Allergen exposure chambers: implementation in clinical trials in allergen immunotherapy (2024)

References

  1. Noon L, Cantar B. Prophylactic inoculation against Hay Fever. Lancet. 1911;177:1572–3.

    Google Scholar

  2. Roberts G, Pfaar O, Akdis CA, Ansotegui IJ, Durham SR, Gerth van Wijk R, Halken S, Larenas-Linnemann D, Pawankar R, Pitsios C, Sheikh A, Worm M, Arasi S, Calderon MA, Cingi C, Dhami S, Fauquert JL, Hamelmann E, Hellings P, Jacobsen L, Knol EF, Lin SY, Maggina P, Mosges R, Oude Elberink JNG, Pajno GB, Pastorello EA, Penagos M, Rotiroti G, Schmidt-Weber CB, Timmermans F, Tsilochristou O, Varga EM, Wilkinson JN, Williams A, Zhang L, Agache I, Angier E, Fernandez-Rivas M, Jutel M, Lau S, van Ree R, Ryan D, Sturm GJ, Muraro A. EAACI Guidelines on Allergen Immunotherapy: allergic rhinoconjunctivitis. Allergy. 2017;73:765–98.

    PubMed Google Scholar

  3. Jutel M, Agache I, Bonini S, Burks AW, Calderon M, Canonica W, Cox L, Demoly P, Frew AJ, O’Hehir R, Kleine-Tebbe J, Muraro A, Lack G, Larenas D, Levin M, Nelson H, Pawankar R, Pfaar O, van Ree R, Sampson H, Santos AF, Du Toit G, Werfel T, Gerth van Wijk R, Zhang L, Akdis CA. International consensus on allergy immunotherapy. J Allergy Clin Immunol. 2015;136:556–68.

    PubMed Google Scholar

  4. Pfaar O, Bachert C, Bufe A, Buhl R, Ebner C, Eng P, Friedrichs F, Fuchs T, Hamelmann E, Hartwig-Bade D, Hering T, Huttegger I, Jung K, Klimek L, Kopp MV, Merk H, Rabe U, Saloga J, Schmid-Grendelmeier P, Schuster A, Schwerk N, Sitter H, Umpfenbach U, Wedi B, Wohrl S, Worm M, Kleine-Tebbe J, Kaul S, Schwalfenberg A. Guideline on allergen-specific immunotherapy in IgE-mediated allergic diseases: S2k Guideline of the German Society for Allergology and Clinical Immunology (DGAKI), the Society for Pediatric Allergy and Environmental Medicine (GPA), the Medical Association of German Allergologists (AeDA), the Austrian Society for Allergy and Immunology (OGAI), the Swiss Society for Allergy and Immunology (SGAI), the German Society of Dermatology (DDG), the German Society of Oto- Rhino-Laryngology, Head and Neck Surgery (DGHNO-KHC), the German Society of Pediatrics and Adolescent Medicine (DGKJ), the Society for Pediatric Pneumology (GPP), the German Respiratory Society (DGP), the German Association of ENT Surgeons (BV-HNO), the Professional Federation of Paediatricians and Youth Doctors (BVKJ), the Federal Association of Pulmonologists (BDP) and the German Dermatologists Association (BVDD). Allergo J Int. 2014;23:282–319.

    PubMed PubMed Central Google Scholar

  5. Dhami S, Kakourou A, Asamoah F, Agache I, Lau S, Jutel M, Muraro A, Roberts G, Akdis CA, Bonini M, Cavkaytar O, Flood B, Gajdanowicz P, Izuhara K, Kalayci O, Mosges R, Palomares O, Pfaar O, Smolinska S, Sokolowska M, Asaria M, Netuveli G, Zaman H, Akhlaq A, Sheikh A. Allergen immunotherapy for allergic asthma: a systematic review and meta-analysis. Allergy. 2017;72:1825–48.

