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Sublingual immunotherapy with a grass allergen tablet improved symptoms and quality of life in allergic rhinoconjunctivitis

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 Q In patients with grass pollen-induced allergic rhinoconjunctivitis, how effective is sublingual immunotherapy with a grass allergen tablet?

Clinical impact ratings GP/FP/Primary care ★★★★★☆☆ Allergy & immunology ★★★★★★☆

METHODS

Embedded ImageDesign:

randomised placebo controlled trial.

Embedded ImageAllocation:

unclear allocation concealment.*

Embedded ImageBlinding:

blinded (patients, healthcare providers, and outcome assessors).*

Embedded ImageFollow up period:

up to the end of grass pollen season.

Embedded ImageSetting:

55 centres in Canada, UK, Germany, Belgium, Austria, Denmark, Sweden, and Norway.

Embedded ImagePatients:

855 patients 18–65 years of age (mean age 35 y, 62% men) who had allergic rhinoconjunctivitis during grass pollen season for ⩾2 years and positive result on skin prick test to timothy grass (Phleum pratense). Exclusion criteria included history of asthma, anaphylaxis, or angio-oedema; forced expiratory volume1 <70% predicted; non-grass induced allergic rhinitis; recurrent acute or chronic sinusitis; conjunctivitis, rhinitis, or asthma at randomisation; hypersensitivity to trial medication; and immunotherapy for allergens in the past 5–10 years.

Embedded ImageIntervention:

oral P pratense …

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