Allergy Clinical Trial
Official title:
Biological Standardization of Allergen Extracts of Pollens of Betula Pendula, Phleum Pratense and Mite Extract of Dermatophagoides Pteronyssinus in Patients With Rhinoconjunctivitis With/ Without Asthma Sensitized to Betula Pendula, Dermatophagoides Pteronyssinus and Phleum Pratense An Open-label, Single-center Study
Allergen extracts are complex mixtures of proteins and contain varying amounts of allergenic
and non-allergenic components. Many factors such as the biovariability, differences in
extraction process and subsequent handling of allergens can affect the final composition,
potency, and stability of allergen preparations. Genetic diversity of affected people adds
another level of complexity. In order to control variability and to achieve consistency and
reproducibility for optimal safety and sensitivity/specificity, it is essential to
standardize the amount of allergen used in prick tests. Therefore, the system for biological
standardization mainly used in Europe still is the biological calibration of in-House
Reference Preparations (IHRP). The method has been adopted by the Nordic Council on
Medicines as the Nordic Biological Unit, Histamine Equivalent Potency (HEP) or Skin Prick
Test (SPT) value. The aim of this procedure is to estimate the biological activity of
allergen extracts. The activity of an allergen extract is defined as 10,000 Diagnostic
Biological Units (DBU) per ml (1 SPT per ml), when the extract provokes a specific skin
reaction with a wheal of the same size as a wheal provoked by reference histamine at a
concentration of 10 mg/ml, when both solutions are administrated using the same technique
(prick testing) on at least 20 individuals who are clinically allergic and cutaneously
reactive to the allergen concerned.
The present study aims to standardize the allergen extracts of Betula pendula, Phleum
pratense and Dermatophagoides pteronyssinus by using this method.
- Trial with medicinal product
n/a
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