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The global development and clinical efficacy of sublingual tablet immunotherapy for allergic diseases.
- Source :
-
Allergology International . Jul2018, Vol. 67 Issue 3, p301-308. 8p. - Publication Year :
- 2018
-
Abstract
- Allergy immunotherapy (AIT) is a treatment option for respiratory allergy that is complementary to pharmacotherapy, with a distinct mechanism of action. Alternative methods to subcutaneous administration of AIT that enable patients to safely self-administer AIT is considered an unmet clinical need. The sublingual immunotherapy tablet (SLIT-tablet) is an orally disintegrating pharmaceutical formulation (oral lyophilisate) containing standardized allergens. SLIT-tablets have been developed for sublingual immunotherapy (SLIT) of cedar-pollen, grass-pollen, ragweed-pollen, tree-pollen, and house dust mite allergies. It is a once-daily tablet treatment to be self-administered after the first dose has been provided under the supervision of a physician with experience in the diagnosis and treatment of allergic diseases. Once the first dose is adequately tolerated, subsequent doses may be self-administered. SLIT-tablets have proven efficacy for allergic rhinitis (AR) with and without conjunctivitis (C) and allergic asthma (AA) in adults, children, and poly-sensitized allergic patients. Meta-analyses indicate that SLIT-tablets have superior or similar efficacy compared with anti-allergic pharmacotherapies for seasonal AR and superior efficacy for perennial AR. SLIT-tablets have also demonstrated clinically relevant improvements of asthma, with significant reductions in the following: daily inhaled corticosteroid use, risk of asthma exacerbations, and asthma symptoms. SLIT-tablets are generally well tolerated, with a low risk of systemic allergic reactions. The most common treatment-related adverse events are mild-moderate oral reactions. Current evidence supports SLIT-tablets to be considered as an alternative or add-on treatment to pharmacotherapy for AR/C and asthma. Future SLIT developments may include early intervention to prevent the development or progression of allergic disease in children. [ABSTRACT FROM AUTHOR]
- Subjects :
- *ALLERGIES
*IMMUNOTHERAPY
*ALLERGENS
*ANTIHISTAMINES
*RANDOMIZED controlled trials
Subjects
Details
- Language :
- English
- ISSN :
- 13238930
- Volume :
- 67
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Allergology International
- Publication Type :
- Academic Journal
- Accession number :
- 130501152
- Full Text :
- https://doi.org/10.1016/j.alit.2018.03.008