Evidence map›Paper›PMID 41795228›Full record

Observational studyAllergy2026

Patient-Perceived Benefits of Named-Patient Product Sublingual Immunotherapy in Allergic Rhinitis and Asthma: Primary Results From the ERAPP Real-World Cohort Study.

Davide Caimmi, Abdelilah Abouelfath, Régis Lassalle, Séverine Lignot-Maleyran, Emmanuelle Bignon, Patrick Blin, Evangéline Clark, Julien Cottet, Laure Carcaillon-Bentata, Pascal Demoly

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Allergy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Davide CaimmiAllergy Unit, Hôpital Arnaud De Villeneuve, University Hospital of Montpellier, Montpellier, Occitanie, France.ORCID https://orcid.org/0000-0003-4481-6194
Abdelilah AbouelfathBordeaux Pharmaco Epi, INSERM CIC-P 1401, Université De Bordeaux, Bordeaux, France.
Régis LassalleBordeaux Pharmaco Epi, INSERM CIC-P 1401, Université De Bordeaux, Bordeaux, France.
Séverine Lignot-MaleyranBordeaux Pharmaco Epi, INSERM CIC-P 1401, Université De Bordeaux, Bordeaux, France.
Emmanuelle BignonBordeaux Pharmaco Epi, INSERM CIC-P 1401, Université De Bordeaux, Bordeaux, France.
Patrick BlinBordeaux Pharmaco Epi, INSERM CIC-P 1401, Université De Bordeaux, Bordeaux, France.
Evangéline ClarkAllergy Unit, Hospital of Mont De Marsan, Mont-de-Marsan, Nouvelle-Aquitaine, France.ORCID https://orcid.org/0000-0003-2056-5909
Julien CottetPrivate Allergy Practice, Chartres, France.
Laure Carcaillon-BentataBordeaux Pharmaco Epi, INSERM CIC-P 1401, Université De Bordeaux, Bordeaux, France.
Pascal DemolyAllergy Unit, Hôpital Arnaud De Villeneuve, University Hospital of Montpellier, Montpellier, Occitanie, France.ORCID https://orcid.org/0000-0001-7827-7964

Funding

Société Française d'Allergologie (SFA)Université de Bordeaux
6 · The paper itself

Abstract

backgroundNamed-patient product sublingual immunotherapy (NPP-SLIT) is widely used in France, yet real-world evidence on patient-perceived benefit remains limited.

objectiveTo assess treatment expectations and patient-perceived benefit over 12-15 months among recent NPP-SLIT initiators using the Patient Benefit Index (PBI) and validated patient-reported outcome measures (PROMs).

methodsERAPP is a prospective, multicenter, observational study in children and adults with IgE-mediated respiratory allergy. Initiators (≤ 6 months on NPP-SLIT at baseline) completed digital PROMs at baseline, Month 6, and Month 12-15. The primary endpoint was the proportion with PBI ≥ 1 at Months 12-15. Secondary endpoints were changes in PROMs; exploratory analyses examined higher PBI thresholds and item-level fulfillment.

resultsOf 9439 enrolled, 4794 were initiators (950 children; 3844 adolescents/adults). At Month 12-15, PBI ≥ 1 was achieved by 83.8% of children and 84.0% of adolescents/adults. Symptom burden (T5SS) and rhinitis severity (ARIA) improved beyond published MIDs. Asthma control (ACT) improved, whereas changes in rhinitis control (ARCT, ≥ 12 years) and daytime sleepiness (ESS, adults) were below their respective MIDs. Treatment satisfaction (ESPIA-Q11) increased, while adherence (GIRERD) decreased from baseline to follow-up. Nearly half reached PBI ≥ 2 and about one-fifth PBI ≥ 3. Item-level analyses showed highest fulfillment for nasal obstruction relief, improved sleep, and overall symptom relief; fatigue, mood, and social aspects were less frequently fulfilled. Children generally reported slightly higher fulfillment than adolescents/adults.

conclusionNPP-SLIT provides sustained, clinically meaningful benefit from the patient's perspective in both age groups. ERAPP supports the PBI as a complementary endpoint that links patient expectations to outcomes and informs patient-centered allergy care.

Indexed as

AsthmaRhinitis, AllergicSublingual ImmunotherapyAdolescentAdultChildChild, PreschoolCohort StudiesFemaleHumansMaleMiddle AgedPatient Reported Outcome MeasuresProspective StudiesSymptom BurdenTreatment OutcomeNPPpatient's benefitPROMsquestionnairessublingual allergen immunotherapy

Identifiers

PMID41795228
PMCPMC13256285

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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.