Evidence map›Paper›PMID 32436290›Full record

ReviewPediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology2020

EAACI Allergen Immunotherapy User's Guide.

Montserrat Alvaro-Lozano, Cezmi A Akdis, Mubeccel Akdis, Cherry Alviani, Elisabeth Angier, Stefania Arasi, Lisa Arzt-Gradwohl, Domingo Barber, Raphaëlle Bazire, Ozlem Cavkaytar and 21 more

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06876506 (Identification and Quantitation of Human B Regulatory Cells Via Flow Cytometry and Their Potential Role as a Treatment Efficacy Biomarker in Allergen-specific Immunotherapy), which is not on this map. Cited by 152 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
152citing papers in PubMed, 3 pooled it
24.3field-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.

NCT06876506 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Identification and Quantitation of Human B Regulatory Cells Via Flow Cytometry and Their Potential Role as a Treatment Efficacy Biomarker in Allergen-specific Immunotherapy

TypeobservationalSponsorHull University Teaching Hospitals NHS TrustRan2026 to 2027Enrolled80ConditionsPollen Allergy, Venom AllergyArmsVenepuncture, Allergen Specific Immunotherapy
3 · Its place in the literature

Who cites it

152 citing papers in PubMed, 3 syntheses or guidelines pooled it, 330 citations in OpenAlex.

  1. Clinical Practice Guideline: Immunotherapy for Inhalant Allergy.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2024
    Guideline
  2. Pooled it
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  4. Trial
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  11. Review
  12. Article
  13. Recent advances in allergen immunotherapy.Chinese medical journal · 2026
    Review
  14. Review
  15. Early and longitudinal response to sublingual immunotherapy across pediatric allergic multimorbidity patterns: A 3-year real-world cohort study.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Article
  16. Review
  17. Review
  18. Health inequities in pediatric anaphylaxis: A policy framework and call to action for equitable care from SIAIP allergy prevention commission.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Review
  19. Observational
  20. Bridging Rare to Common Diseases: Precision Medicine and the Transforming Landscape of Pediatric Allergy and Immunology.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Review

92 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

31 authors at 20 institutions in 11 countries.

