Evidence map›Paper›PMID 33621436›Full record

Trial reportImmunity, inflammation and disease2021

Oral birch pollen immunotherapy with apples: Results of a phase II clinical pilot study.

Bettina Nothegger, Norbert Reider, Claudia E Covaciu, Valentina Cova, Linda Ahammer, Reiner Eidelpes, Jana Unterhauser, Stefan Platzgummer, Elisabeth Raffeiner, Martin Tollinger and 2 more

Open access · goldAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Immunity, inflammation and disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

9 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Article
  3. Pollen-Food Allergy Syndrome in China: Current Knowledge and Future Research Needs.International archives of allergy and immunology · 2026
    Review
  4. Article
  5. Outcomes of apple oral immunotherapy in pollen food allergy syndrome.The journal of allergy and clinical immunology. Global · 2024
    Article
  6. Review
  7. Article
  8. Article
  9. 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

12 authors at 5 institutions in 2 countries.

Bettina NotheggerDepartment of Dermatology, Venereology and Allergology, Medical University of Innsbruck, Innsbruck, Austria.ORCID 0000-0003-2159-2044
Norbert ReiderDepartment of Dermatology, Venereology and Allergology, Medical University of Innsbruck, Innsbruck, Austria.
Claudia E CovaciuDepartment of Dermatology Venereology and Allergology, Central Teaching Hospital, Bolzano/Bozen, Italy.
Valentina CovaDepartment of Applied Genomics and Molecular Biology, Laimburg Research Centre, Ora, Italy.
Linda AhammerInstitute of Organic Chemistry and Center for Molecular Biosciences Innsbruck, University of Innsbruck, Innsbruck, Austria.
Reiner EidelpesInstitute of Organic Chemistry and Center for Molecular Biosciences Innsbruck, University of Innsbruck, Innsbruck, Austria.
Jana UnterhauserInstitute of Organic Chemistry and Center for Molecular Biosciences Innsbruck, University of Innsbruck, Innsbruck, Austria.
Stefan PlatzgummerClinical Chemistry and Microbiology Laboratory, Tappeiner Hospital, Meran, Italy.
Elisabeth RaffeinerClinical Chemistry and Microbiology Laboratory, Tappeiner Hospital, Meran, Italy.
Martin TollingerInstitute of Organic Chemistry and Center for Molecular Biosciences Innsbruck, University of Innsbruck, Innsbruck, Austria.
Thomas LetschkaDepartment of Applied Genomics and Molecular Biology, Laimburg Research Centre, Ora, Italy.
Klaus EisendleDepartment of Dermatology Venereology and Allergology, Central Teaching Hospital, Bolzano/Bozen, Italy.ORCID 0000-0002-8234-9964
Universität Innsbruck · ATBiomolecular Research Genomics (Italy) · ITInnsbruck Medical University · ATKrankenhaus Meran · ITOspedale di Bolzano · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeventy percent of patients suffering from birch pollen allergy (BPA) develop a pollen-related food allergy (prFA), especially to apples, due to a clinically relevant cross-reactivity between the major allergen in birch Bet v 1 and Mal d 1 in apples. Therefore allergen-specific immunotherapy with fresh apples (AITA) could be a promising natural treatment of both BPA and prFA.

objectiveTo assess the clinical efficacy of immunotherapy by daily apple consumption for patients with BPA and prFA.

methodsA daily defined increasing amount of selected cultivars (Red Moon®, Pink Lady®, Topaz, Golden Delicious) was continuously consumed by 16 patients (12 female; median age; 50; range, 23-68 years), leading to increased intake of allergen over a period of at least 8 months. Specific IgE and IgG

resultsAfter 8 months of therapy, patients showed increased tolerance to apples (p < .001) and a decreased skin reactivity to apples. Oral allergy syndrome to other birch prFA than apple also decreased (p < .05). Moreover, daily rhinoconjunctivitis CSMS declined by 34% (p < .001), as did conjunctival reactivity to birch pollen extract by 27% (p < .01), while specific IgG

Indexed as

Food HypersensitivityMalusAdultAgedBetulaDesensitization, ImmunologicFemaleHumansImmunoglobulin EMaleMiddle AgedPilot ProjectsPollenYoung AdultImmunoglobulin Eallergyhuman

Identifiers

PMID33621436
PMCPMC8127540
OpenAlexW3129746737

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.