Evidence map›Paper›PMID 34523256›Full record

ReviewClinical and translational allergy2021

A meta-analysis on allergen-specific immunotherapy using MCT

Sven Becker, Petra Zieglmayer, Gabriela Canto, Filippo Fassio, Patrick Yong, Cengizhan Acikel, Esther Raskopf, Esther Helen Steveling-Klein, Silke Allekotte, Ralph Mösges

Open access · goldAbstract readReview
In one paragraph

Review in Clinical and translational allergy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.6field-weighted citation impact, top 18% 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

8 citing papers in PubMed, 14 citations in OpenAlex.

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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

10 authors at 7 institutions in 6 countries.

Sven BeckerDepartment of Otorhinolaryngology, Head and Neck Surgery, University of Tübingen, Tübingen, Germany.
Petra ZieglmayerKarl Landsteiner University, Krems, Austria.
Gabriela CantoHospital Infanta Leonor, Madrid, Spain.
Filippo FassioAllergy and Clinical Immunology Unit, Azienda Usl Toscana Centro, Ospedale San Giovanni di Dio, Florence, Italy.
Patrick YongDepartment of Clinical Immunology and Allergy, Frimley Park Hospital, Frimley, UK.
Cengizhan AcikelClinCompetence Cologne GmbH, Cologne, Germany.
Esther RaskopfClinCompetence Cologne GmbH, Cologne, Germany.ORCID https://orcid.org/0000-0002-6461-8593
Esther Helen Steveling-KleinDermatology Department, Division of Allergy, University Hospital Basel, Basel, Switzerland.
Silke AllekotteClinCompetence Cologne GmbH, Cologne, Germany.
Ralph MösgesClinCompetence Cologne GmbH, Cologne, Germany.ORCID https://orcid.org/0000-0002-1928-810X
Azienda Usl Toscana Centro · ITHospital Universitario Infanta Leonor · ESRoyal Surrey County Hospital · GBUniversity Hospital of Basel · CHUniversity of Cologne · DEUniversity of Tübingen · DEVienna Challenge Chamber · AT

Funding

Bencard Allergie GmbH
6 · The paper itself

Abstract

backgroundThe World Allergy Organization and the European Academy of Allergy and Clinical Immunology recommend to perform product-specific meta-analyses for allergen-specific immunotherapies because of the high degree of heterogeneity between individual products. This meta-analysis evaluates the efficacy and safety of Glutaraldehyde-modified and MCT

methodsThe databases MEDLINE, LILACS, embase, LIVIVO, Web of Science and Google (Scholar) were searched for publications on MATA up to June 2019. Primary endpoint was the combined symptom and medication score (CSMS). Secondary endpoints were single scores, immunogenicity and improvement of allergic condition. Secondary safety endpoints were the occurrence of side effects. A random effects model was applied with (standardized) mean differences ([S]MDs) including confidence intervals (CI). Heterogeneity was analyzed using the I

resultsEight randomized double-blind placebo-controlled trials were selected for efficacy and 43 publications for safety analysis. In total, 4531 patients were included in this analysis including eight studies containing data on children and adolescents. AIT with MATA significantly reduced allergic symptoms and medication use with a SMD for CSMS of -0.8 (CI: -1.24, -0.36) in comparison to placebo. Heterogeneity was moderate between the studies. The total symptom score (-1.2 [CI: -2.11, -0.29]) and the total medication score (-2.2 [CI: -3.65, -0.74]) were also significantly reduced after MATA treatment. Patient's condition improved significantly after treatment with MATA, with an odds ratio of 3.05 (CI: 1.90, 4.90) when compared to placebo. The proportion of patients, who developed side effects was 38% (CI: 19%, 57%). No serious side effects occurred. Safety in the subgroups of asthmatic patients, children and adolescents did not differ from the overall patient population.

conclusionsThis meta-analysis reveals a large body of evidence from publications investigating MATA. MATA significantly improved allergic symptoms and reduced the use of anti-allergic medication in comparison to placebo, with an excellent safety profile. Especially for children and asthmatic patients, the use of MATAs can be considered as safe, because the safety profiles in these groups did not differ from the total patient population.

Indexed as

adjuvanzallergenimmuntherapieallergische rhinokonjunktivitisallergoidMikrokristallines Tyroson (MCT®)

Identifiers

PMID34523256
PMCPMC8174800
OpenAlexW3172403869

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.