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Food Sublingual Immunotherapy Using Consistent, Cheaper and Customizable Oral Immunotherapy Solutions
Karna Gendo1, Tony Orden1, Allyson Tevrizian1
1Allergy and Asthma Medical Group of the Bay Area, Walnut Creek, CA, 94598, USA.
Journal of Asthma and Allergy
|May 13, 2021
Summary
Food sublingual immunotherapy (SLIT) offers a desensitization method using low daily doses for up to five years. Researchers adapted oral immunotherapy solutions for SLIT, noting their consistency, cost-effectiveness, and customizability for dosing schedules.
Area of Science:
- Allergy and Immunology
- Clinical Therapeutics
- Food Science
Background:
- Food sublingual immunotherapy (SLIT) is a desensitization strategy.
- Current SLIT protocols often utilize commercially available skin test extracts.
- Challenges exist with extract variability and standardization.
Purpose of the Study:
- To explore the adaptation of oral immunotherapy (OIT) treatment solutions for SLIT protocols.
- To evaluate the potential benefits of using OIT solutions in SLIT dosing.
- To provide a customizable and cost-effective alternative for SLIT.
Main Methods:
- Adaptation of OIT treatment solutions for a published SLIT dosing schedule.
- Utilizing solutions with consistent protein concentrations.
- Implementing a daily maintenance dose of less than 10 mg for up to 5 years.
Main Results:
- OIT solutions offer consistent protein concentrations, crucial for accurate dosing.
- These solutions are comparatively cheaper than traditional extracts.
- Customizability of OIT solutions allows for tailored SLIT dosing schedules.
Conclusions:
- OIT treatment solutions are a viable and advantageous alternative for SLIT.
- The use of standardized OIT solutions can improve SLIT protocol consistency and cost-effectiveness.
- Further research may validate this adapted approach for widespread clinical use.

