy for Milk Allergy.

Sayami Ito, Sachiko Hirobe, Yu Kuwabara, Mizuho Nagao, Mio Saito, Ying-Shu Quan, Fumio Kamiyama, Takao Fujisawa, Naoki Okada

Abstract read
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In one paragraph

Article in Pharmaceutical research, 2020. 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
1.5field-weighted citation impact, top 19% 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

10 citing papers in PubMed, 19 citations in OpenAlex.

  1. Microneedles: Selected Applications for Pediatrics.Children (Basel, Switzerland) · 2026
    Review
  2. Rethinking asthma therapy, part 2: transdermal strategies for adjunct asthma and allergy treatments.Journal of pharmacy & pharmaceutical sciences : a publication of the Canadian Society for Pharmaceutical Sciences, Societe canadienne des sciences pharmaceutiques · 2026
    Review
  3. Microneedles in Allergy Immunotherapy: the Present and Future.Current allergy and asthma reports · 2025
    Review
  4. Review
  5. Article
  6. Review
  7. Exploiting Unique Features of Microneedles to Modulate Immunity.Advanced materials (Deerfield Beach, Fla.) · 2023
    Review
  8. Review
  9. Oral Immunotherapy for Children with Cow's Milk Allergy.Pathogens (Basel, Switzerland) · 2021
    Review
  10. 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

9 authors at 3 institutions in 1 country.

Sayami ItoProject for Vaccine and Immune Regulation, Laboratory of Vaccine and Immune Regulation (BIKEN), Graduate School of Pharmaceutical Sciences, Osaka University, 1-6 Yamadaoka, Suita, Osaka, 565-0871, Japan.
Sachiko HirobeAdvanced Research of Medical and Pharmaceutical Sciences, Graduate School of Pharmaceutical Sciences, Osaka University, 1-6 Yamadaoka Suita, Osaka, 565-0871, Japan.
Yu KuwabaraAllergy Center and Department of Clinical Research, Mie National Hospital, 357 Osato-kubota, Tsu, Mie, 514-0125, Japan.
Mizuho NagaoAllergy Center and Department of Clinical Research, Mie National Hospital, 357 Osato-kubota, Tsu, Mie, 514-0125, Japan.
Mio SaitoCosMED Pharmaceutical Co. Ltd, 32 Higashikujokawanishi-cho Minami-ku, Kyoto, 601-8014, Japan.
Ying-Shu QuanCosMED Pharmaceutical Co. Ltd, 32 Higashikujokawanishi-cho Minami-ku, Kyoto, 601-8014, Japan.
Fumio KamiyamaCosMED Pharmaceutical Co. Ltd, 32 Higashikujokawanishi-cho Minami-ku, Kyoto, 601-8014, Japan.
Takao FujisawaAllergy Center and Department of Clinical Research, Mie National Hospital, 357 Osato-kubota, Tsu, Mie, 514-0125, Japan.
Naoki OkadaProject for Vaccine and Immune Regulation, Laboratory of Vaccine and Immune Regulation (BIKEN), Graduate School of Pharmaceutical Sciences, Osaka University, 1-6 Yamadaoka, Suita, Osaka, 565-0871, Japan. okada@phs.osaka-u.ac.jp.
CosMED Pharmaceutical (Japan) · JPNational Mie Hospital · JPOsaka University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEpicutaneous immunotherapy (EPIT) involving the skin's immune system is easy to use, painless and has a low risk of systemic side effects; it can be applied to food allergies that have a high morbidity rate in children. In this study, we evaluated the safety and efficacy of hydrophilic gel patch (HG) for EPIT.

methodsMilk protein concentrate (MPC)-containing HG was applied to the skin that maintained a barrier function or formed puncture holes with microneedle, and MPC-specific antibodies were measured. The clinical study was conducted involving patients with severe milk allergy.

resultsNo specific immune response was induced when immunizing to intact skin, and antibody production was observed by forming puncture holes. It was suggested that MPC contained in HG has immunogenicity and a very small amount of MPC was delivered to intact skin. In the clinical study, the symptom induction threshold increased in four of eight subjects, allowing them to consume milk and switch to oral immunotherapy. Although local skin reactions and temporary elevation of specific IgE antibodies were observed, no systemic side effects appeared throughout the study.

conclusionsEPIT using HG is a safe method to enable oral administration even in patients with severe milk allergies.

Indexed as

Transdermal PatchAcrylic ResinsAdministration, CutaneousAnimalsCattleChildChild, PreschoolDisease Models, AnimalFemaleHumansHydrophobic and Hydrophilic InteractionsImmunoglobulin EImmunotherapyMaleMiceMicroinjectionsAcrylic Resinscarbopol 940Immunoglobulin EMilk Proteinscow milk allergyepicutaneous immunotherapyexploratory clinical pilot studyhydrophilic gel patch

Identifiers

PMID31950282
OpenAlexW2999176714

What OpenQuestion holds

Textmetadata
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.