4.2 Review

Sublingual immunotherapy for allergic rhinitis and conjunctivitis

Journal

IMMUNOTHERAPY
Volume 5, Issue 3, Pages 257-264

Publisher

FUTURE MEDICINE LTD
DOI: 10.2217/IMT.12.157

Keywords

allergic rhinoconjunctivitis; efficacy; meta-analysis; safety; SLIT; sublingual immunotherapy

Categories

Ask authors/readers for more resources

Sublingual immunotherapy (SLIT) for allergic respiratory diseases was first described in 1986 and immediately appeared as a viable alternative to the traditional subcutaneous route. Since then, more than 60 randomized controlled trials have been published, almost all with very favorable results. The average improvement over placebo in symptom score and medication use was always greater than 20%. The results of the clinical trials were pooled in several meta-analyses, which consistently confirmed the efficacy of the treatment. SLIT is characterized by a satisfactory safety profile, its side effects being mainly limited to oral discomfort. Only six anaphylaxes and no fatalities have been so far reported. Due to the good risk:benefit ratio, SLIT is currently being investigated in diseases other than respiratory allergy, such as food allergy and atopic dermatitis.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.2
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Allergy

Benralizumab improves symptoms of patients with severe, eosinophilic asthma with a diagnosis of nasal polyposis

Giorgio Walter Canonica, Tim W. Harrison, Pascal Chanez, Francesco Menzella, Renaud Louis, Borja G. Cosio, Njira L. Lugogo, Arjun Mohan, Annie Burden, Esther Garcia Gil

Summary: The study showed that benralizumab can improve symptoms of NP and asthma outcomes in patients with severe, eosinophilic asthma and NP, with better effects observed in patients with high baseline SNOT-22 scores.

ALLERGY (2022)

Article Allergy

Efficacy and safety of dupilumab in patients with uncontrolled severe CRSwNP and a clinical diagnosis of NSAID-ERD: Results from two randomized placebo-controlled phase 3 trials

Joaquim Mullol, Tanya M. Laidlaw, Claus Bachert, Leda P. Mannent, G. Walter Canonica, Joseph K. Han, Jorge F. Maspero, Cesar Picado, Nadia Daizadeh, Benjamin Ortiz, Yongtao Li, Marcella Ruddy, Elizabeth Laws, Nikhil Amin

Summary: In patients with difficult-to-treat CRSwNP, dupilumab significantly improved objective measures and patient-reported symptoms to a greater extent in the presence of comorbid NSAID-ERD than without. Dupilumab was well tolerated in patients with/without NSAID-ERD.

ALLERGY (2022)

Article Allergy

Mild/Moderate Asthma Network in Italy (MANI): a long-term observational study

Fulvio Braido, Francesco Blasi, Giorgio Walter Canonica, Pierluigi Paggiaro, Bianca Beghe, Matteo Bonini, Giovanna Elisiana Carpagnano, Stefano Del Giacco, Federico Lavorini, Manlio Milanese, Vincenzo Patella, Pierachille Santus, Marco Contoli

Summary: This study in Italy aims to investigate the clinical status and disease progression of patients with mild-to-moderate asthma, analyzing the epidemiological evolution and treatment response through observational research, exploring the impact of environmental and lifestyle factors on asthma.

JOURNAL OF ASTHMA (2022)

Article Allergy

Molecular reactivity profiling upon immunotherapy with a 300 IR sublingual house dust mite tablet reveals marked humoral changes towards major allergens

Ekaterina Potapova, Veronique Bordas-Le Floch, Thomas Schlederer, Susanne Vrtala, Huey-Jy Huang, Giorgio W. Canonica, Rudolf Valenta, Paolo M. Matricardi, Laurent Mascarell

Summary: Background: The molecular antibody reactivity profiles in sublingual house dust mite (HDM) tablet immunotherapy have not been thoroughly studied. Our study used allergen microarray technology to examine the humoral immune responses to a variety of HDM allergens and found that specific IgE levels to Der p 1 and Der p 23 were significantly associated with asthma. After allergen-specific immunotherapy (AIT), an increase in specific IgG and IgG4 antibodies to Der p 1, Der p 2, and Der p 23 was observed, indicating the induction of specific antibodies by sublingual AIT.