    CAS PubMed Google Scholar

  6. Dhami S, Nurmatov U, Arasi S, Khan T, Asaria M, Zaman H, Agarwal A, Netuveli G, Roberts G, Pfaar O, Muraro A, Ansotegui IJ, Calderon M, Cingi C, Durham S, van Wijk RG, Halken S, Hamelmann E, Hellings P, Jacobsen L, Knol E, Larenas-Linnemann D, Lin S, Maggina P, Mosges R, Oude Elberink H, Pajno G, Panwankar R, Pastorello E, Penagos M, Pitsios C, Rotiroti G, Timmermans F, Tsilochristou O, Varga EM, Schmidt-Weber C, Wilkinson J, Williams A, Worm M, Zhang L, Sheikh A. Allergen immunotherapy for allergic rhinoconjunctivitis: a systematic review and meta-analysis. Allergy. 2017;72:1597–631.

    CAS PubMed Google Scholar

  7. Kristiansen M, Dhami S, Netuveli G, Halken S, Muraro A, Roberts G, Larenas-Linnemann D, Calderon MA, Penagos M, Du Toit G, Ansotegui IJ, Kleine-Tebbe J, Lau S, Matricardi PM, Pajno G, Papadopoulos NG, Pfaar O, Ryan D, Santos AF, Timmermanns F, Wahn U, Sheikh A. Allergen immunotherapy for the prevention of allergy: a systematic review and meta-analysis. Pediatr Allergy Immunol. 2017;28:18–29.

    PubMed Google Scholar

  8. Shamji MH, Kappen JH, Akdis M, Jensen-Jarolim E, Knol EF, Kleine-Tebbe J, Bohle B, Chaker AM, Till SJ, Valenta R, Poulsen LK, Calderon MA, Demoly P, Pfaar O, Jacobsen L, Durham SR, Schmidt-Weber CB. Biomarkers for monitoring clinical efficacy of allergen immunotherapy for allergic rhinoconjunctivitis and allergic asthma: an EAACI Position Paper. Allergy. 2017;72:1156–73.

    CAS PubMed Google Scholar

  9. Pfaar O, Bonini S, Cardona V, Demoly P, Jakob T, Jutel M, Kleine-Tebbe J, Klimek L, Klysner S, Kopp MV, Kuna P, Larche M, Muraro A, Schmidt-Weber CB, Shamji MH, Simonsen K, Somoza C, Valovirta E, Zieglmayer P, Zuberbier T, Wahn U. group F, Perspectives in allergen immunotherapy: 2017 and beyond. Allergy. 2018;73(Suppl 104):5–23.

    PubMed Google Scholar

  10. Pfaar O, Agache I, de Blay F, Bonini S, Chaker AM, Durham SR, Gawlik R, Hellings PW, Jutel M, Kleine-Tebbe J, Klimek L, Kopp MV, Nandy A, Rabin RL, van Ree R, Renz H, Roberts G, Salapatek AM, Schmidt-Weber CB, Shamji MH, Sturm GJ, Virchow JC, Wahn U, Willers C, Zieglmayer P, Akdis CA. Perspectives in allergen immunotherapy: 2019 and beyond. Allergy. 2019;74(Suppl 108):3–25.

    CAS PubMed Google Scholar

  11. Pfaar O, Angier E, Muraro A, Halken S, Roberts G. Algorithms in allergen immunotherapy in allergic rhinoconjunctivitis. Allergy. 2020. https://doi.org/10.1111/all.14270.

    Article PubMed PubMed Central Google Scholar

  12. European Medicines Agency. Commitee for medicinal products for human use (CHMP): guideline on the Clinical Development of Products for Specific Immunotherapy for The Treatment of Allergic Diseases (CHMP/EWP/18504/2006); 2008. http://www.ema.europa.eu/docs/en_GB/document_library/Scientific_guideline/2009/09/WC500003605.pdf. Accessed 20 Mar 2020.

  13. Pfaar O, Demoly P, Gerth van Wijk R, Bonini S, Bousquet J, Canonica GW, Durham SR, Jacobsen L, Malling HJ, Mosges R, Papadopoulos NG, Rak S, Rodriguez del Rio P, Valovirta E, Wahn U, Calderon MA, European Academy of A, Clinical I. Recommendations for the standardization of clinical outcomes used in allergen immunotherapy trials for allergic rhinoconjunctivitis: an EAACI Position Paper. Allergy. 2014;69:854–67.

