Tolerability and positive efficacy results after subcutaneous immunotherapy with Parietaria judaica depot extract

Immunotherapy. 2018 Oct;10(14):1253-1263. doi: 10.2217/imt-2018-0051.

Abstract

Aim: To evaluate tolerability and efficacy of Parietaria judaica subcutaneous immunotherapy on patients with allergic rhinoconjunctivitis.

Patients & methods: 51 patients were assigned to build-up scheme (six increasing doses) of P. judaica depot native extract, plus three maintenance monthly administrations.

Results: Out of 470 administered doses, only 3.8% elicited systemic reactions (1.5% nonspecific and 2.3% grade I). Concerning the exploratory efficacy parameters: cutaneous reactivity at the final visit versus baseline was significantly decreased; specific titers of IgG and IgG4 increased significantly and patients showed a significant decrease in the rhinitis symptoms score.

Conclusion: P. judaica subcutaneous immunotherapy (Allergovac® depot ROXALL Medicina España S.A., Zamudio, Spain) with an abbreviated up-dosing scheme showed an adequate safety and tolerability profile and induced preliminary efficacy changes.

Keywords: Parietaria judaica; allergy immunotherapy vaccine; respiratory allergy; rhinoconjunctivitis; subcutaneous immunotherapy.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Allergens / immunology
  • Allergens / therapeutic use*
  • Antigens, Plant / immunology
  • Antigens, Plant / therapeutic use*
  • Desensitization, Immunologic / methods*
  • Female
  • Humans
  • Immunoglobulin E / metabolism
  • Infusions, Subcutaneous
  • Male
  • Middle Aged
  • Parietaria / immunology
  • Plant Extracts / immunology
  • Plant Extracts / therapeutic use*
  • Rhinitis, Allergic / immunology
  • Rhinitis, Allergic / therapy*
  • Rhinitis, Allergic, Seasonal / immunology
  • Rhinitis, Allergic, Seasonal / therapy*
  • Skin Tests
  • Young Adult

Substances

  • Allergens
  • Antigens, Plant
  • Plant Extracts
  • Immunoglobulin E
  • Parietaria judaica pollen