December 6, 2019

Efficacy and Safety of Dupilumab in Adolescents With Uncontrolled Moderate to Severe Atopic Dermatitis. A Phase 3 Randomized Clinical Trial

Key Points
Question  What is the efficacy and safety of dupilumab monotherapy in adolescents with moderate to severe inadequately controlled atopic dermatitis?
Findings  In this randomized phase 3 clinical trial including 251 adolescents with moderate to severe atopic dermatitis, dupilumab 200 or 300 mg every 2 weeks and 300 mg every 4 weeks resulted in a significant treatment response vs placebo following 16-week treatment, with an acceptable safety profile.

Mechanism(s) of prolonged attenuation of allergic responses after modulation of idiotypic regulatory network

Abstract
Background
We showed previously that allergic reactivity to ovalbumin (OVA) could be regulated in mice following perturbation of immune networks using combinations of an immune Ig along with anti-idiotypic Ig. We have explored features of this regulation including: its persistence after cessation of administration of combined Igs; the ability of heterologous Igs to produce immunoregulation; a role for Treg induction in regulation; and the ability to attenuate responses in mice pre-sensitized to an allergic stimulus.

December 1, 2019

Virtual Case Challenges: Inflammatory Skin Conditions and Comorbid Allergies

CME / ABIM MOC

Virtual Case Challenges: Inflammatory Skin Conditions and Comorbid Allergies 

  • Authors: Jonathan I. Silverberg, MD, PhD, MPH; Jonathan Spergel, MD, PhD
  • CME / ABIM MOC Released: 11/22/2019
  • Valid for credit through: 11/22/2020
  • Credits Available

    Physicians - maximum of 1.00 AMA PRA Category 1 Credit(s)™
    ABIM Diplomates - maximum of 1.00 ABIM MOC points

    You Are Eligible For

    • AMA PRA Category 1 Credit(s)™

November 30, 2019

Efficacy and Safety of Twice-daily and Once-daily Olopatadine-Mometasone Combination Nasal Spray for Seasonal Allergic Rhinitis

ABSTRACT

BACKGROUND
GSP301 is an investigational fixed-dose combination nasal spray of olopatadine hydrochloride (antihistamine) and mometasone furoate (corticosteroid).

OBJECTIVE

To evaluate efficacy and safety of GSP301 in patients with seasonal AR (SAR).

METHODS

In this phase 2, double-blind, parallel-group study, patients (≥12 years of age) with SAR were equally randomized to twice-daily GSP301 (olopatadine 665μg and mometasone 25μg), once-daily GSP301 (olopatadine 665μg and mometasone 50μg), twice-daily or once-daily olopatadine monotherapy (665μg), mometasone monotherapy (twice-daily 25μg or once-daily 50μg), or placebo for 14 days.

November 29, 2019

30 Years Of Sublingual Immunotherapy

REVIEW ARTICLE
Free Access

Giovanni Passalacqua , Diego Bagnasco , Giorgio Walter Canonica
https://doi.org/10.1111/all.14113

Abstract

Allergen Immunotherapy (AIT) was introduced in clinical practice on an empirical basis more than 100 years ago. Since the first attempts, AIT was administered subcutaneously. Indeed, other routes of administration were proposed and studied, in particular to improve the safety, but only the sublingual route (SLIT) achieved a credibility based on evidence, and was then accepted as a viable “alternative” option to the subcutaneous route. SLIT was largely used in clinical trials and clinical practice in this last 30 years. Thus, a large amount of data is available, coming from either controlled trials and post‐marketing surveillance studies.

November 28, 2019

Does unified allergic airway disease impact on lung function and type 2 biomarkers?

Abstract
Values are shown as means and standard error of means
for significant comparisons between allergic asthma with and without
allergic rhinitis according to a FEV1% predicted,
b FEF25–75% predicted, c FeNO and d blood eosinophils
The concept of the unified allergic airway disease (UAD) recognises the association between allergic inflammation in the upper and lower airways. Patients with asthma and concomitant allergic rhinitis experience more asthma-related primary and secondary care visits. We therefore aimed to determine differences in asthma control (asthma control questionnaire ACQ-6), lung function (spirometry) and T2 biomarkers (FeNO and Eos) in relation to the presence of allergic rhinitis in patients with allergic asthma.

November 27, 2019

Short-term skin problems in infants aged 0–3 months affect food allergies or atopic dermatitis until 2 years of age, among infants of the general population

  • Research
  • Open Access

Allergy, Asthma & Clinical Immunology

Abstract
Background
This study examined whether infants aged 0–3 months exhibited long-term effects of using a moisturizer skincare intervention and whether a short-term skin problem resulted in the subsequent development of food allergies or atopic dermatitis (AD) until the age of 2 years.