The safety of peanut oral immunotherapy in peanut-allergic subjects in a single-center trial.
BACKGROUND
Peanut allergy is the leading cause of food-related anaphylaxis, and accidental exposures are common. Oral immunotherapy (OIT) has been posited as a potential treatment.


METHODS
Patients aged 3-65 years with peanut-specific IgE ≥7 kU/l and/or a positive skin prick test with a history of an allergic reaction to peanut were recruited to undergo an OIT protocol. All adverse reactions were recorded by research staff or patients in real time.


RESULTS
Twenty-four patients received 6,662 doses. Symptoms were mostly mild (84%), and only 3 severe gastrointestinal reactions required the administration of epinephrine. Abdominal pain was the most common reaction, followed by oropharyngeal and lip pruritus. Respiratory symptoms were rare.


CONCLUSIONS
In this trial of OIT in adults and children, most reactions were mild.
Division of Immunology and Allergy, Stanford University, Stanford, CA, USA.
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Yu
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Weldon
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Neale-May
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Nadeau
D000284:Administration, Oral; D000293:Adolescent; D000328:Adult; D000485:Allergens / Q000008:administration & dosage / Q000009:adverse effects; D010367:Arachis / Q000009:adverse effects / Q000276:immunology; D002648:Child; D002675:Child, Preschool; D003888:Desensitization, Immunologic / Q000009:adverse effects* / Q000379:methods; D005260:Female; D006801:Humans; D007073:Immunoglobulin E / Q000097:blood; D008297:Male; D008875:Middle Aged; D021183:Peanut Hypersensitivity / Q000175:diagnosis / Q000276:immunology / Q000628:therapy*; D014674:Plant Proteins, Dietary / Q000008:administration & dosage / Q000009:adverse effects; D012449:Safety; D012882:Skin Tests
D000485:Allergens; D014674:Plant Proteins, Dietary; D007073:Immunoglobulin E