A novel microcrystalline tyrosine-adsorbed, mite-allergoid subcutaneous immunotherapy: 1-year follow-up report

Immunotherapy. 2016 Oct;8(10):1169-74. doi: 10.2217/imt-2016-0068. Epub 2016 Jul 7.

Abstract

Aim: A 1-year follow-up study comparing the safety and tolerability of the dosing schedules, satisfaction and effectiveness of a novel microcrystalline tyrosine-adsorbed mite (Dermatophagoides pteronyssinus)-allergoid subcutaneous immunotherapy (Acarovac Plus™) in 30 adult patients (18-65 years) with allergic rhinitis and/or asthma.

Materials & methods: The effectiveness of the product was assessed by nasal provocation test measuring peak nasal inspiratory flow/symptoms, in vitro immunologic changes (IgE, IgG4 and IL-10) and Treatment Satisfaction Questionnaire for Medication.

Results: No adverse events were reported during dosing schedules. Significant decreases in symptom scores and drop of peak nasal inspiratory flow in follow-up visits (4 weeks and 1 year) were recorded. Significant increases in IgG4-specific antibody titers and IL-10 were exhibited.

Conclusion: Significant decreases in clinical symptoms and immunological parameters were observed, accompanying a high level of patient satisfaction and tolerance.

Keywords: Acarovac Plus™; Dermatophagoides pteronyssinus; allergen; allergic rhinitis; allergoid; cluster; conventional; immunotherapy; nasal challenge test; subcutaneous.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Animals
  • Antigens, Dermatophagoides / chemistry
  • Antigens, Dermatophagoides / therapeutic use*
  • Asthma / immunology
  • Asthma / therapy*
  • Dermatophagoides pteronyssinus / immunology
  • Desensitization, Immunologic / methods*
  • Female
  • Follow-Up Studies
  • Humans
  • Immune Tolerance
  • Immunoglobulin E / blood
  • Interleukin-10 / metabolism
  • Male
  • Middle Aged
  • Rhinitis, Allergic / immunology
  • Rhinitis, Allergic / therapy*
  • Treatment Outcome
  • Tyrosine / chemistry
  • Young Adult

Substances

  • Antigens, Dermatophagoides
  • IL10 protein, human
  • Interleukin-10
  • Immunoglobulin E
  • Tyrosine