title: The future of specific immunotherapy: strategies and challenges for the next generation of allergy vaccines.
abstract: : The use of specific immunotherapy (SIT) for allergic disorders has recently been extended by introduction of a convenient, tablet-based, disease-modifying vaccine against grass pollen allergy. Allergy immunotherapy tablet (AIT) programmes targeting house dust mite and other allergies are currently in late-phase development. Next-generation allergy vaccines can have optimised potency and onset of action without compromising safety or convenience. Key to achieving these objectives is a combination of evidence-based mode-of-action studies and biomarker-centric translational research approaches. This will rely on using biobank and bioinformatics resources for multi-omic characterisations of the 'immunome' of allergic disease. Other important areas are ongoing paediatric trials and long-term studies in adults for further defining the potential role of SIT in allergic disease and primary prevention of asthma. Finally, combining cellular- and serological-based assays, and developments in targeted delivery platforms and component-resolved diagnostics will lead to increased ability to stratify patients, with more personalised diagnosis and treatment.
authors.affiliation: Global Research, ALK, Hørsholm, Denmark. psodk@alk-abello.com
authors.forename: P
authors.initials: P
authors.lastname: Sørensen
mesh_terms: D003888:Desensitization, Immunologic / Q000639:trends*; D020869:Gene Expression Profiling; D006801:Humans; D006967:Hypersensitivity / Q000276:immunology* / Q000517:prevention & control*; D007125:Immunogenetics; D057170:Translational Research, Biomedical; D014612:Vaccines / Q000276:immunology*
chemical_list: D014612:Vaccines