Montserrat Alvaro-LozanoPediatric Allergy and Clinical Immunology Service, Hospital Sant Joan de Déu, Barcelona, Spain.
Cezmi A AkdisSwiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland.
Mubeccel AkdisSwiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland.
Cherry AlvianiThe David Hide Asthma and Allergy Research Centre, St Mary's Hospital, Newport, Isle of Wight, UK.
Elisabeth AngierPrimary Care and Population Sciences, University of Southampton, Southampton, UK.
Stefania ArasiPediatric Allergology Unit, Department of Pediatric Medicine, Bambino Gesù Children's research Hospital (IRCCS), Rome, Italy.
Lisa Arzt-GradwohlDepartment of Dermatology and Venerology, Medical University of Graz, Graz, Austria.
Domingo BarberSchool of Medicine, Institute for Applied Molecular Medicine (IMMA), Universidad CEU San Pablo, Madrid, Spain.
Raphaëlle BazireAllergy Department, Hospital Infantil Niño Jesús, ARADyAL RD16/0006/0026, Madrid, Spain.
Ozlem CavkaytarDepartment of Paediatric Allergy and Immunology, Faculty of Medicine, Goztepe Training and Research Hospital, Istanbul Medeniyet University, Istanbul, Turkey.
Pasquale ComberiatiDepartment of Clinical Immunology and Allergology, I.M. Sechenov First Moscow State Medical University, Moscow, Russia.
Stephanie DramburgDepartment of Pediatric Pneumology, Immunology and Intensive Care Medicine, Charité Medical University, Berlin, Germany.
Stephen R DurhamImmunomodulation and Tolerance Group; Allergy and Clinical Immunology, Section of Inflammation, Repair and Development, National Heart and Lung Institute, Imperial College London, London, UK.
Aarif O EifanAllergy and Clinical Immunology, National Heart and Lung Institute, Imperial College London and Royal Brompton Hospitals NHS Foundation Trust, London, UK.
Leandra ForchertDepartment of Pediatric Pneumology, Immunology and Intensive Care Medicine, Charité Medical University, Berlin, Germany.
Susanne HalkenHans Christian Andersen Children's Hospital, Odense University Hospital, Odense, Denmark.
Max KirtlandImmunomodulation and Tolerance Group, Allergy and Clinical Immunology, Inflammation, Repair and Development, National Heart and Lung Institute, Asthma UK Centre in Allergic Mechanisms of Asthma, Imperial College London, London, UK.
Umut C KucuksezerAziz Sancar Institute of Experimental Medicine, Department of Immunology, Istanbul University, Istanbul, Turkey.
Janice A LayhadiImmunomodulation and Tolerance Group; Allergy and Clinical Immunology, Section of Inflammation, Repair and Development, National Heart and Lung Institute, Imperial College London, London, UK.
Paolo Maria MatricardiDepartment of Pediatric Pneumology, Immunology and Intensive Care Medicine, Charité Medical University, Berlin, Germany.
Antonella MuraroThe Referral Centre for Food Allergy Diagnosis and Treatment Veneto Region, Department of Women and Child Health, University of Padua, Padua, Italy.
Cevdet OzdemirInstitute of Child Health, Department of Pediatric Basic Sciences, Istanbul University, Istanbul, Turkey.
Giovanni Battista PajnoDepartment of Pediatrics, Allergy Unit, University of Messina, Messina, Italy.
Oliver PfaarDepartment of Otorhinolaryngology, Head and Neck Surgery, Section of Rhinology and Allergy, University Hospital Marburg, Philipps-Universität Marburg, Marburg, Germany.
Ekaterina PotapovaDepartment of Pediatric Pneumology, Immunology and Intensive Care Medicine, Charité Medical University, Berlin, Germany.
Carmen RiggioniPediatric Allergy and Clinical Immunology Service, Institut de Reserca Sant Joan de Deú, Barcelona, Spain.
Graham RobertsThe David Hide Asthma and Allergy Research Centre, St Mary's Hospital, Newport, Isle of Wight, UK.
Pablo Rodríguez Del RíoAllergy Department, Hospital Infantil Niño Jesús, ARADyAL RD16/0006/0026, Madrid, Spain.
Mohamed H ShamjiImmunomodulation and Tolerance Group; Allergy and Clinical Immunology, Section of Inflammation, Repair and Development, National Heart and Lung Institute, Imperial College London, London, UK.
Gunter J SturmDepartment of Dermatology and Venerology, Medical University of Graz, Graz, Austria.
Marta Vazquez-OrtizDepartment of Paediatrics, Imperial College London, London, UK.
Charité - Universitätsmedizin Berlin · DEImperial College London · GBAsthma UK · GBHospital Infantil Universitario Niño Jesús · ESMedical University of Graz · ATUniversity of Zurich · CHBambino Gesù Children's Hospital · ITDavid Hide Asthma and Allergy Research Centre · GBHospital Sant Joan de Déu Barcelona · ESHUN-REN Institute of Experimental Medicine · HUInstitut de Recerca Sant Joan de DéuIstanbul Medeniyet University · TRIstanbul University · TROdense University Hospital · DKPhilipps University of Marburg · DERoyal Brompton Hospital · GBSechenov University · RUSt. Mary's Hospital · GBUniversidad San Pablo CEU · ESUniversity of Messina · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Allergen immunotherapy is a cornerstone in the treatment of allergic children. The clinical efficiency relies on a well-defined immunologic mechanism promoting regulatory T cells and downplaying the immune response induced by allergens. Clinical indications have been well documented for respiratory allergy in the presence of rhinitis and/or allergic asthma, to pollens and dust mites. Patients who have had an anaphylactic reaction to hymenoptera venom are also good candidates for allergen immunotherapy. Administration of allergen is currently mostly either by subcutaneous injections or by sublingual administration. Both methods have been extensively studied and have pros and cons. Specifically in children, the choice of the method of administration according to the patient's profile is important. Although allergen immunotherapy is widely used, there is a need for improvement. More particularly, biomarkers for prediction of the success of the treatments are needed. The strength and efficiency of the immune response may also be boosted by the use of better adjuvants. Finally, novel formulations might be more efficient and might improve the patient's adherence to the treatment. This user's guide reviews current knowledge and aims to provide clinical guidance to healthcare professionals taking care of children undergoing allergen immunotherapy.

Indexed as

Practice Guidelines as TopicAdministration, SublingualAdolescentAllergensAnimalsAsthmaBiomarkersChildChild, PreschoolDesensitization, ImmunologicHealth PersonnelHumansHypersensitivityInjections, SubcutaneousPediatricsPollenAllergensBiomarkersAllergyimmune regulationimmunotherapytolerance

Identifiers

PMID32436290
PMCPMC7317851
OpenAlexW3026067409

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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.