Skip to main content
Top
Published in: Clinical and Translational Allergy 1/2015

Open Access 01-12-2015 | Study protocol

Prospective adherence to specific immunotherapy in Europe (PASTE) survey protocol

Authors: Melina Makatsori, Gianenrico Senna, Constantinos Pitsios, Ramon Lleonart, Ludger Klimek, Carlos Nunes, Maia Rukhadze, Barbara Rogala, Radoslaw Gawlik, Petr Panzner, Oliver Pfaar, Moises Calderon

Published in: Clinical and Translational Allergy | Issue 1/2015

Login to get access

Abstract

Background

Adherence to allergen immunotherapy is important for its effectiveness. There is currently limited data available on allergen immunotherapy adherence outside of clinical trials i.e. in real-life clinical practice. As part of a European Academy of Allergy and Clinical Immunology Immunotherapy Interest group initiative, we endeavoured to design a survey in order to prospectively evaluate adherence to subcutaneous and sublingual immunotherapy across different European countries.

Method/Design

The inclusion criteria for this prospective, multi-country survey were set as: adults, starting clinically indicated allergen immunotherapy for respiratory allergic disorders or Hymenoptera venom allergy. An online survey was designed in order to enrol participants and assess adherence to immunotherapy.
Eight countries (Czech Republic, Georgia, Germany, Greece, Italy, Poland, Portugal, Spain) were selected to reflect different parts of Europe and differences in allergens and routes of immunotherapy administration. Each country has an allocated National co-ordinator that has identified local Allergy departments willing to enrol participants in this survey.
Each participant will be followed up for a total of three years. In order to assess adherence, a 4-monthly follow-up form detailing any missed doses and reasons will be completed online. In case of a participant discontinuing treatment, reasons for this will be recorded.

