Table 1.
Comparison of dosing, duration, adverse events, and efficacy of desensitization and sustained unresponsiveness for oral immunotherapy (OIT), epicutaneous immunotherapy (EPIT), and sublingual immunotherapy (SLIT)
OIT | EPIT | SLIT | |
---|---|---|---|
Route of administration | Oral (ingestion) | Epicutaneous (applied on the skin) | Sublingual (under the tongue) |
Foods | Peanut, tree nuts | Peanut | Peanut, tree nuts |
Most commonly used daily dose | 300 mg | 250 μg | 2–7 mg |
Approximate time* to achieve initial desensitization | 6–12 months | 2–3 years | 2–3 years |
Desensitization efficacy | High | Small to moderate | Small to moderate |
Adverse events |
Local: frequent Anaphylaxis: infrequent |
Local: frequent Anaphylaxis: rare |
Local: frequent Anaphylaxis: rare |
Sustained unresponsiveness | Variable | Not evaluated | Not evaluated |
Quality of life post-intervention | Improved | Improved | Not evaluated |
* Varies between different research studies