ALLERGY (2022)

Article Cardiac & Cardiovascular Systems

Patients' and physicians' perspectives on the burden and management of asthma: Results from the APPaRENT 2 study

Kenneth R. Chapman, Giorgio Walter Canonica, Kim L. Lavoie, Natalia Nenasheva, Gabriel Garcia, Sinthia Bosnic-Anticevich, Arnaud Bourdin, Maria Carmen del Cano, P. G. Abhijith, Bhumika Aggarwal

Summary: According to the 2021 GINA report, physicians tend to prefer a preventive regular dosing approach for treating patients with moderate to severe asthma, rather than using short-acting beta 2-agonists. However, many patients on the maintenance and reliever therapy (MART) request additional rescue inhalers, suggesting a misapplication of MART therapy.

RESPIRATORY MEDICINE (2022)

Editorial Material Otorhinolaryngology

Prevalence of familial link in patients affected by chronic rhinosinusitis with nasal polyposis

Francesco Giombi, Alejandra Carron-Herrero, Francesca Pirola, Giovanni Paoletti, Emanuele Nappi, Elena Russo, Armando De Virgilio, Giuseppe Mercante, Giorgio Walter Canonica, Giuseppe Spriano, Enrico Heffler, Luca Malvezzi

INTERNATIONAL FORUM OF ALLERGY & RHINOLOGY (2022)

Review Respiratory System

Biologics in severe asthma: the role of real-world evidence from registries

Giovanni Paoletti, Jack Pepys, Marta Casini, Danilo Di Bona, Enrico Heffler, Celine Y. Y. Goh, David B. Price, Giorgio Walter Canonica

Summary: The introduction of novel biologic drugs has revolutionised the treatment of severe asthma, but evaluating their real-life effectiveness is crucial for tailoring the right treatment for patients.

EUROPEAN RESPIRATORY REVIEW (2022)

Article Allergy

Impact of COVID-19 in allergen immunotherapy: An Italian survey

Jaime Sanchez-Lopez, Enrico Heffler, Giorgio Walter Canonica

Summary: This study aimed to evaluate the impact of the COVID-19 pandemic on the perceptions and administration of allergen immunotherapy (AIT) in Italy. The results showed that Italian physicians did not perceive an added risk of AIT therapy for patients with allergic asthma or rhinitis during the pandemic. However, there was a decrease in the initiation of AIT therapy, and sublingual AIT was preferred over subcutaneous AIT.

ALLERGOLOGIA ET IMMUNOPATHOLOGIA (2022)

Article Health Care Sciences & Services

Digital Coaching Using Smart Inhaler Technology to Improve Asthma Management in Patients With Asthma in Italy: Community-Based Study

Gabriele Rumi, G. Walter Canonica, Juliet M. Foster, Niels H. Chavannes, Giuseppe Valenti, Rosario Contiguglia, Eleni Rapsomaniki, Janwillem W. H. Kocks, Dario De Brasi, Fulvio Braido

Summary: The study investigates the implementation of the Turbu+ program in community settings to support asthma self-management and medication adherence. The results show high medication adherence, which may be attributed to the use of electronic monitoring and feedback mechanism provided by the Turbu+ program.

JMIR MHEALTH AND UHEALTH (2022)

Correction Health Care Sciences & Services

Digital Coaching Using Smart Inhaler Technology to Improve Asthma Management in Patients With Asthma in Italy: Community-Based Study (vol 10, e44532, 2022)

Gabriele Rumi, G. Walter Canonica, Juliet M. Foster, Niels H. Chavannes, Giuseppe Valenti, Rosario Contiguglia, Eleni Rapsomaniki, Janwillem W. H. Kocks, Dario De Brasi, Fulvio Braido

JMIR MHEALTH AND UHEALTH (2022)

Article Allergy

Clinical Features and Efficacy of Benralizumab in Patients with Blood Eosinophil Count Between 300 and 450 Cells/mm3: A Post Hoc Analysis from the ANANKE Study

Gianenrico Senna, Maria Aliani, Elena Altieri, Pietro Bracciale, Luisa Brussino, Maria Filomena Caiaffa, Paolo Cameli, Giorgio Walter Canonica, Cristiano Caruso, Maria D'Amato, Fausto De Michele, Stefano Del Giacco, Fabiano Di Marco, Francesco Menzella, Girolamo Pelaia, Paola Rogliani, Micaela Romagnoli, Pietro Schino, Jan Walter Schroeder, Alessandra Vultaggio, Sara Rizzoli, Alessandro Zullo, Silvia Boarino, Marilena Palmisano, Alessandra Rossi, Gianfranco Vitiello, Stefano Centanni

Summary: The post hoc analysis from the Italian study ANANKE aimed to define the clinical features and effectiveness of benralizumab in the BEC 300-450 cells/mm3 subset of patients. Results showed that patients in this subset had similar improvements in exacerbation rate, asthma control, lung function, and corticosteroid use after 48 weeks of benralizumab treatment compared to the total population.