    CAS PubMed Google Scholar

  14. Ansotegui IJ, Melioli G, Canonica GW, Caraballo L, Villa E, Ebisawa M, Passalacqua G, Savi E, Ebo D, Gomez RM, Luengo Sanchez O, Oppenheimer JJ, Jensen-Jarolim E, Fischer DA, Haahtela T, Antila M, Bousquet JJ, Cardona V, Chiang WC, Demoly PM, DuBuske LM, Ferrer Puga M, Gerth van Wijk R, Gonzalez Diaz SN, Gonzalez-Estrada A, Jares E, Kalpaklioglu AF, Kowalski ML, Ledford DK, Monge Ortega OP, Morais Almeida M, Pfaar O, Poulsen LK, Pawankar R, Renz HE, Romano AG, Rosario Filho NA, Rosenwasser L, Sanchez Borges MA, Scala E, Senna GE, Sisul JC, Tang MLK, Thong BY, Valenta R, Wood RA, Zuberbier T. IgE allergy diagnostics and other relevant tests in allergy, a World Allergy Organization position paper. World Allergy Org J. 2020;13(2):100080.

    Google Scholar

  15. Rosner-Friese K, Kaul S, Vieths S, Pfaar O. Environmental exposure chambers in allergen immunotherapy trials: current status and clinical validation needs. J Allergy Clin Immunol. 2015;135:636–43.

    PubMed Google Scholar

  16. Horak F, Stubner P, Berger UE, Marks B, Toth J, Jager S. Immunotherapy with sublingual birch pollen extract. A short-term double-blind placebo study. J Investig Allergol Clin Immunol. 1998;8:165–71.

    CAS PubMed Google Scholar

  17. Pfaar O, Calderon MA, Andrews CP, Angjeli E, Bergmann KC, Bonlokke JH, de Blay F, Devillier P, Ellis AK, Gerth van Wijk R, Hohlfeld JM, Horak F, Jacobs RL, Jacobsen L, Jutel M, Kaul S, Larche M, Larenas-Linnemann D, Mosges R, Nolte H, Patel P, Peoples L, Rabin RL, Rather C, Salapatek AM, Sigsgaard T, Thaarup S, Yang J, Zieglmayer P, Zuberbier T, Demoly P. Allergen exposure chambers: harmonizing current concepts and projecting the needs for the future—an EAACI Position Paper. Allergy. 2017;72:1035–42.

    CAS PubMed Google Scholar

  18. Pfaar O, Alvaro M, Cardona V, Hamelmann E, Mosges R, Kleine-Tebbe J. Clinical trials in allergen immunotherapy: current concepts and future needs. Allergy. 2018;73(9):1775–83.

    CAS PubMed PubMed Central Google Scholar

  19. Pfaar O, Gerth van Wijk R, Klimek L, Bousquet J, Creticos P. Clinical trials in Allergen Immunotherapy in the age group of children and adolescents: current concepts and future needs. Clin Transl Allergy. 2020;10(1):11. https://doi.org/10.1186/s13601-020-00314-1.

    Article CAS PubMed PubMed Central Google Scholar

  20. Howarth P, Malling HJ, Molimard M, Devillier P. Analysis of allergen immunotherapy studies shows increased clinical efficacy in highly symptomatic patients. Allergy. 2012;67:321–7.

    CAS PubMed Google Scholar

  21. Durham SR, Nelson HS, Nolte H, Bernstein DI, Creticos PS, Li Z, Andersen JS. Magnitude of efficacy measurements in grass allergy immunotherapy trials is highly dependent on pollen exposure. Allergy. 2014;69:617–23.

    CAS PubMed PubMed Central Google Scholar

  22. Malling HJ, Montagut A, Melac M, Patriarca G, Panzner P, Seberova E, Didier A. Efficacy and safety of 5-grass pollen sublingual immunotherapy tablets in patients with different clinical profiles of allergic rhinoconjunctivitis. Clin Exp Allergy. 2009;39:387–93.

    CAS PubMed PubMed Central Google Scholar

  23. Devillier P, Le Gall M, Horak F. The allergen challenge chamber: a valuable tool for optimizing the clinical development of pollen immunotherapy. Allergy. 2011;66:163–9.

    CAS PubMed Google Scholar

  24. Ellis AK, Ratz JD, Day AG, Day JH. Factors that affect the allergic rhinitis response to ragweed allergen exposure. Ann Allergy Asthma Immunol. 2010;104:293–8.

