The Consolidated Standards of Reporting Trials (CONSORT) Statement applied to allergen-specific immunotherapy with inhalant allergens: A Global Allergy and Asthma European Network (GA2LEN) article

被引:45
作者
Bousquet, Philippe J. [1 ]
Calderon, Moises A. [2 ]
Demoly, Pascal [1 ]
Larenas, Desiree [3 ]
Passalacqua, Giovanni [5 ]
Bachert, Claus [6 ]
Brozek, Jan [7 ,8 ]
Canonica, G. Walter [5 ]
Casale, Thomas [9 ]
Fonseca, Joao [10 ,11 ,14 ]
Dahl, Ronald [12 ]
Durham, Stephen R. [2 ]
Merk, Hans [13 ]
Worm, Margitta [15 ]
Wahn, Ulrich [16 ]
Zuberbier, Torsten [15 ]
Schuenemann, Holger J. [7 ,8 ]
Bousquet, Jean [1 ,4 ,17 ]
机构
[1] Univ Hosp Montpellier, Dept Resp Dis, Montpellier, France
[2] Univ London Imperial Coll Sci Technol & Med, Natl Heart & Lung Inst, Sect Allergy & Clin Immunol, London SW7 2AZ, England
[3] Hosp Med Sur, Dept Allergy, Mexico City, DF, Mexico
[4] Hop Arnaud Villeneuve, Serv Malad Resp, Inserm U657, F-34295 Montpellier, France
[5] Univ Genoa, Dept Internal Med, I-16126 Genoa, Italy
[6] Ghent Univ Hosp, Upper Airways Res Lab URL, B-9000 Ghent, Belgium
[7] McMaster Univ, Dept Clin Epidemiol & Biostat, Hamilton, ON, Canada
[8] McMaster Univ, Dept Med, Hamilton, ON, Canada
[9] Creighton Univ, Dept Med, Div Allergy & Immunol, Omaha, NE 68178 USA
[10] Univ Porto, Biostat & Med Informat Dept, P-4100 Oporto, Portugal
[11] Univ Porto, Div Allergy, P-4100 Oporto, Portugal
[12] Aarhus Univ Hosp, Dept Resp Dis, DK-8000 Aarhus, Denmark
[13] Univ Aachen, Dept Dermatol, D-5100 Aachen, Germany
[14] Univ Porto, CINTESIS, P-4100 Oporto, Portugal
[15] Charite, Dept Dermatol, Allergy Ctr Charite, D-13353 Berlin, Germany
[16] Charite Hosp, Dept Pediat, Berlin, Germany
[17] Inserm 1018, CESP, Villejuif, France
关键词
Subcutaneous immunotherapy; sublingual immunotherapy; allergen; CONSORT; randomized clinical trial; SUBLINGUAL-SWALLOW IMMUNOTHERAPY; HOUSE-DUST-MITE; PLACEBO-CONTROLLED EVALUATION; RANDOMIZED CONTROLLED-TRIAL; ENZYME-POTENTIATED DESENSITIZATION; PARIETARIA-JUDAICA EXTRACT; GRASS-POLLEN IMMUNOTHERAPY; SHORT-TERM IMMUNOTHERAPY; DOUBLE-BLIND; CLINICAL-EFFICACY;
D O I
10.1016/j.jaci.2010.09.017
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
Background: Randomized trials provide evidence to inform treatment decisions. The Consolidated Standards of Reporting Trials (CONSORT) Statement is a set of recommendations for the reporting of trials. Objective: We sought to assess the quality of reporting allergen-specific immunotherapy trials according to CONSORT criteria. Methods: The reporting of the procedure, randomization, dropouts, strict conduct of intention-to-treat (ITT) analysis, and sample size calculation according to CONSORT were assessed in the 46 subcutaneous and 48 sublingual immunotherapy (SLIT) blind, placebo-controlled randomized trials published between 1996 and 2009 in English. Results: One subcutaneous immunotherapy (2.2%) and 3 SLIT (6.6%) trials met CONSORT Statement criteria. These were used for the registration of sublingual tablets to the European Medicines Agency. In subcutaneous immunotherapy, 16 (35%) studies reported a CONSORT flow chart, and 12 (26%) provided a description of dropouts. Adequate randomization was reported in 9 (35%) studies, and incomplete randomization was reported in 15 (33%). Power analysis was reported in 15 (33%) studies. In SLIT, 20 (42%) studies reported a CONSORT flow chart, and 16 (32%) a description of dropouts. ITT analysis was carried out in 1 (2.2%) SLIT study, and a modified ITT analysis was used in 1 (2.2%) subcutaneous immunotherapy study and 2 (4.4%) SLIT studies. Adequate randomization was reported in 6 (12%) studies, and incomplete randomization was reported in 16 (32%). Power analysis was reported in 15 (27%) studies. Conclusion: As in other areas of medicine, the quality of reporting of most immunotherapy trials is low, and only 4.2% of SLIT randomized controlled trials met all of the criteria of the CONSORT Statement. Use of the CONSORT criteria should be encouraged. (J Allergy Clin Immunol 2011;127:49-56.)
