Human Vaccines & Immunotherapeutics (Nov 2022)

Update about Oralair® as a treatment for grass pollen allergic rhinitis

  • L. Klimek,
  • R. Brehler,
  • R. Mösges,
  • P. Demoly,
  • J. Mullol,
  • D. Y. Wang,
  • R. E. O’Hehir,
  • A. Didier,
  • M. Kopp,
  • C. Bos,
  • E. Karagiannis

DOI
https://doi.org/10.1080/21645515.2022.2066424
Journal volume & issue
Vol. 18, no. 5

Abstract

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Sublingual immunotherapy (SLIT) is a well-tolerated, safe, and effective approach to treating allergic rhinitis (AR). Oralair® is a five-grass pollen SLIT tablet containing natural pollen allergens from five of the major grass species responsible for seasonal AR due to grass pollen allergy. Recommended use is in a pre-coseasonal regimen, starting daily treatment approximately 4 months before the start of the pollen season, with treatment then continued daily throughout the season; treatment should continue for 3–5 y. Clinical efficacy and safety of Oralair® in patients with grass pollen-induced AR has been demonstrated in a comprehensive clinical development program of randomized controlled trials. Effectiveness has been substantiated in subsequent observational studies with sustained efficacy following treatment cessation and a favorable level of adherence, quality of life, benefit, and satisfaction for the patients. Supportive evidence for a benefit in reducing the risk or delaying the development of allergic asthma is emerging.

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