    CAS PubMed Google Scholar

  25. Huss-Marp J, Darsow U, Brockow K, Pfab F, Weichenmeier I, Schober W, Petersson CJ, Borres MP, Ring J, Behrendt H. Can immunoglobulin E-measurement replace challenge tests in allergic rhinoconjunctivits to grass pollen? Clin Exp Allergy. 2011;41:1116–24.

    CAS PubMed Google Scholar

  26. Niederberger V, Stubner P, Spitzauer S, Kraft D, Valenta R, Ehrenberger K, Horak F. Skin test results but not serology reflect immediate type respiratory sensitivity: a study performed with recombinant allergen molecules. J Invest Dermatol. 2001;117:848–51.

    CAS PubMed Google Scholar

  27. Anantasit N, Vilaiyuk S, Kamchaisatian W, Supakornthanasarn W, Sasisakulp*rn C, Teawsomboonkit W, Benjaponpitak S. Comparison of conjunctival and nasal provocation tests in allergic rhinitis children with Dermatophagoides pteronyssinus sensitization. Asian Pac J Allergy Immunol. 2013;31(3):227–32.

    PubMed Google Scholar

  28. Kruse K, Gerwin E, Eichel A, Shah-Hosseini K, Mösges R. Conjunctival provocation tests: a predictive factor for patients’ seasonal allergic rhinoconjunctivitis symptoms. J Allergy Clin Immunol Pract. 2015;3(3):381–6.

    PubMed Google Scholar

  29. Mösges R, Bachert C, Panzner P, Calderon MA, Haazen L, Pirotton S, Wathelet N, Durham SR, Bonny MA, Legon T, von Frenckell R, Pfaar O, Shamji MH. Short course of grass allergen peptides immunotherapy over 3weeks reduces seasonal symptoms in allergic rhinoconjunctivitis with/without asthma: a randomized, multicenter, double-blind, placebo-controlled trial. Allergy. 2018;73(9):1842–50.

    PubMed PubMed Central Google Scholar

  30. Schröder J, Mösges R. Conjunctival provocation tests: prediction of seasonal allergy. Curr Opin Allergy Clin Immunol. 2018;18(5):393–7.

    PubMed Google Scholar

  31. Sánchez A, Cardona R, Munera M, Calvo V, Tejada-Giraldo M, Sánchez J. Nasal provocation test with cat and dog extracts: results according to molecular components. Pulm Med. 2020;24(2020):6365314.

    Google Scholar

  32. Larson D, Patel P, Salapatek AM, Couroux P, Whitehouse D, Pina A, Johnson JL, Sever ML, Sanda S, Poyser J, Allio T, Scadding GW, Qin T, Shamji MH, Kwok WW, James EA, French D, Lelic A, Larché M, Altman MC, Togias A, Durham SR. Nasal allergen challenge and environmental exposure chamber challenge: a randomized trial comparing clinical and biological responses to cat allergen. J Allergy Clin Immunol. 2020;145(6):1585–97. https://doi.org/10.1016/j.jaci.2020.02.024.

    Article CAS PubMed Google Scholar

  33. Yuki A, Terada T, Ichihara T, Fujii K, Hyo S, Kawata R, Takenaka H. Evaluating the effects of testing period on pollinosis symptoms using an allergen challenge chamber. Allergol Int. 2011;60:533–9.

    PubMed Google Scholar

  34. Toth J, Schultze-Werninghaus C, Marks B, Temmel AF, Stübner P, Jager S, Horak F. Environmental priming influences allergen-specific nasal reactivity. Allergy. 1998;53(12):1172–7.

    CAS PubMed Google Scholar

  35. North ML, Soliman M, Walker T, Steacy LM, Ellis AK. Controlled allergen challenge facilities and their unique contributions to allergic rhinitis research. Curr Allergy Asthma Rep. 2015;15:11.

    PubMed Google Scholar

  36. Badorrek P, Dick M, Hecker H, Schaumann F, Sousa AR, Murdoch R, Hohlfeld JM, Krug N. Anti-allergic drug testing in an environmental challenge chamber is suitable both in and out of the relevant pollen season. Ann Allergy Asthma Immunol. 2011;106:336–41.