Discussion

The use of online survey software has enabled us to make this survey a reality and reach clinicians in different countries. Forty-five centres have enrolled a total of over 1,350 participants. It is hoped that this prospective real life survey will enable us to gain a better understanding of reasons that affect adherence to subcutaneous and sublingual immunotherapy and assist in developing ways to improve this.
Literature
2.
go back to reference Sabatè E. The Magnitude of the problem. In: World Health Organization, editor. Adherence to Long Term Therapies: Evidence for Action. Geneva, Switzerland: World Health Organization; 2003. p. 25–32. Sabatè E. The Magnitude of the problem. In: World Health Organization, editor. Adherence to Long Term Therapies: Evidence for Action. Geneva, Switzerland: World Health Organization; 2003. p. 25–32.
3.
go back to reference Cutler DM, Everett W. Thinking outside the pillbox. Medication adherence as a priority for health care reform. N Eng J Med. 2010;362:1553–5.CrossRef Cutler DM, Everett W. Thinking outside the pillbox. Medication adherence as a priority for health care reform. N Eng J Med. 2010;362:1553–5.CrossRef
4.
go back to reference Di Matteo M. Variations on patient’s adherence to medical recommendations: a quantitative review of 50 years of research. Med Care. 2004;42:200–9.CrossRef Di Matteo M. Variations on patient’s adherence to medical recommendations: a quantitative review of 50 years of research. Med Care. 2004;42:200–9.CrossRef
5.
go back to reference Baiardini I, Braido F, Giardini A, Majani G, Cacciola G, Rogaku A, et al. Adherence to treatment: assessment of unmeet needs in asthma. J Invest Allergol Clin Immunol. 2006;16(4):218–23. Baiardini I, Braido F, Giardini A, Majani G, Cacciola G, Rogaku A, et al. Adherence to treatment: assessment of unmeet needs in asthma. J Invest Allergol Clin Immunol. 2006;16(4):218–23.
6.
go back to reference Passalacqua G, Baiardini I, Senna G, Canonica GW. Adherence to pharmacological treatment and specific immunotherapy in allergic rhinitis. Clin Exp Allergy. 2013;43(1):22–8.CrossRefPubMed Passalacqua G, Baiardini I, Senna G, Canonica GW. Adherence to pharmacological treatment and specific immunotherapy in allergic rhinitis. Clin Exp Allergy. 2013;43(1):22–8.CrossRefPubMed
7.
go back to reference Pawankear R, Canonica GW, Casale T, Lockey RF. The World Allergy Organization white book on allergy. Milwaukee, Wisconsin, USA: World Allergy Organization; 2011. Pawankear R, Canonica GW, Casale T, Lockey RF. The World Allergy Organization white book on allergy. Milwaukee, Wisconsin, USA: World Allergy Organization; 2011.
8.
go back to reference Bousquet J, Lockey R, Malling HJ. World Health Organization position paper allergen immunotherapy: therapeutical vaccines for allergic diseases. Allergy. 1998;53 Suppl 2:1–33. Bousquet J, Lockey R, Malling HJ. World Health Organization position paper allergen immunotherapy: therapeutical vaccines for allergic diseases. Allergy. 1998;53 Suppl 2:1–33.
9.
go back to reference Canonica GW, Cox L, Pawankar R. SLIT World Allergy Organisation position paper: 2013 update. WAO. Journal. 2014;7((1):6. Canonica GW, Cox L, Pawankar R. SLIT World Allergy Organisation position paper: 2013 update. WAO. Journal. 2014;7((1):6.
10.
go back to reference Eng PA, Borer-Reinhold M, Heijnen JA, Gnehm HP. Twelve year follow-up after discontinuation of preseasonal grass pollen immunotherapy in children. Allergy. 2006;61(2):198–201.CrossRefPubMed Eng PA, Borer-Reinhold M, Heijnen JA, Gnehm HP. Twelve year follow-up after discontinuation of preseasonal grass pollen immunotherapy in children. Allergy. 2006;61(2):198–201.CrossRefPubMed
11.
go back to reference Durham SR, Emmiger W, Kapp A, Colombo G, De Monchy JC, Rak S, et al. Long term clinical efficacy in grass-pollen induced conjunctivitis after treatment with SQ-standardized grass allergy immunotherapy tablet. J Alllergy Clin Immunol. 2010;125(1):131–7.CrossRef Durham SR, Emmiger W, Kapp A, Colombo G, De Monchy JC, Rak S, et al. Long term clinical efficacy in grass-pollen induced conjunctivitis after treatment with SQ-standardized grass allergy immunotherapy tablet. J Alllergy Clin Immunol. 2010;125(1):131–7.CrossRef
12.
go back to reference Durham SR, Emmiger W, Kapp A, De Monchy JC, Rak S, Scadding GK, et al. SQ-standardized sublingual grass immunotherapy confirmation of disease modification 2 years after 3 years of treatment in a randomized trial. J Allergy Clin Immunol. 2012;129(3):717–25.CrossRefPubMed Durham SR, Emmiger W, Kapp A, De Monchy JC, Rak S, Scadding GK, et al. SQ-standardized sublingual grass immunotherapy confirmation of disease modification 2 years after 3 years of treatment in a randomized trial. J Allergy Clin Immunol. 2012;129(3):717–25.CrossRefPubMed
