Skip to main content
Log in

Efficacy of sublingual immunotherapy for house dust mite allergic rhinitis

  • Rhinology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

In the present study, we investigated the outcomes of sublingual immunotherapy (SLIT) in house dust mite-induced allergic rhinitis (HDM-AR) patients. In this prospective, multicentric study, 186 patients with AR who had positive skin prick test results for HDMs were included. The patients were administered SLIT using Staloral 300 for 1 year. Evaluation of the patients regarding symptom scores, clinical findings and Rhinitis Quality of Life Questionnaire (RQLQ) scores was performed at baseline, and then at 6 and 12 months of therapy. Our results showed that, for all of the evaluated items (symptom scores, clinical findings and RQLQ scores), 12-month values were significantly lower than those at 6 months and baseline. Similarly, 6-month values were significantly lower than those at baseline. There were no complications in any of our patients. SLIT for HDM-AR is a treatment modality that can be used safely. We obtained better results than expected, and the treatment showed a positive psychological effect; the patients believed that SLIT was the final step of treatment and, which made them feel better.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Wilson DR, Lima MT, Durham SR (2005) Sublingual immunotherapy for allergic rhinitis. Systematic review and meta-analysis. Allergy 60:4–12

    CAS  PubMed  Google Scholar 

  2. Bahceciler NN, Arikan C, Taylor A et al (2005) Impact of sublingual immunotherapy on specific antibody levels in asthmatic children allergic to house dust mites. Int Arch Allergy Immunol 136(3):287–294

    Article  PubMed  Google Scholar 

  3. Platts-Mills TAE, Erwin EA, Heymann PW, Woodfolk JA (2009) Pro: the evidence for a causal role of dust mites in asthma. Am J Respir Crit Care Med 180:109–121

    Article  PubMed  Google Scholar 

  4. Sporik R, Chapman MD, Platts-Mills TA (1992) House dust mite exposure as a cause of asthma. Clin Exp Allergy 22:897–906

    Article  CAS  PubMed  Google Scholar 

  5. Calderon MA, Casale TB, Nelson HS, Demoly P (2013) An evidence-based analysis of house dust mite allergen immunotherapy: a call for more rigorous clinical studies. J Allergy Clin Immunol 132(6):1322–1336

    Article  CAS  PubMed  Google Scholar 

  6. WMA, Declaration Of Helsinki (2008) Ethical principles for medical research ınvolving human subjects. In: 59th WMA general assembly, W.M. Association, Editor, Seoul

  7. Juniper EF, Guyatt GH (1991) Development and testing of a new measure of health status for clinical trials in rhinoconjunctivitis. Clin Exper Allergy 21:77–83

    Article  CAS  Google Scholar 

  8. Juniper EF, Guyatt GH, Griffith LE, Ferrie PJ (1996) Interpretation of rhinoconjunctivitis quality of life questionnaire data. J Allergy Clin Immunol 98:843–845

    Article  CAS  PubMed  Google Scholar 

  9. Lachapelle JM, Maibach HI (2009) Patch Testing and Prick Testing: A Practical Guide, vol 2. Springer, Berlin

    Google Scholar 

  10. Cingi C, Gunhan K, Gage-White L, Unlu H (2010) Efficacy of Leukotriene Antagonists as Concomitant Therapy in Allergic Rhinitis. Laryngoscope 120:1718–1723

    Article  CAS  PubMed  Google Scholar 

  11. Radulovic S, Calderon MA, Wilson D, Durham S (2010) Sublingual immunotherapy for allergic rhinitis. Cochrane Database Syst Rev 12:CD002893

    PubMed  Google Scholar 

  12. Zureik M, Neukirch C, Leynaert B, Liard R, Bousquet J, Neukirch F (2002) Sensitisation to airborne moulds and severity of asthma: cross sectional study from European Community respiratory health survey. BMJ 325:411–414

    Article  PubMed Central  PubMed  Google Scholar 

  13. Linneberg A, Henrik Nielsen N, Frolund L, Madsen F, Dirksen A, Jorgensen T (2002) The link between allergic rhinitis and allergic asthma: a prospective populationbased study. The Copenhagen Allergy Study. Allergy 57:1048–1052

    Article  CAS  PubMed  Google Scholar 

  14. Mosbech H (1985) House dust mite allergy. Allergy 40:81–91

    Article  CAS  PubMed  Google Scholar 

  15. Bergmann KC, Demoly P, Worm M et al (2014) Efficacy and safety of sublingual tablets of house dust mite allergen extractsin adults with allergic rhinitis. J Allergy Clin Immunol 133(6):1608.e6–1614.e6

    Article  Google Scholar 

  16. Trebuchon F, Lhéritier-Barrand M, David M, Demoly P (2014) Characteristics and management of sublingual allergen immunotherapy in children with allergic rhinitis and asthma induced by house dust mite allergens. Clin Transl Allergy 29(4):15

    Article  Google Scholar 

  17. Wise SK, Woody J, Koepp S, Schlosser RJ (2009) Quality of life outcomes with sublingual immunotherapy. Am J Otolaryngol 30(5):305–311. doi:10.1016/j.amjoto.2008.06.003

    Article  PubMed  Google Scholar 

  18. Wilson DR, Torres LI, Durham SR (2003) Sublingual immunotherapy for allergic rhinitis. Cochrane Database Syst Rev. 2:CD002893

    PubMed  Google Scholar 

  19. Wang DH, Chen L, Cheng L et al (2013) Fast onset of action of sublingual immunotherapy in house dust mite-induced allergic rhinitis: a multicenter, randomized, double-blind, placebo-controlled trial. Laryngoscope 123(6):1334–1340. doi:10.1002/lary.23935

    Article  PubMed  Google Scholar 

  20. Bozek A, Ignasiak B, Filipowska B, Jarzab J (2013) House dust mite sublingual immunotherapy: a double-blind, placebo-controlled study in elderly patients with allergic rhinitis. Clin Exp Allergy 43(2):242–248

    Article  CAS  PubMed  Google Scholar 

  21. Queirós MG, Silva DA, Siman IL et al (2013) Modulation of mucosal/systemic antibody response after sublingual immunotherapy in mite-allergic children. Pediatr Allergy Immunol 24(8):752–761. doi:10.1111/pai.12163

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

“With the exception of data collection, preparation of this paper, including the design and planning, was supported by the Continuous Education and Scientific Research Association”. Scientific support from the association, but no grant or funding support, was received.

Conflict of interest

The authors declare that there is no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nuray Bayar Muluk.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Cingi, C., Bayar Muluk, N., Ulusoy, S. et al. Efficacy of sublingual immunotherapy for house dust mite allergic rhinitis. Eur Arch Otorhinolaryngol 272, 3341–3346 (2015). https://doi.org/10.1007/s00405-014-3444-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00405-014-3444-1

Keywords

Navigation