Allergen immunotherapy for pediatric asthma: current evidence and knowledge gaps.


Journal

Current opinion in allergy and clinical immunology
ISSN: 1473-6322
Titre abrégé: Curr Opin Allergy Clin Immunol
Pays: United States
ID NLM: 100936359

Informations de publication

Date de publication:
04 2020
Historique:
pubmed: 24 1 2020
medline: 16 6 2021
entrez: 24 1 2020
Statut: ppublish

Résumé

The introduction of high-quality and standardized extracts for immunotherapy has renewed the interest in the treatment of pediatric allergic asthma that represents a high-prevalence disease. In addition to clinical trials, several systematic reviews and metaanalyses were published, confirming overall the clinical efficacy of allergen immunotherapy in pediatric asthma. In addition, new data on the preventive effect of the treatment on asthma onset were published. Despite this, many intriguing questions emerged, in parallel to the development of knowledge. Allergen immunotherapy is overall effective for the treatment of asthma in children, but a class-effect should not be claimed, rather the efficacy of each single product. According to the recent findings, the challenge for the future research will be to clarify: when to start immunotherapy in children, which are (if they exist) the predictive biomarkers for efficacy in the single individual, the magnitude of the preventive effect and the optimal duration of the treatment.

Identifiants

pubmed: 31972602
doi: 10.1097/ACI.0000000000000618
pii: 00130832-202004000-00013
doi:

Substances chimiques

Allergens 0
Biomarkers 0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

162-167

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Auteurs

Giovanni Passalacqua (G)

Department of Internal Medicine, Allergy and Respiratory Diseases, IRCCS Policlinico San Martino, University of Genoa, Genoa.

Massimo Landi (M)

Pediatric National Healthcare System, Turin.
Institute of Biomedical Research and Innovation, Palermo.

Diego G Peroni (DG)

Pediatrics, Department of Experimental Medicine, University of Pisa, Pisa, Italy.

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