PMID- 30444150 OWN - NLM STAT- MEDLINE DCOM- 20200511 LR - 20200511 IS - 1532-4303 (Electronic) IS - 0277-0903 (Linking) VI - 56 IP - 12 DP - 2019 Dec TI - Safety profile of the SQ house dust mite sublingual immunotherapy-tablet in Japanese adult patients with house dust mite-induced allergic asthma: a randomized, double-blind, placebo-controlled phase I study. PG - 1347-1355 LID - 10.1080/02770903.2018.1541353 [doi] AB - Objective: The SQ house dust mite (HDM) sublingual immunotherapy (SLIT)-tablet has demonstrated effective treatment of HDM-induced allergic asthma in patients 18 years or older in European trials. This study investigated its safety and immunology profile in Japanese adult patients with mild-to-moderate HDM-induced allergic asthma. Methods: In this randomized, double-blind, placebo-controlled study, 48 Japanese patients were randomly assigned to a daily treatment of SQ HDM SLIT-tablet or placebo (3:1) for 14 d with or without an up-dosing regimen. Active groups comprised 5000, 10,000 or 20,000 Japanese Allergy Unit (JAU) for 14 d, and the up-dosing group comprised 5,000 JAU in day 1-3, 10,000 JAU in day 4-7 and 20,000 JAU in day 8-14. Results: No marked differences were observed in the incidence rate of adverse events (AEs) and their severity among active groups. The five most common investigational medicinal product (IMP)-related AEs were local events at the application site observed within 30 min after the intake of the SQ HDM SLIT-tablet. Although most events recovered within 1 h, mouth edema indicated a different profile of duration with more than 25% of the events lasting for more than 1 h. Conclusions: The SQ HDM SLIT-tablet of up to 20,000 JAU was well tolerated, and safety profile was acceptable for Japanese subjects with HDM-induced allergic asthma. FAU - Okamiya, Kazuhiro AU - Okamiya K AD - Torii Pharmaceutical Co. Ltd. , Tokyo , Japan. FAU - Sekino, Hisakuni AU - Sekino H AD - Department of Internal Medicine, Sekino Hospital , Tokyo , Japan. FAU - Azuma, Ryuji AU - Azuma R AD - Torii Pharmaceutical Co. Ltd. , Tokyo , Japan. FAU - Kudo, Minoru AU - Kudo M AD - Torii Pharmaceutical Co. Ltd. , Tokyo , Japan. FAU - Sakaguchi, Miyuki AU - Sakaguchi M AD - Torii Pharmaceutical Co. Ltd. , Tokyo , Japan. FAU - Nemoto, Fumi AU - Nemoto F AD - Torii Pharmaceutical Co. Ltd. , Tokyo , Japan. FAU - Muramatsu, Naoki AU - Muramatsu N AD - Torii Pharmaceutical Co. Ltd. , Tokyo , Japan. FAU - Maekawa, Yuriko AU - Maekawa Y AD - Torii Pharmaceutical Co. Ltd. , Tokyo , Japan. FAU - Tanaka, Akihiko AU - Tanaka A AD - Department of Medicine, Division of Respiratory Medicine and Allergology, School of Medicine, Showa University , Tokyo , Japan. LA - eng PT - Clinical Trial, Phase I PT - Journal Article PT - Randomized Controlled Trial DEP - 20181116 PL - England TA - J Asthma JT - The Journal of asthma : official journal of the Association for the Care of Asthma JID - 8106454 RN - 0 (Antigens, Dermatophagoides) RN - 0 (Tablets) SB - IM MH - Adult MH - Animals MH - Antigens, Dermatophagoides/immunology MH - Asthma/diagnosis/*drug therapy/*immunology MH - Dose-Response Relationship, Drug MH - Double-Blind Method MH - Drug Administration Schedule MH - Female MH - Follow-Up Studies MH - Humans MH - Japan MH - Male MH - Maximum Tolerated Dose MH - Middle Aged MH - *Patient Safety MH - Pyroglyphidae/*immunology MH - Reference Values MH - Severity of Illness Index MH - Sublingual Immunotherapy MH - Tablets/administration & dosage MH - Treatment Outcome OTO - NOTNLM OT - Allergy immunotherapy OT - JapicCTI number 111624 OT - atopic march OT - clinical trial EDAT- 2018/11/18 06:00 MHDA- 2020/05/12 06:00 CRDT- 2018/11/17 06:00 PHST- 2018/11/18 06:00 [pubmed] PHST- 2020/05/12 06:00 [medline] PHST- 2018/11/17 06:00 [entrez] AID - 10.1080/02770903.2018.1541353 [doi] PST - ppublish SO - J Asthma. 2019 Dec;56(12):1347-1355. doi: 10.1080/02770903.2018.1541353. Epub 2018 Nov 16.