    PubMed Google Scholar

  37. Horak F, Zieglmayer UP, Zieglmayer R, Kavina A, Lemell P. Levocetirizine has a longer duration of action on improving total nasal symptoms score than fexofenadine after single administration. Br J Clin Pharmacol. 2005;60(1):24–31.

    CAS PubMed PubMed Central Google Scholar

  38. Horak F, Zieglmayer P, Zieglmayer R, Lemell P. The effects of bilastine compared with cetirizine, fexofenadine, and placebo on allergen-induced nasal and ocular symptoms in patients exposed to aeroallergen in the Vienna Challenge Chamber. Inflamm Res. 2010;59(5):391–8.

    CAS PubMed Google Scholar

  39. Jacobs RL, Ramirez DA, Andrews CP. Validation of the biogenics research chamber for Juniperus ashei (mountain cedar) pollen. Ann Allergy Asthma Immunol. 2011;107(2):133–8.

    PubMed Google Scholar

  40. Ellis AK, Steacy LM, Hobsbawn B, Conway CE, Walker TJ. Clinical validation of controlled grass pollen challenge in the Environmental Exposure Unit (EEU). Allergy Asthma Clin Immunol. 2015;11:5.

    PubMed PubMed Central Google Scholar

  41. Zieglmayer P, Lemell P, Chen KW, Schmutz R, Zieglmayer R, Pfaar O, Horak F, Vrtala S. Clinical validation of a house dust mite environmental challenge chamber model. J Allergy Clin Immunol. 2017;140(266–68):e5.

    Google Scholar

  42. Horak F, Zieglmayer P, Zieglmayer R, Lemell P, Devillier P, Montagut A, Melac M, Galvain S, Jean-Alphonse S, Van Overtvelt L, Moingeon P, Le Gall M. Early onset of action of a 5-grass-pollen 300-IR sublingual immunotherapy tablet evaluated in an allergen challenge chamber. J Allergy Clin Immunol. 2009; 124: 471–7, 77.e1.

  43. Van Overtvelt L, Baron-Bodo V, Horiot S, Moussu H, Ricarte C, Horak F, Zieglmayer P, Zieglmayer R, Montagut A, Galvain S, de Beaumont O, Le Gall M, Moingeon P. Changes in basophil activation during grass-pollen sublingual immunotherapy do not correlate with clinical efficacy. Allergy. 2011;66:1530–7.

    PubMed Google Scholar

  44. Bonvalet M, Moussu H, Wambre E, Ricarte C, Horiot S, Rimaniol AC, Kwok WW, Horak F, de Beaumont O, Baron-Bodo V, Moingeon P. Allergen-specific CD4+ T cell responses in peripheral blood do not predict the early onset of clinical efficacy during grass pollen sublingual immunotherapy. Clin Exp Allergy. 2012;42:1745–55.

    CAS PubMed Google Scholar

  45. Zimmer A, Bouley J, Le Mignon M, Pliquet E, Horiot S, Turfkruyer M, Baron-Bodo V, Horak F, Nony E, Louise A, Moussu H, Mascarell L, Moingeon P. A regulatory dendritic cell signature correlates with the clinical efficacy of allergen-specific sublingual immunotherapy. J Allergy Clin Immunol. 2012;129:1020–30.

    CAS PubMed Google Scholar

  46. Baron-Bodo V, Horiot S, Lautrette A, Chabre H, Drucbert AS, Danze PM, Senechal H, Peltre G, Galvain S, Zeldin RK, Horak F, Moingeon P. Heterogeneity of antibody responses among clinical responders during grass pollen sublingual immunotherapy. Clin Exp Allergy. 2013;43:1362–73.

    CAS PubMed Google Scholar

  47. Zieglmayer P, Focke-Tejkl M, Schmutz R, Lemell P, Zieglmayer R, Weber M, Kiss R, Blatt K, Valent P, Stolz F, Huber H, Neubauer A, Knoll A, Horak F, Henning R, Valenta R. Mechanisms, safety and efficacy of a B cell epitope-based vaccine for immunotherapy of grass pollen allergy. EBioMedicine. 2016;11:43–57.