引用
收藏
页码:49 / U511
页数:19
相关论文
共 124 条
[81]  
Okubo Kimihiro, 2008, Allergol Int, V57, P265, DOI 10.2332/allergolint.O-07-514
[82]   A 1-year, placebo-controlled, double-blind house-dust-mite immunotherapy study in asthmatic adults [J].
Olsen, OT ;
Larsen, KR ;
Jacobsen, L ;
Svendsen, UG .
ALLERGY, 1997, 52 (08) :853-859
[83]  
Ott H, 2009, ALLERGY, V64, P1394, DOI [10.1111/j.1398-9995.2009.02194.x, 10.1111/j.1398-9995.2008.01875.x]
[84]   Clinical and immunologic effects of long-term sublingual immunotherapy in asthmatic children sensitized to mites: a double-blind, placebo-controlled study [J].
Pajno, GB ;
Morabito, L ;
Barberio, G ;
Parmiani, S .
ALLERGY, 2000, 55 (09) :842-849
[85]   Impact of sublingual immunotherapy on seasonal asthma and skin reactivity in children allergic to Parietaria pollen treated with inhaled fluticasone propionate [J].
Pajno, GB ;
Vita, D ;
Parmiani, S ;
Caminiti, L ;
La Grutta, S ;
Barberio, G .
CLINICAL AND EXPERIMENTAL ALLERGY, 2003, 33 (12) :1641-1647
[86]  
Palma-Carlos A G, 2006, Allergol Immunopathol (Madr), V34, P194, DOI 10.1157/13094026
[87]   Double-blind, placebo-controlled evaluation of grass pollen specific immunotherapy with oral drops administered sublingually or supralingually [J].
Panzner, P. ;
Petras, M. ;
Sykora, T. ;
Lesna, I. .
RESPIRATORY MEDICINE, 2008, 102 (09) :1296-1304
[88]   Clinical and immunologic effects of a rush sublingual immunotherapy to Parietaria species:: A double-blind, placebo-controlled trial [J].
Passalacqua, G ;
Albano, M ;
Riccio, A ;
Fregonese, L ;
Puccinelli, P ;
Parmiani, S ;
Canonica, GW .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 1999, 104 (05) :964-968
[89]   Randomized double-blind controlled study with sublingual carbamylated allergoid immunotherapy in mild rhinitis due to mites [J].
Passalacqua, G. ;
Pasquali, M. ;
Ariano, R. ;
Lombardi, C. ;
Giardini, A. ;
Baiardini, I. ;
Majani, G. ;
Falagiani, P. ;
Bruno, M. ;
Canonica, G. W. .
ALLERGY, 2006, 61 (07) :849-854
[90]   Randomised controlled trial of local allergoid immunotherapy on allergic inflammation in mite-induced rhinoconjunctivitis [J].
Passalacqua, G ;
Albano, M ;
Fregonese, L ;
Riccio, A ;
Pronzato, C ;
Mela, GS ;
Canonica, GW .
LANCET, 1998, 351 (9103) :629-632