13.
go back to reference Jacobsen L, Niggemann B, Dreborg S, Ferdousi HA, Halken S, Host A, et al. Specific immunotherapy has a long –term preventive effect on seasonal and perennial asthma : 10 year follow-up on the PAT study. Allergy. 2007;62(8):493–8.CrossRef Jacobsen L, Niggemann B, Dreborg S, Ferdousi HA, Halken S, Host A, et al. Specific immunotherapy has a long –term preventive effect on seasonal and perennial asthma : 10 year follow-up on the PAT study. Allergy. 2007;62(8):493–8.CrossRef
14.
go back to reference Polosa R, Li Gotti F, Mangano G, Paolino G, Mastruzzo C, Vancheri C, et al. Effect of immunotherapy on asthma progression, BHR and sputum eosinophils in allergic rhinitis. Allergy. 2004;59(11):1224–8.CrossRefPubMed Polosa R, Li Gotti F, Mangano G, Paolino G, Mastruzzo C, Vancheri C, et al. Effect of immunotherapy on asthma progression, BHR and sputum eosinophils in allergic rhinitis. Allergy. 2004;59(11):1224–8.CrossRefPubMed
15.
go back to reference Des Roches A, Paradis L, Menardo JL, Bouges S, Daures JP, Bousquet J. Immunotherapy with a standardized Dermatophagoides Pteronyssinus extract IV Specific immunotherapy prevents the onset of new sensitization in children. J Allergy Clin Immunol. 1997;99(4):450–3.CrossRefPubMed Des Roches A, Paradis L, Menardo JL, Bouges S, Daures JP, Bousquet J. Immunotherapy with a standardized Dermatophagoides Pteronyssinus extract IV Specific immunotherapy prevents the onset of new sensitization in children. J Allergy Clin Immunol. 1997;99(4):450–3.CrossRefPubMed
16.
go back to reference Pajno GB, Barberio G, De Luca F, Morabito L, Parmiani S. Prevention of new sensitizations in asthmatic children monosensitized to house dust mite by specific immunotherapy: a six year follow up study. Clin Exp Allergy. 2001;31(9):1392–7.CrossRefPubMed Pajno GB, Barberio G, De Luca F, Morabito L, Parmiani S. Prevention of new sensitizations in asthmatic children monosensitized to house dust mite by specific immunotherapy: a six year follow up study. Clin Exp Allergy. 2001;31(9):1392–7.CrossRefPubMed
17.
go back to reference Pasek RD, Lockey RF. Treatment of Hymenoptera venom allergy: an update. Curr Opin Allergy Clin Immunol. 2014;14(4):340–6.CrossRef Pasek RD, Lockey RF. Treatment of Hymenoptera venom allergy: an update. Curr Opin Allergy Clin Immunol. 2014;14(4):340–6.CrossRef
18.
go back to reference Gamble J, Stevenson M, McClean M, Heaney LG. The prevalence of non-adherence in difficult asthma. Am J Resp Crit Care Med. 2009;180(9):817–22.CrossRefPubMed Gamble J, Stevenson M, McClean M, Heaney LG. The prevalence of non-adherence in difficult asthma. Am J Resp Crit Care Med. 2009;180(9):817–22.CrossRefPubMed
19.
go back to reference Cox L, Hankin C, Lockey R. Allergen immunotherapy adherence and delivery route: location does not matter. J Allergy Clin Immunol Pract. 2014;2(2):156–60.CrossRefPubMed Cox L, Hankin C, Lockey R. Allergen immunotherapy adherence and delivery route: location does not matter. J Allergy Clin Immunol Pract. 2014;2(2):156–60.CrossRefPubMed
20.
go back to reference Cohn JR, Pizzi A. Determinants of patient compliance with allergen immunotherapy. J Allergy Clin Immunol. 1993;91(3):734–7.CrossRefPubMed Cohn JR, Pizzi A. Determinants of patient compliance with allergen immunotherapy. J Allergy Clin Immunol. 1993;91(3):734–7.CrossRefPubMed
21.
go back to reference Lower T, Hensy J, Mandik L, Janosky N, Friday Jr GA. Compliance with allergen immunotherapy. Ann Allergy. 1993;70(6):480–2.PubMed Lower T, Hensy J, Mandik L, Janosky N, Friday Jr GA. Compliance with allergen immunotherapy. Ann Allergy. 1993;70(6):480–2.PubMed
22.
go back to reference Tinkelman D, Smith F, Cole 3rd WD, Slik HJ. Compliance with an allergen immunotherapy regimen. Ann Allergy Asthma Immunol. 1995;74(3):241–6.PubMed Tinkelman D, Smith F, Cole 3rd WD, Slik HJ. Compliance with an allergen immunotherapy regimen. Ann Allergy Asthma Immunol. 1995;74(3):241–6.PubMed
23.
go back to reference Riuz FJ, Jimenez A, Cocoletzi J, Duran E. Compliance with and abandonment of immunotherapy. Rev Alerg Mex. 1997;44:42–4. Riuz FJ, Jimenez A, Cocoletzi J, Duran E. Compliance with and abandonment of immunotherapy. Rev Alerg Mex. 1997;44:42–4.
24.
go back to reference Donahue JG, Greineder DK, Connor-Lacke L, Canning CF, Platt R. Utilization and cost of immunotherapy for allergic asthma and rhinitis. Ann Allergy Asthma Immunol. 1999;82(4):339–47.CrossRefPubMed Donahue JG, Greineder DK, Connor-Lacke L, Canning CF, Platt R. Utilization and cost of immunotherapy for allergic asthma and rhinitis. Ann Allergy Asthma Immunol. 1999;82(4):339–47.CrossRefPubMed
