Long-term efficacy of sublingual immunotherapy in patients with perennial rhinitis

Laryngoscope. 2007 Jun;117(6):965-9. doi: 10.1097/MLG.0b013e31804f8141.

Abstract

Background: Sublingual immunotherapy has a documented clinical efficacy, but only a few long-term studies have been performed in people with perennial rhinitis.

Objectives: The purpose of this study was to evaluate the long-term efficacy of sublingual immunotherapy.

Methods: One hundred thirty-seven patients with allergies to house dust mites were treated with sublingual house dust-mite-specific immunotherapy for 2 or 3 years and were also observed for 3 years after discontinuation of the treatment. The patients were divided into 2 groups: group A (67 patients) received active treatment for 2 years and then 1 year for placebo, and group B (70 patients) received active treatment for 3 years. The success of the treatment was evaluated with the symptom score, skin prick test results, and the nasal allergen challenge score.

Results: According to our study results, we found a greater improvement in the 3 years of sublingual immunotherapy compared with the 2 years of sublingual immunotherapy when we looked at the comparative results of the total 6 years.

Conclusion: We suggest 3 years of sublingual immunotherapy for patients with perennial allergic rhinitis who require immunotherapy and do not accept the subcutaneous route of allergen administration.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Administration, Sublingual
  • Adolescent
  • Adult
  • Allergens / administration & dosage
  • Allergens / therapeutic use*
  • Animals
  • Child
  • Desensitization, Immunologic / methods*
  • Double-Blind Method
  • Female
  • Humans
  • Immunoglobulin E / immunology
  • Male
  • Middle Aged
  • Nasal Mucosa / immunology
  • Nasal Provocation Tests
  • Pyroglyphidae / immunology
  • Rhinitis, Allergic, Perennial / diagnosis
  • Rhinitis, Allergic, Perennial / immunology
  • Rhinitis, Allergic, Perennial / therapy*
  • Severity of Illness Index
  • Skin Tests
  • Time Factors

Substances

  • Allergens
  • Immunoglobulin E