Intralymphatic Immunotherapy: Update and Unmet Needs

Allergen-specific immunotherapy (AIT) is the only allergy treatment that confers long-term symptom amelioration for patients suffering from allergy. The most frequently used allergen application route is subcutaneous injection (SCIT), commonly taken as the gold standard, followed by sublingual (SLIT...

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Veröffentlicht in:International archives of allergy and immunology 2019-01, Vol.178 (2), p.141-149
Hauptverfasser: Senti, Gabriela, Freiburghaus, Andreas U., Larenas-Linnemann, Désirée, Hoffmann, Hans Jürgen, Patterson, Amber M., Klimek, Ludger, Di Bona, Danilo, Pfaar, Oliver, Ahlbeck, Lars, Akdis, Mübeccel, Weinfeld, Dan, Contreras-Verduzco, Francisco A., Pedroza-Melendez, Alvaro, Skaarup, Søren H., Lee, Sang Min, Cardell, Lars-Olaf, Schmid, Johannes M., Westin, Ulla, Dollner, Ralph, Kündig, Thomas M.
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container_end_page 149
container_issue 2
container_start_page 141
container_title International archives of allergy and immunology
container_volume 178
creator Senti, Gabriela
Freiburghaus, Andreas U.
Larenas-Linnemann, Désirée
Hoffmann, Hans Jürgen
Patterson, Amber M.
Klimek, Ludger
Di Bona, Danilo
Pfaar, Oliver
Ahlbeck, Lars
Akdis, Mübeccel
Weinfeld, Dan
Contreras-Verduzco, Francisco A.
Pedroza-Melendez, Alvaro
Skaarup, Søren H.
Lee, Sang Min
Cardell, Lars-Olaf
Schmid, Johannes M.
Westin, Ulla
Dollner, Ralph
Kündig, Thomas M.
description Allergen-specific immunotherapy (AIT) is the only allergy treatment that confers long-term symptom amelioration for patients suffering from allergy. The most frequently used allergen application route is subcutaneous injection (SCIT), commonly taken as the gold standard, followed by sublingual (SLIT) or oral (OIT) application of allergen preparations. This is an up-to-date review of the clinical evidence for a novel route of allergen application, i.e., directly into lymph nodes – intralymphatic immunotherapy (ILIT). The major advantages of ILIT over the current AIT approaches are its short duration and the low allergen doses administered. The whole treatment consists of merely 3 ultrasound-guided injections into inguinal lymph nodes 1 month apart. While the number of patients included in randomised controlled trials is still limited, the clinical results for ILIT are encouraging, but more clinical trials are needed, as well as more preclinical work for optimising formulations.
doi_str_mv 10.1159/000493647
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subjects Allergen-specific immunotherapy
Allergy
Care and treatment
Clinical Allergy – Review Article
Clinical trials
Comparative analysis
Drug delivery systems
Immunotherapy
Intralymphatic immunotherapy
Medicin och hälsovetenskap
Methods
title Intralymphatic Immunotherapy: Update and Unmet Needs
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