SQ sublingual immunotherapy tablets for children with allergic rhinitis : A review of phase three trials

© 2024 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica..

AIM: To provide paediatricians with a summary of efficacy and safety of SQ sublingual immunotherapy (SLIT) tablets from phase three, randomised, double-blind, placebo-controlled trials in children and adolescents with allergic rhinitis or rhinoconjunctivitis, with and without asthma.

METHODS: PubMed searches were conducted and unpublished data were included if necessary.

RESULTS: Of the 93 publications, 12 were identified reporting 10 trials. One trial was excluded as paediatric-specific efficacy data were unavailable. The nine eligible trials evaluated grass, house dust mite, ragweed and tree SLIT tablets. Consistent reductions in allergic rhinitis or rhinoconjunctivitis symptoms and medication use were observed with SQ SLIT tablets versus placebo. In a five-year trial, sustained reduction of allergic rhinoconjunctivitis symptoms, asthma symptoms and medication use were observed with SQ grass SLIT tablet versus placebo. The number-needed-to-treat to prevent asthma symptoms and medication use in one additional child during follow-up was lowest in younger children. SQ SLIT tablets were generally well tolerated across trials.

CONCLUSION: Evidence supports use of SQ SLIT tablets in children and adolescents with allergic rhinitis or rhinoconjunctivitis, with and without asthma. Long-term data demonstrate disease-modifying effects of SQ grass SLIT tablet and suggest the clinical relevance of initiating allergy immunotherapy earlier in the disease course.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Acta paediatrica (Oslo, Norway : 1992) - (2024) vom: 26. März

Sprache:

Englisch

Beteiligte Personen:

Csonka, Péter [VerfasserIn]
Hamelmann, Eckard [VerfasserIn]
Turkalj, Mirjana [VerfasserIn]
Roberts, Graham [VerfasserIn]
Mack, Douglas P [VerfasserIn]

Links:

Volltext

Themen:

Allergic rhinitis
Asthma
Journal Article
Paediatric
Randomised controlled trials
Review
Sublingual allergy immunotherapy tablets

Anmerkungen:

Date Revised 26.03.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1111/apa.17221

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370192745