Evidence map›Paper›PMID 41064908›Full record

Trial reportAllergy2025

SQ House Dust Mite Sublingual Immunotherapy Tablet in Children With Allergic Asthma: A Randomised Phase III Trial.

Graham Roberts, Jocelyne Just, Hendrik Nolte, Ole Holm Hels, Andrzej Emeryk, Carmen Vidal

Registry-linked trialAbstract readClinical Trial, Phase IIIRandomized Controlled TrialMulticenter Study
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. It is linked to trial NCT03654976 (A Phase III Trial Evaluating the Efficacy and Safety of the House Dust Mite), which is not on this 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.

NCT03654976 phase3completednot on this map

A Phase III Trial Evaluating the Efficacy and Safety of the House Dust Mite (HDM) Sublingual Immunotherapy (SLIT)-Tablet in Children and Adolescents (5-17 Years) With HDM Allergic Asthma

TypeinterventionalSponsorALK-Abelló A/SRan2018 to 2022Enrolled533ConditionsAllergic Asthma Due to Dermatophagoides Farinae, Allergic Asthma Due to Dermatophagoides Pteronyssinus, Allergic Rhinitis Due to House Dust MiteArmsHDM SLIT-tablet, Placebo
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
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

6 authors.

Graham RobertsThe David Hide Asthma and Allergy Centre, St Mary's Hospital, Newport, Isle of Wight, UK.ORCID https://orcid.org/0000-0003-2252-1248
Jocelyne JustUnité d'Allergologie, Hôpital Américain de Paris, Neuilly sur Seine, France.ORCID https://orcid.org/0000-0002-5646-2429
Hendrik NolteALK-Abelló A/S, Hørsholm, Denmark.
Ole Holm HelsALK-Abelló A/S, Hørsholm, Denmark.ORCID https://orcid.org/0009-0005-1374-5663
Andrzej EmerykDepartment of Pulmonary Diseases and Children Rheumatology, Medical University of Lublin, Lublin, Poland.ORCID https://orcid.org/0000-0003-1853-8696
Carmen VidalServicio de Alergología, Complejo Hospitalario Universitario de Santiago, Santiago de Compostela, A Coruña, Spain.ORCID https://orcid.org/0000-0002-2844-2754

Funding

ALK-Abelló A/S
6 · The paper itself

Abstract

backgroundIn children, house dust mite (HDM) sensitisation is a contributing factor for developing allergic asthma. HDM allergen immunotherapy has demonstrated efficacy and safety in adults with allergic asthma; however, evidence for its use in children is limited. MT-11 evaluated the efficacy and safety of the SQ HDM sublingual immunotherapy (SLIT) tablet in children (5-17 years) with HDM allergic asthma.

methodsThis phase III, randomised, double-blind, placebo-controlled trial randomised 533 children with a recent history of asthma exacerbations, despite treatment with inhaled corticosteroids and/or long-acting beta-agonists, to daily treatment with SQ HDM SLIT-tablet or placebo for 24-30 months. The primary endpoint was the annualised rate of clinically relevant asthma exacerbations. Adverse events (AEs) were reported throughout the trial.

resultsThe rate ratio for the annualised rate of clinically relevant asthma exacerbations was 0.89 (95% CI: 0.60, 1.31), in favour of the SQ HDM-SLIT tablet; superiority over placebo was not established. Most treatment-related AEs (TRAEs) were of mild or moderate severity, and few subjects discontinued due to TRAEs (< 2%). The most common TRAEs were local application site reactions (oral pruritus, throat irritation, ear pruritus, and upper abdominal pain). There was no increased incidence of asthma-related events, and no anaphylaxis or adrenaline use in the SQ HDM SLIT-tablet group.

conclusionAs a result of the coronavirus disease 2019 pandemic, asthma exacerbation rates were much lower than expected, contributing to the primary endpoint not being met. The SQ HDM SLIT-tablet was well tolerated in a paediatric population with inadequately controlled HDM allergic asthma.

trial registrationClinicaltrials.gov identifier: NCT03654976; EudraCT number: 2016-004363-39.

Indexed as

AllergensAntigens, DermatophagoidesAsthmaPyroglyphidaeSublingual ImmunotherapyAdolescentAnimalsChildChild, PreschoolDouble-Blind MethodFemaleHumansMaleTabletsTreatment OutcomeAllergensAntigens, DermatophagoidesTabletsallergen immunotherapyallergic asthmachildrenhouse dust mitesublingual immunotherapy

Identifiers

PMID41064908
PMCPMC12666737

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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.