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Efficacy and safety...
Efficacy and safety of sublingual immunotherapy with grass allergen tablets for seasonal allergic rhinoconjunctivitis
- Artikel/kapitelEngelska2006
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LIBRIS-ID:oai:gup.ub.gu.se/63456
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https://gup.ub.gu.se/publication/63456URI
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
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BACKGROUND: Allergen immunotherapy (desensitization) by injection is effective for seasonal allergic rhinitis and has been shown to induce long-term disease remission. The sublingual route also has potential, although definitive evidence from large randomized controlled trials has been lacking. OBJECTIVE: The aim was to confirm the efficacy of a rapidly dissolving grass allergen tablet (GRAZAX, ALK-Abello, Horsholm, Denmark) compared with placebo in patients with seasonal rhinoconjunctivitis. METHODS: A longitudinal, double-blind, placebo-controlled, parallel-group study that included 51 centers from 8 countries. Subjects were randomized (1:1) to receive a grass allergen tablet or placebo once daily. A total of 634 subjects with a history of grass pollen-induced rhinoconjunctivitis for at least 2 years and confirmation of IgE sensitivity (positive skin prick test and serum-specific IgE) were included in the study. Subjects commenced treatment at least 16 weeks before the grass pollen season, and treatment was continued throughout the entire season. RESULTS: The primary efficacy analysis showed a reduction of 30% in rhinoconjunctivitis symptom score (P < .0001) and a reduction of 38% in rhinoconjunctivitis medication score (P < .0001) compared with placebo. Side effects mainly comprised mild itching and swelling in the mouth that was in general well tolerated and led to treatment withdrawal in less than 4% of participants. There were no serious local side effects and no severe systemic adverse events. CONCLUSION: Sublingual immunotherapy with grass allergen tablets was effective in grass pollen-induced rhinoconjunctivitis. The tablet was well tolerated with minor local side effects. CLINICAL IMPLICATIONS: The grass allergen tablet represents a safe alternative to injection immunotherapy suitable for home use.
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Biuppslag (personer, institutioner, konferenser, titlar ...)
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Kapp, A.
(författare)
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Colombo, G.
(författare)
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de Monchy, J. G.
(författare)
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Rak, Sabina,1945Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för invärtesmedicin,Institute of Medicine, Department of Internal Medicine(Swepub:gu)xraksa
(författare)
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Emminger, W.
(författare)
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Rivas, M. F.
(författare)
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Ribel, M.
(författare)
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Durham, S. R.
(författare)
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Göteborgs universitetInstitutionen för medicin, avdelningen för invärtesmedicin
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:J Allergy Clin Immunol.118:2
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Till lärosätets databas
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Dahl, R.
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Kapp, A.
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Colombo, G.
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de Monchy, J. G.
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Rak, Sabina, 194 ...
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Emminger, W.
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visa fler...
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Rivas, M. F.
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Ribel, M.
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Durham, S. R.
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visa färre...
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- MEDICIN OCH HÄLSOVETENSKAP
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Göteborgs universitet