Evidence map›Paper›PMID 40233247›Full record

SynthesisCurrent opinion in allergy and clinical immunology2025

Re-evaluating treatment success in trials of peanut oral-immunotherapy: impact of different definitions on efficacy outcomes.

Stefanie Berkes, Klara Liddell, Kirsten Beyer, Katharina Blumchen, Antoine Deschildre, Kaarina Kukkonen, Mika J Mäkelä, Nandinee Patel, Paul J Turner

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Current opinion in allergy and clinical immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Eating away at food allergy.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2025
    Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Stefanie BerkesNational Heart & Lung Institute, Imperial College London, London, UK.
Klara LiddellNational Heart & Lung Institute, Imperial College London, London, UK.
Kirsten BeyerDivision Department of Pediatric Respiratory Medicine, Immunology and Critical Care Medicine, Charité Universtãtsmedizin Berlin, Berlin.
Katharina BlumchenDepartment of Paediatric and Adolescent Medicine, Pneumology, Allergology and Cystic fibrosis, University Hospital Frankfurt, Goethe University, Frankfurt am Main, Germany.
Antoine DeschildreCHU Lille, University Lille, Pediatric Pulmonology and Allergy Department, Hôpital Jeanne de Flandre, Lille, France.
Kaarina KukkonenChildren's Hospital and Pediatric Research Center, University of Helsinki and Helsinki University Hospital.
Mika J MäkeläSkin and Allergy Hospital, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.
Nandinee PatelNational Heart & Lung Institute, Imperial College London, London, UK.
Paul J TurnerNational Heart & Lung Institute, Imperial College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewAllergen immunotherapy (AIT) is increasingly popular as a treatment strategy for food allergy. Unfortunately, there is significant heterogeneity in reported outcomes, specifically in the dose-thresholds selected for evaluation and the symptoms used to define a "tolerated dose". These considerations are often investigator-driven and do not consider patient perspectives. RECENT

findingsA systematic review by the EAACI CO-FAITH taskforce recently flagged the need to better standardize and harmonize outcomes used in clinical trials of food-AIT. Using less objective symptoms to define dose-limiting symptoms can underestimate the reaction threshold determined at baseline food challenge. As a consequence, this can overestimate the efficacy of food-AIT by 15%. In this review, we perform an individual patient data (IPD) meta-analysis using data from three randomized-controlled trials and one real-world registry, to evaluate how the definition of dose "tolerance" impacts upon reported desensitization rates. SUMMARY: This analysis provides insight into how clinical efficacy rates for food-AIT are impacted by using different dose thresholds and definitions for when a dose might be consider tolerated. Using more patient-centric outcomes may be a more useful metric to harmonize reporting of outcomes and inform clinical practice, paving the way towards reaching a consensus on outcome reporting in trials of food-AIT.

Indexed as

AllergensArachisDesensitization, ImmunologicPeanut HypersensitivityAdministration, OralHumansRandomized Controlled Trials as TopicTreatment OutcomeAllergensallergen immunotherapydesensitizationefficacyfood allergyoral immunotherapy

Identifiers

PMID40233247
PMCPMC12052049

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.