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Product Review

GRAZAX®: a sublingual immunotherapy vaccine for Hay fever treatment: from concept to commercialization

ORCID Icon, , , ORCID Icon, & ORCID Icon
Pages 2887-2895 | Received 25 Mar 2019, Accepted 15 May 2019, Published online: 20 Jun 2019

Figures & data

Table 1. Batch release specifications for GRAZAX®

Figure 1. Scheme of the immunological response to allergen-specific immunotherapy (AIT). AIT during the early phase of the treatment (1–4 months), induces both mast cell desensitization and upregulation of Th2 response, mediated by high levels of IgE and IL4. During the active phase (1–3 y), a switch of isotype occurs. The levels of IgG4 increase while IgE significantly decrease. In this period is the maximum effect of IgG4 interference. Later, after 3 y of AIT treatment, in the post-therapy period, the regulatory response is established, and levels of IgE and IL4 are significantly decreased

Figure 1. Scheme of the immunological response to allergen-specific immunotherapy (AIT). AIT during the early phase of the treatment (1–4 months), induces both mast cell desensitization and upregulation of Th2 response, mediated by high levels of IgE and IL4. During the active phase (1–3 y), a switch of isotype occurs. The levels of IgG4 increase while IgE significantly decrease. In this period is the maximum effect of IgG4 interference. Later, after 3 y of AIT treatment, in the post-therapy period, the regulatory response is established, and levels of IgE and IL4 are significantly decreased

Figure 2. Example of a 5-y prospective clinical trial design

GRAZAX® has three prospective 5-y studies on allergic rhinitis, asthma prevention, and immunological mechanisms.
Figure 2. Example of a 5-y prospective clinical trial design

Figure 3. Clinical outcome of pivotal 5-y study

Magnitude of the effect is similar during active treatment period, as well as during 2-y follow-up. However, underlying immunological mechanisms () greatly vary over the years. Grey bars represent placebo and blue bars represent active treatment.
Figure 3. Clinical outcome of pivotal 5-y study

Figure 4. Summary of clinical trials performed in Europe

GRAZAX® possesses the most complete and comprehensive clinical development programme ever performed in AIT.
Figure 4. Summary of clinical trials performed in Europe

Table 2. Summary of main Clinical trials performed with GRAZAX®