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Vol. 129, No. 3, 2002
Issue release date: November 2002
Section title: Original Paper
Int Arch Allergy Immunol 2002;129:248–253
(DOI:10.1159/000066779)

Safety of Various Dosage Regimens during Induction of Sublingual Immunotherapy

A Preliminary Study

Grosclaude M. · Bouillot P. · Alt R. · Leynadier F. · Scheinmann P. · Rufin P. · Basset D. · Fadel R. · André C.
aGuilleret-Granges; bNancy; c Strasbourg; dHôpital Tenon, Paris; eHôpital Necker, Paris; fParis; gValence, and hStallergènes SA, Antony, France

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 8/12/2002
Published online: 11/29/2002

Number of Print Pages: 6
Number of Figures: 0
Number of Tables: 4

ISSN: 1018-2438 (Print)
eISSN: 1423-0097 (Online)

For additional information: http://www.karger.com/IAA

Abstract

Background: Sublingual immunotherapy (SLIT) has been demonstrated to be a viable alternative to injection immunotherapy. Administration of high doses of allergens to ensure efficacy has been shown to be well tolerated. The aim of the present study was the first step to address the issue of fast-induction regimens using various induction SLIT regimens in paediatric and adult patients. Methods: Sixty-four patients (age range 5–46 years) with grass pollen rhinoconjunctivitis were enrolled in an 8-month double-blind, placebo-controlled trial of SLIT. Sixty-three patients were randomized to four groups and evaluated at the end of the study. One group received placebo (n = 16) and the other three groups (n = 47) received five grass pollen extracts according to three different induction regimens: regimen 1 starting with 3 IR tablets (n = 15), regimen 2 starting with 10 IR (n = 16) and regimen 3 starting with 30 IR (n = 16). The maintenance phase was made with sublingual-swallow drops at the same concentration of 300 IR/ml for all the patients. Adverse events were recorded on diary cards. Results: During induction phase, 25/47 patients in the SLIT groups had adverse reactions in comparison to 2/16 patients in the placebo group (p < 0.05). The rate of adverse reactions was 33.3% (11.8–61.6) (95% CI) for regimen 1, 31.3% (11.0–58.7) for regimen 2, 43.8% (19.8–70.1) for regimen 3 and 12.5% (1.6–38.3) for placebo. Fifty-seven reactions were local reactions involving the oral region (54 SLIT, 3 placebo) and 13 were systemic reactions (all in the SLIT groups). 11/13 reactions were mild (gastrointestinal disorders, rhinoconjunctivitis), 1/13 consisted of moderate asthma and 1/13 consisted of severe abdominal pain. No urticaria, angioedema or life-threatening events were observed. Conclusions: These preliminary data showed that various induction regimens for SLIT are generally well tolerated and could allow a fast build-up phase of SLIT.


  

Author Contacts

Correspondence to: Dr. Claude André
Stallergènes SA, 6, rue Alexis de Tocqueville
F–92183 Antony (France)
Tel. +33 1 5559 2087, Fax +33 1 5559 2068
E-Mail candre@stallergenes.fr

  

Article Information

Received: Received: December 27, 2001
Accepted after revision: August 12, 2002
Number of Figures : 0, Number of Tables : 4, Number of References : 18

  

Publication Details

International Archives of Allergy and Immunology
Founded 1950

Vol. 129, No. 3, Year 2002 (Cover Date: November 2002)

Journal Editor: D. Kraft, Vienna
ISSN: 1018–2438 (print), 1423–0097 (Online)

For additional information:http://www.karger.com/journals/iaa


Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 8/12/2002
Published online: 11/29/2002

Number of Print Pages: 6
Number of Figures: 0
Number of Tables: 4

ISSN: 1018-2438 (Print)
eISSN: 1423-0097 (Online)

For additional information: http://www.karger.com/IAA


Copyright / Drug Dosage

Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher or, in the case of photocopying, direct payment of a specified fee to the Copyright Clearance Center.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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