Evidence map›Paper›PMID 40452413›Full record

Trial reportAllergy2025

Subcutaneous Allergen Immunotherapy With Hypoallergenic Bet v 1 Compared to Conventional Extract: Poorer Blocking Antibody Capacity Dominated by IgG

Lorenz Aglas, Line Kring Tannert, Serge A Versteeg, Scott A Smith, Ewa A Bartko, Mario Wenger, Amin Kraiem, Hannah Widauer, Natália Nunes, Sibile Sinkunaite and 8 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Allergy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

18 authors.

Lorenz AglasInstitute of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0002-1236-5934
Line Kring TannertOdense Research Center for Anaphylaxis, Odense University Hospital, Odense, Denmark.ORCID https://orcid.org/0000-0003-4039-5708
Serge A VersteegDepartment of Experimental Immunology, Amsterdam University Medical Centers, Amsterdam, the Netherlands.ORCID https://orcid.org/0000-0002-9729-3000
Scott A SmithDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID https://orcid.org/0000-0002-5519-8662
Ewa A BartkoDepartment of Dermatology and Allergy, Allergy Clinic, Copenhagen University Hospital-Herlev and Gentofte, Copenhagen, Denmark.ORCID https://orcid.org/0000-0002-1567-3350
Mario WengerDepartment of Biosciences and Medical Biology, University of Salzburg, Austria.ORCID https://orcid.org/0000-0002-7893-1935
Amin KraiemDepartment of Biosciences and Medical Biology, University of Salzburg, Austria.ORCID https://orcid.org/0000-0003-3792-0487
Hannah WidauerDepartment of Biosciences and Medical Biology, University of Salzburg, Austria.ORCID https://orcid.org/0000-0003-0593-7567
Natália NunesDepartment of Biosciences and Medical Biology, University of Salzburg, Austria.ORCID https://orcid.org/0000-0002-7247-4745
Sibile SinkunaiteDepartment of Dermatology and Allergy, Allergy Clinic, Copenhagen University Hospital-Herlev and Gentofte, Copenhagen, Denmark.ORCID https://orcid.org/0009-0004-0726-4110
Frank StolzVienna Competence Center, Biomay AG, Vienna, Austria.
Laurian JongejanDepartment of Experimental Immunology, Amsterdam University Medical Centers, Amsterdam, the Netherlands.ORCID https://orcid.org/0000-0003-3245-5555
Angela NeubauerVienna Competence Center, Biomay AG, Vienna, Austria.
Lars H BlomDepartment of Dermatology and Allergy, Allergy Clinic, Copenhagen University Hospital-Herlev and Gentofte, Copenhagen, Denmark.ORCID https://orcid.org/0000-0003-2027-727X
Fatima FerreiraDepartment of Biosciences and Medical Biology, University of Salzburg, Austria.ORCID https://orcid.org/0000-0003-0989-2335
Lars K PoulsenDepartment of Dermatology and Allergy, Allergy Clinic, Copenhagen University Hospital-Herlev and Gentofte, Copenhagen, Denmark.ORCID https://orcid.org/0000-0002-1730-847X
Carsten Bindslev-JensenOdense Research Center for Anaphylaxis, Odense University Hospital, Odense, Denmark.ORCID https://orcid.org/0000-0002-8940-038X
Ronald van ReeDepartment of Experimental Immunology, Amsterdam University Medical Centers, Amsterdam, the Netherlands.ORCID https://orcid.org/0000-0003-0767-0894

Funding

Comprehensive antigenic mapping of the human anti-peanut IgE antibody responseR01AI155668 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI SMITH, SCOTT ALAN · 2021 to 2025
$4.1M
Generation and characterization of full-length naturally occurring allergen-specific human IgE mAbsR21AI123307 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI SMITH, SCOTT ALAN · 2017 to 2018
$408k
Austrian Science FundsNIAID NIH HHS R01 AI155668NIAID NIH HHS R21 AI123307the European Union's Seventh Framework Program FP7
6 · The paper itself

Abstract

backgroundHypoallergenic recombinant fold-variants of major allergens have been suggested as safer and more effective AIT candidates. The Bet v 1-fold variant BM41, with confirmed preclinical hypoallergenicity and increased immunogenicity, was proposed for the treatment of birch pollen allergy.

methodsWe performed a 6-month randomized, double-blind, placebo-controlled first-in-human clinical trial with BM41, a licensed birch pollen extract-based treatment, as the active comparator (AC), and placebo (n = 16, n = 16, and n = 15, respectively). The primary endpoint was safety. Secondary outcomes were Bet v 1-specific (s)IgE, IgG, IgG

resultsDespite SPT-confirmed hypoallergenicity (~50% compared to natural Bet v 1), more adverse events occurred in response to BM41. Although similar sIgG and sIgG

conclusionPreclinically established hypoallergenicity of BM41 did not result in a lower number of adverse events. The reduced induction of sIgG

Indexed as

AllergensAntibodies, BlockingAntigens, PlantDesensitization, ImmunologicImmunoglobulin GPlant ExtractsRhinitis, Allergic, SeasonalAdultBetulaDouble-Blind MethodFemaleHumansImmunoglobulin EInjections, SubcutaneousMaleMiddle AgedAllergensAntibodies, BlockingAntigens, PlantBet v 1 allergen, BetulaImmunoglobulin EImmunoglobulin GPlant ExtractsAITBet v 1birchhypoallergenIgG4

Identifiers

PMID40452413
PMCPMC12261870

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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.