Walter G Canonica, Laurent Mascarell, Thierry Batard, Oliver Pfaar, Laurent Guilleminault, Cezmi Akdis, Andrzej Bozek, Mohamed H Shamji, Camille Taillé, Véronique Bordas-Le Floch
Journal: Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology 2025;55(2):111-141
PMID: 39363801
Allergic asthma is the predominant phenotype among asthmatics. Although conventional pharmacotherapy is a central component in the management of asthma, it does not enable control of asthma symptoms in all patients. In recent decades, some uncontrolled asthmatic patients, especially those with allergic asthma, have benefited from biological therapies. However, biologics do not address all the unmet needs left by conventional pharmacotherapy. Furthermore, it is noteworthy that neither conventional pharmacotherapy nor biological therapies have disease-modifying properties. In this context, allergen immunotherapy (AIT) represents an indispensable component of the therapeutic arsenal against allergic asthma, due to its disease-modifying immunological effects. In this review article, funded by an AIT manufacturer, we find clinical trials support AIT as the only treatment option able both to improve allergic asthma symptoms and to prevent the onset and worsening of the condition. For patients with severe asthma or other safety concerns, the combination of AIT and biologics offers very promising new treatment modalities for the management of allergic asthma. Trial Registration: clinicaltrials.gov identifier: NCT06027073.
© 2024 Stallergenes SAS and The Author(s). Clinical & Experimental Allergy published by John Wiley & Sons Ltd.
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