Evidence map›Paper›PMID 40678893›Full record

ArticleAllergy2025

The Minimal Clinically Important Difference in Allergen Immunotherapy: An Evidence-Based Approach.

Oliver Pfaar, Ralph Mösges, Michael S Blaiss, Sven Becker, Lawrence DuBuske, Jonathan A Bernstein, Uwe E Berger, Markus Berger, Stephanie Dramburg, Mohamed H Shamji and 8 more

Abstract read
In one paragraph

Article in Allergy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Efficacy and safety of the tree sublingual immunotherapy tablet in the subpopulation of Canadian children with allergic rhinitis and/or conjunctivitis: phase III trial results.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2026
    Article
  3. 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.

Oliver PfaarSection of Rhinology and Allergy, Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Marburg, Philipps-Universität Marburg, Marburg, Germany.ORCID https://orcid.org/0000-0003-4374-9639
Ralph MösgesIMSB, Medical Faculty University at Cologne, Cologne, Germany.ORCID https://orcid.org/0000-0002-1928-810X
Michael S BlaissDivision of Allergy and Immunology, Medical College of Georgia at Augusta University, Augusta, Georgia, USA.ORCID https://orcid.org/0000-0002-0733-9408
Sven BeckerDepartment of Otorhinolaryngology, Head and Neck Surgery, University Medical Center of Eberhard-Karls University Tuebingen, Tuebingen, Germany.ORCID https://orcid.org/0000-0003-1972-3797
Lawrence DuBuskeGeorge Washington University Hospital, Washington, District of Columbia, USA.ORCID https://orcid.org/0000-0001-5013-8022
Jonathan A BernsteinDepartment of Internal Medicine, Division of Rheumatology, Allergy and Immunology, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.ORCID https://orcid.org/0000-0002-3476-1196
Uwe E BergerDepartment of Botany, University of Innsbruck, Innsbruck, Austria.ORCID https://orcid.org/0000-0002-9265-2131
Markus BergerDepartment of Oto-Rhino-Laryngology, Head and Neck Surgery, Klinik Landstraße, Wiener Gesundheitsverbund, Vienna, Austria.ORCID https://orcid.org/0000-0001-8297-4412
Stephanie DramburgDepartment of Pediatric Respiratory Care, Immunology and Intensive Care Medicine, Charité - Universitätsmedizin Berlin, Berlin, Germany.ORCID https://orcid.org/0000-0002-9303-3260
Mohamed H ShamjiNational Heart and Lung Institute, Imperial College London, London, UK.ORCID https://orcid.org/0000-0003-3425-3463
Anke GraesselBencard Allergie GmbH, Munich, Germany.ORCID https://orcid.org/0000-0001-9670-3269
Sviatlana StarchenkaAllergy Therapeutics, Worthing, UK.ORCID https://orcid.org/0000-0002-4914-4051
Katrin BirkholzBencard Allergie GmbH, Munich, Germany.ORCID https://orcid.org/0000-0001-9637-4709
Oliver ArmfieldAllergy Therapeutics, Worthing, UK.ORCID https://orcid.org/0009-0009-1522-6831
Fiona SellwoodAllergy Therapeutics, Worthing, UK.
Matthias F KramerBencard Allergie GmbH, Munich, Germany.ORCID https://orcid.org/0000-0002-3740-4733
Murray A SkinnerAllergy Therapeutics, Worthing, UK.ORCID https://orcid.org/0009-0008-4935-4316
Pieter-Jan de KamAllergy Therapeutics, Worthing, UK.ORCID https://orcid.org/0000-0003-0859-4862

Funding

Allergy Therapeutics Plc.
6 · The paper itself

Abstract

backgroundRegulatory authorities recommend a combination of symptom and medication scores during the grass pollen season as a primary endpoint for Phase III allergen immunotherapy (AIT) trials targeting allergic rhinoconjunctivitis. However, many composite primary endpoint scales exist; none are validated, nor do they have a well-justified minimal clinically important difference (MCID).

methodsDirect patient feedback from 1071 grass-allergic patients was obtained to determine the minimally relevant improvement in allergic symptoms and translated into an MCID for the EAACI recommended CSMS

results69% of grass-allergic patients were satisfied with a 1-point-improvement (e.g., from "severe" to "moderate") in their most severe symptom. This translated into an MCID range for CSMS

conclusionsBoth patient feedback and RESONATE results support an average MCID of -0.22 points on the CSMS

Indexed as

AllergensDesensitization, ImmunologicMinimal Clinically Important DifferenceRhinitis, Allergic, SeasonalAdolescentAdultEvidence-Based MedicineFemaleHumansMaleMiddle AgedPoaceaeQuality of LifeSurveys and QuestionnairesTreatment OutcomeYoung AdultAllergensallergic rhinoconjunctivitisEAACI CSMS0–6grass pollen allergypivotal phase III clinical trialsubcutaneous immunotherapy

Identifiers

PMID40678893
PMCPMC12666754

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.