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Sökning: WFRF:(Pauli H.) > (2005-2009) > Efficacy of recombi...

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FältnamnIndikatorerMetadata
00004860naa a2200889 4500
001oai:gup.ub.gu.se/81813
003SwePub
008240528s2008 | |||||||||||000 ||eng|
024a https://gup.ub.gu.se/publication/818132 URI
024a https://doi.org/10.1016/j.jaci.2008.09.0172 DOI
040 a (SwePub)gu
041 a eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Pauli, Gabrielle4 aut
2451 0a Efficacy of recombinant birch pollen vaccine for the treatment of birch-allergic rhinoconjunctivitis.
264 1b Elsevier BV,c 2008
520 a BACKGROUND: Recombinant DNA technology has the potential to produce allergen-specific immunotherapy vaccines with defined composition. OBJECTIVE: To evaluate the effectiveness of a new recombinant birch pollen allergen vaccine in patients with birch pollen allergy. METHODS: A multicenter, randomized, double-blind, placebo-controlled trial was undertaken to compare the following 3 vaccines in 134 adults with birch pollen allergy: recombinant birch pollen allergen vaccine (rBet v 1a), licensed birch pollen extract, natural purified birch pollen allergen (nBet v 1), and placebo. Patients received 12 weekly injections followed by monthly injections of the maintenance dose containing 15 microg Bet v 1 for 2 years. RESULTS: Significant reductions (about 50%) in rhinoconjunctivitis symptoms (rBet v 1, P = .0002; nBet v 1, P = .0006; birch extract, P = .0024), rescue medication (rBet v 1, P = .0011; nBet v 1, P = .0025; birch extract, P = .0063), and skin sensitivities (P < .0001) were observed in the 3 actively treated groups compared with placebo during 2 consecutive pollen seasons. Clinical improvement was accompanied by marked increases in Bet v 1-specific IgG levels, which were higher in the rBet v 1-treated group than in the birch and nBet v 1-treated groups. New IgE specificities were induced in 3 of 29 patients treated with birch pollen extract, but in none of the 32 rBet v 1-treated or 29 nBet v 1-treated patients. No severe systemic adverse events were observed in the rBet v 1-treated group. CONCLUSION: The rBet v 1-based vaccine was safe and effective in treating birch pollen allergy, and induced a highly specific immune response.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Dermatologi och venereologi0 (SwePub)302042 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Dermatology and Venereal Diseases0 (SwePub)302042 hsv//eng
653 a Adult
653 a Allergens
653 a adverse effects
653 a immunology
653 a Anti-Allergic Agents
653 a therapeutic use
653 a Betula
653 a adverse effects
653 a immunology
653 a Conjunctivitis
653 a Allergic
653 a immunology
653 a therapy
653 a Desensitization
653 a Immunologic
653 a Double-Blind Method
653 a Female
653 a Humans
653 a Male
653 a Middle Aged
653 a Pollen
653 a adverse effects
653 a immunology
653 a Recombinant Proteins
653 a immunology
653 a therapeutic use
653 a Rhinitis
653 a Allergic
653 a Seasonal
653 a immunology
653 a therapy
653 a Vaccines
653 a immunology
653 a therapeutic use
653 a Young Adult
700a Larsen, Tina H4 aut
700a Rak, Sabina,d 1945u Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för invärtesmedicin,Institute of Medicine, Department of Internal Medicine4 aut0 (Swepub:gu)xraksa
700a Horak, Friedrich4 aut
700a Pastorello, Elide4 aut
700a Valenta, Rudolph4 aut
700a Purohit, Ashok4 aut
700a Arvidsson, Monica,d 1955u Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för invärtesmedicin,Institute of Medicine, Department of Internal Medicine4 aut0 (Swepub:gu)xarvmo
700a Kavina, Alexander4 aut
700a Schroeder, Jan W4 aut
700a Mothes, Nadine4 aut
700a Spitzauer, Susanne4 aut
700a Montagut, Armelle4 aut
700a Galvain, Sylvie4 aut
700a Melac, Michel4 aut
700a André, Claude4 aut
700a Poulsen, Lars K4 aut
700a Malling, Hans-Jorgen4 aut
710a Göteborgs universitetb Institutionen för medicin, avdelningen för invärtesmedicin4 org
773t The Journal of allergy and clinical immunologyd : Elsevier BVg 122:5, s. 951-60q 122:5<951-60x 1097-6825x 0091-6749
8564 8u https://gup.ub.gu.se/publication/81813
8564 8u https://doi.org/10.1016/j.jaci.2008.09.017

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