    PubMed PubMed Central Google Scholar

  48. Pfaar O, Hohlfeld JM, Al-Kadah B, Hauswald B, Homey B, Hunzelmann N, Schliemann S, Velling P, Worm M, Klimek L. Dose-response relationship of a new Timothy grass pollen allergoid in comparison with a 6-grass pollen allergoid. Clin Exp Allergy. 2017;47:1445–55.

    CAS PubMed Google Scholar

  49. Ellis AK, Frankish CW, O’Hehir RE, Armstrong K, Steacy L, Larche M, Hafner RP. Treatment with grass allergen peptides improves symptoms of grass pollen-induced allergic rhinoconjunctivitis. J Allergy Clin Immunol. 2017;140:486–96.

    CAS PubMed Google Scholar

  50. Nolte H, Maloney J, Nelson HS, Bernstein DI, Lu S, Li Z, Kaur A, Zieglmayer P, Zieglmayer R, Lemell P, Horak F. Onset and dose-related efficacy of house dust mite sublingual immunotherapy tablets in an environmental exposure chamber. J Allergy Clin Immunol. 2015;135(1494–501):e6.

    Google Scholar

  51. Zieglmayer P, Nolte H, Nelson HS, Bernstein DI, Kaur A, Jacobi H, Lemell P, Schmutz R, Zieglmayer R, Horak F. Long-term effects of a house dust mite sublingual immunotherapy tablet in an environmental exposure chamber trial. Ann Allergy Asthma Immunol. 2016;117(690–96):e1.

    Google Scholar

  52. Roux M, Devillier P, Yang WH, Montagut A, Abiteboul K, Viatte A, Zeldin RK. Efficacy and safety of sublingual tablets of house dust mite allergen extracts: results of a dose-ranging study in an environmental exposure chamber. J Allergy Clin Immunol. 2016;138(451–58):e5.

    Google Scholar

  53. Patel D, Couroux P, Hickey P, Salapatek AM, Laidler P, Larche M, Hafner RP. Fel d 1-derived peptide antigen desensitization shows a persistent treatment effect 1year after the start of dosing: a randomized, placebo-controlled study. J Allergy Clin Immunol. 2013;131(103–9):e1–7.

    Google Scholar

  54. Meyer W, Narkus A, Salapatek AM, Hafner D. Double-blind, placebo-controlled, dose-ranging study of new recombinant hypoallergenic Bet v 1 in an environmental exposure chamber. Allergy. 2013;68:724–31.

    CAS PubMed Google Scholar

  55. Patel P, Holdich T. Fischer von Weikersthal-Drachenberg KJ, Huber B, Efficacy of a short course of specific immunotherapy in patients with allergic rhinoconjunctivitis to ragweed pollen. J Allergy Clin Immunol. 2014;133(121–9):e1–2.

    Google Scholar

Download references

Allergen exposure chambers: implementation in clinical trials in allergen immunotherapy (2024)

FAQs

How do you administer allergen immunotherapy? ›

An extract of a small amount of the allergen is injected into the skin of the arm. An injection may be given once a week (sometimes more often) for about seven months, after which injections can be administered every two weeks. Eventually, injections can be given every four weeks.

What are the mechanisms of allergen-specific immunotherapy? ›

The mechanisms of action of allergen-specific immunotherapy include the very early desensitization effects, modulation of T-and B-cell responses and related antibody isotypes, and migration of eosinophils, basophils, and mast cells to tissues, as well as release of their mediators.

What are the disadvantages of allergen immunotherapy? ›

What is the downside to allergy shots? You may have an allergic reaction after receiving an allergy shot. Mild reactions include a stuffy nose, sneezing or hives. Severe reactions are rare, but may include difficulty breathing and a feeling of tightness in your chest.

What are the routes of allergen immunotherapy? ›

Some of the novel routes of allergen immunotherapy to be discussed in this review include:
  • sublingual – extract is placed under the tongue.
  • oral – extract is swallowed.
  • intranasal – extract is applied to the nasal mucosa.
  • epicutaneous – extract is applied in patch form to the skin.

What is the procedure code for allergen immunotherapy injection? ›

CPT codes 95115 (single injection) and 95117 (multiple injections) reflect the professional administration (injection) of the allergenic extract, when the extract is not included in the code descriptor.

What is the average duration of allergen immunotherapy? ›

If allergy shots are successful, maintenance treatment is generally continued for three to five years.

