2132 Therapeutic Effect and Security in Asthmatics Adults Patients Treated with Dermatophagoides Pteronyssinus Allergen Sublingual Immunotherapy

Monday, 5 December 2011
Poster Hall (Cancún Center)

José Rodríguez, MD , Allergology Department, University Hospital Calixto García, Havana City, Cuba

Raúl Castro, MD , Allergens, National Center of Bioproducts, Havana City, Cuba

Alexis Labrada, PhD , Allergens, National Center of Bioproducts, Mayabeque, Cuba

Mirta Alvarez, MD , Allergology Department, University Hospital Calixto García, Havana City, Cuba

Mercedes Ronquillo, MD , Allergology Department, University Hospital Calixto García, Havana City, Cuba

Mayda González, MD , Pedro Fonseca Docent Policlinic, Havana City, Cuba

Bárbara Navarro, MD , Allergens, National Center of Bioproducts, Mayabeque, Cuba

Maytee Mateo , Allergens, National Center of Bioproducts, Mayabeque, Cuba

Yunia Oliva , Allergens, National Center of Bioproducts, Mayabeque, Cuba

Iris García, MD , Allergology Department, University Hospital Calixto García, Havana City, Cuba

Irene Enriquez, MD , Allergology Department, University Hospital Calixto García, Havana City, Cuba

Background: The specific active immunotherapy, employing vaccine of allergen of mite is a treatment considered as effective for the respiratory allergy and  asthma. The sublingual route has minor risk of systematises reactions.  The objective of this study was to determine the therapeutic effect and security of sublingual immunotherapy (ITSL) employing the standard vaccine VALERGEN-DP (BIOCEN, CUBA) in a population of asthmatic Cuban patients.

Methods: A phase II Clinical Trials double blind, placebo controlled in a total of 40 adult patients with mild or moderate asthma  and specific sensibility preponderant to this mite.  Half of patients received drops by sublingual route with growing doses up to 2000 UB.

Results: The treatment was effective in the reduction of clinical symptoms and medication intake as compared to conventional treatment in control group. The cutaneous sensibility to  this mite was significant reduced, increasing in 1.9 log. the amount of necessary allergen to provoke a positive Prick Test.  An improvement of the lung function was observed with a significant reduction (p<0.05) of expiratory pick flow variability The frequency of local reactions were only 0.58% of administration.

Conclusions: The VALERGEN-DP vaccine is an effective treatment and profitable against asthma  in our population and guarantee its generalization in the Allergy Services of our health system.