JOURNAL OF ASTHMA AND ALLERGY (2022)

Article Immunology

Intranasal corticosteroid and antihistamine combinations in the treatment of allergic rhinitis: the role of the novel formulation olopatadine/mometasone furoate

Erminia Ridolo, Alessandro Barone, Francesca Nicoletta, Giovanni Paoletti, Enrico Heffler, Luca Malvezzi, Giorgio Walter Canonica

Summary: Allergic rhinitis (AR) is a common disease with a significant impact on quality of life and high management costs. The use of multiple drugs for symptom control in AR patients often leads to poor therapeutic adherence. However, the novel intranasal corticosteroid/antihistamine combination, GSP301, has shown promising efficacy and safety in providing rapid symptom relief and good tolerability.

EXPERT REVIEW OF CLINICAL IMMUNOLOGY (2023)

Article Immunology

An international Delphi study on the burden of allergic rhinoconjunctivitis and urticaria and the role of bilastine among current treatment options

M. K. Church, G. W. Canonica, P. Kuna, M. Maurer, R. Moesges, Z. Novak, N. G. Papadopoulos, P. Rodriguez del Rio

Summary: Allergic rhinoconjunctivitis and chronic urticaria have detrimental effects on cognitive functions, sleep, daily activities, and quality of life. Non-sedating second-generation H-1 antihistamines, including bilastine, are effective treatments for these conditions.

EXPERT REVIEW OF CLINICAL IMMUNOLOGY (2023)

Editorial Material Allergy

Next generation health guidelines: The role of real-life data in evidence-based medicine

G. Walter Canonica, Ioana Agache, Holger J. Schunemann, Nicolas Roche, David Price, Stefano del Giacco

ALLERGY (2023)

Review Respiratory System

Symptom versus exacerbation control: an evolution in GINA guidelines?

Manuela Latorre, Riccardo Pistelli, Giovanna Elisiana Carpagnano, Alessandro Celi, Ilaria Puxeddu, Nicola Scichilone, Antonio Spanevello, Giorgio Walter Canonica, Pierluigi Paggiaro

Summary: This article traces the concept of asthma control within GINA guidelines over the past 25 years. It discusses the shift in focus from controlling all clinical and functional characteristics of asthma to prioritizing the prevention of exacerbations. The importance of symptom control and the relationship between symptoms and exacerbations in moderate-severe asthma are highlighted.

THERAPEUTIC ADVANCES IN RESPIRATORY DISEASE (2023)

Review Immunology

Imaging findings can't mean everything in the era of immunotherapy: a case report and literature review

Xiangye Zhao, Kewei Ma, Xiaobo Ma, Xu Wang, Chao Sun, Shi Qiu, Ye Guo, Zhiguang Yang, Yunpeng Liu, Yinghui Xu

Summary: Immunotherapy may lead to pseudoprogression, where tumors initially grow but shrink with continued treatment. This article reports a case of pseudoprogression in a lung cancer patient receiving immunotherapy, and reviews the mechanisms, clinical manifestations, and prognostic indicators of pseudoprogression.

IMMUNOTHERAPY (2024)

Article Immunology

Toripalimab and fruquintinib therapy for colorectal cancer after failed multiline chemotherapies: a case report

Ling-zhijie Kong, Ying Zheng, Kaichun Li

Summary: Treatment options for metastatic colorectal cancer are limited after second-line chemotherapy failure. In this case report, a 59-year-old male patient achieved remarkable response to fruquintinib and toripalimab combination therapy after multiple lines of chemotherapy failed. The patient had partial response within 3 months and complete response of pulmonary masses within 12 months. The combination of fruquintinib and PD-1 inhibitors improves the prognosis of metastatic colorectal cancer, with a progression-free survival of over 17 months.

IMMUNOTHERAPY (2024)