What is the method of administration of immunotherapy? ›

How is immunotherapy administered? Immunotherapies may be administered either into a vein (intravenously), by an injection, under the skin (subcutaneously) or into a muscle (intramuscularly). Certain types of immunotherapy may be delivered directly to the body cavity where the tumor is located.

What is the physiology of allergy immunotherapy? ›

Physiology and Immune System Dysfunction

The immunological mechanisms involved in tolerance induction include rapid desensitization of basophils and mast cells, induction of regulatory T cells and B cells, induction of blocking IgG antibodies, and suppression of late-phase responses.

Which therapy is an allergen immunotherapy? ›

Allergen immunotherapy (AIT) is the only disease-modifying treatment available for several common allergic diseases. Subcutaneous immunotherapy (SCIT) is the best studied form of AIT and is effective for allergic rhinitis and rhinoconjunctivitis, allergic asthma, and Hymenoptera venom allergy.

What are the long-term side effects of allergy immunotherapy? ›

This is in contrast to the effects of antiallergic drugs that do not induce tolerance to offending allergens. Long-term effects of immunotherapy include a reduction in nasal symptoms, a decrease in the use of rescue medication and improvement in quality of life.

What is the most effective allergy immunotherapy? ›

Allergy shots, also known as subcutaneous immunotherapy (SCIT), are the most commonly used and most effective form of allergy immunotherapy. This is the only treatment available that actually changes the immune system , making it possible to prevent the development of new allergies and asthma .

What is a contraindication of allergen immunotherapy? ›

Common contraindications to most of the guidelines were: lack of adherence, pregnancy before the start of AIT, the use of beta-blockers, certain age groups, uncontrolled asthma, autoimmune diseases and malignancies.

How does allergen exposure therapy work? ›

Allergy exposure therapy works by introducing tiny, controlled amounts of the allergen into the patient's body. This can be done through injections, sublingual drops, or other methods. Over time, the immune system becomes accustomed to the allergen, reducing the intensity of allergic reactions.

What is a systemic reaction to allergen immunotherapy? ›

Systemic reactions are less common but potentially more serious. Reactions may include sneezing, nasal congestion or hives. More-serious reactions may include throat swelling, wheezing or chest tightness. Anaphylaxis is a rare life-threatening reaction to an allergen.

What is the success rate of immunotherapy for allergies? ›

About 80 to 90 percent of people improve with allergy immunotherapy.

Are allergy shots subcutaneous or intramuscular? ›

As opposed to an intramuscular injection, like the influenza vaccine, that penetrates the muscle, traditional allergy injections are administered as a subcutaneous injection. These needles are much smaller, much shorter, and pain is minimal if any and will not be a barrier to success.

How is immunotherapy for allergic rhinitis done? ›

Immunotherapy is a preventive treatment for allergic reactions to substances such as grass pollens, house dust mites and bee venom. Immunotherapy involves giving gradually increasing doses of the substance, or allergen, to which the person is allergic.

How do you administer an allergy skin test? ›

Placing a small amount of substances (allergens) that may be causing your symptoms on the skin, most often on the forearm, upper arm, or back. The skin is then pricked so the allergen goes under the skin's surface. The health care provider closely watches the skin for swelling and redness or other signs of a reaction.

How is immunotherapy used to treat allergies? ›

Allergen immunotherapy is a treatment for allergies. It involves exposing the patient to small, increasing doses of an allergen. This helps to build up tolerance to the allergen. Building up tolerance reduces or eliminates allergy symptoms.

References

Top Articles
Latest Posts
Article information

Author: Ouida Strosin DO

Last Updated:

Views: 6137

Rating: 4.6 / 5 (56 voted)

Reviews: 87% of readers found this page helpful

Author information

Name: Ouida Strosin DO

Birthday: 1995-04-27

Address: Suite 927 930 Kilback Radial, Candidaville, TN 87795

Phone: +8561498978366

Job: Legacy Manufacturing Specialist

Hobby: Singing, Mountain biking, Water sports, Water sports, Taxidermy, Polo, Pet

Introduction: My name is Ouida Strosin DO, I am a precious, combative, spotless, modern, spotless, beautiful, precious person who loves writing and wants to share my knowledge and understanding with you.