25.
go back to reference Rhodes BJ. Patient dropouts before completion of optimal dose, multiple allergen immunotherapy. Ann Allergy Asthma Immunol. 1999;82(3):281–6.CrossRefPubMed Rhodes BJ. Patient dropouts before completion of optimal dose, multiple allergen immunotherapy. Ann Allergy Asthma Immunol. 1999;82(3):281–6.CrossRefPubMed
26.
go back to reference More DR, Hagan LL. Factors affecting compliance with allergy immunotherapy at a military medical center. Ann Allergy Asthma Immunol. 2002;88(4):391–4.CrossRefPubMed More DR, Hagan LL. Factors affecting compliance with allergy immunotherapy at a military medical center. Ann Allergy Asthma Immunol. 2002;88(4):391–4.CrossRefPubMed
27.
go back to reference Pajno GB, Vita D, Caminiti L, Arrigo T, Lombardo F, Incorvaia C, et al. Children’s compliance with allergen immunotherapy according to administration routes. J Allergy Clin Immunol. 2005;116(6):1380–1.CrossRefPubMed Pajno GB, Vita D, Caminiti L, Arrigo T, Lombardo F, Incorvaia C, et al. Children’s compliance with allergen immunotherapy according to administration routes. J Allergy Clin Immunol. 2005;116(6):1380–1.CrossRefPubMed
28.
go back to reference Hommers L, Ellert U, Scheidt-Nave C, Langen U. Factors contributing to conductance and outcome of specific immunotherapy: data from Germany National Health Interview and Examination Srvey. Eur J Public Health. 2007;17(3):278–84.CrossRefPubMed Hommers L, Ellert U, Scheidt-Nave C, Langen U. Factors contributing to conductance and outcome of specific immunotherapy: data from Germany National Health Interview and Examination Srvey. Eur J Public Health. 2007;17(3):278–84.CrossRefPubMed
29.
go back to reference Hankin CS, Cox L, Lang D, Levin A, Gross G, Eavy G, et al. Allergy immunotherapy among Medicaid enrolled children with allergic rhinitis: patterns of care, resource use, and costs. J Allergy Clin Immunol. 2008;121(1):227–32.CrossRefPubMed Hankin CS, Cox L, Lang D, Levin A, Gross G, Eavy G, et al. Allergy immunotherapy among Medicaid enrolled children with allergic rhinitis: patterns of care, resource use, and costs. J Allergy Clin Immunol. 2008;121(1):227–32.CrossRefPubMed
30.
go back to reference Mahesh PA, Vadanthan PH, Amrutha DH, Giridhar BH, Prabhakar AK. Factors associated with non-adherence to specific immunotherapy in management of respiratory allergy. Indian J Chest Dis Allied. 2010;52(2):91–5. Mahesh PA, Vadanthan PH, Amrutha DH, Giridhar BH, Prabhakar AK. Factors associated with non-adherence to specific immunotherapy in management of respiratory allergy. Indian J Chest Dis Allied. 2010;52(2):91–5.
31.
go back to reference Hsu NM, Reisacher WR. A comparison attrition rates in patients undergoing sublingual immunotherapy vs subcutaneous immunotherapy. Int Forum Allergy Rhinol. 2012;2(4):280–4.CrossRefPubMed Hsu NM, Reisacher WR. A comparison attrition rates in patients undergoing sublingual immunotherapy vs subcutaneous immunotherapy. Int Forum Allergy Rhinol. 2012;2(4):280–4.CrossRefPubMed
32.
go back to reference Guenechea-Sola M, Hariri SR, Galoosian A, Yusin JF. A retrospective review of veterans adherence to allergen immunotherapy over 10 years. Ann Allergy Asthma Immunol. 2014;112(1):79–81.CrossRefPubMed Guenechea-Sola M, Hariri SR, Galoosian A, Yusin JF. A retrospective review of veterans adherence to allergen immunotherapy over 10 years. Ann Allergy Asthma Immunol. 2014;112(1):79–81.CrossRefPubMed
33.
go back to reference Kiel MA, Röder E, Gerth van Wijk R, MJ A, Hop WC, Rutten-van Mölken MP. Real-life compliance and persistence among users of subcutaneous and sublingual immunotherapy. J Allergy Clin Immunol. 2013;132(2):353–60.CrossRefPubMed Kiel MA, Röder E, Gerth van Wijk R, MJ A, Hop WC, Rutten-van Mölken MP. Real-life compliance and persistence among users of subcutaneous and sublingual immunotherapy. J Allergy Clin Immunol. 2013;132(2):353–60.CrossRefPubMed
34.
go back to reference Silva D, Pereira A, Santos N, Placido JL. Costs of treatment affect compliance to specific subcutaneous immunotherapy. Eur Ann Allergy Clin Immunol. 2014;46(2):87–94.PubMed Silva D, Pereira A, Santos N, Placido JL. Costs of treatment affect compliance to specific subcutaneous immunotherapy. Eur Ann Allergy Clin Immunol. 2014;46(2):87–94.PubMed
35.
go back to reference Marogna M, Spadolini I, Massolo A, Canonica GW, Passalacqua G. Randomized controlled open study of SLIT for respiratory allergy in real lilfe: clinical efficacy and more. Allergy. 2004;59(11):1205–10.CrossRefPubMed Marogna M, Spadolini I, Massolo A, Canonica GW, Passalacqua G. Randomized controlled open study of SLIT for respiratory allergy in real lilfe: clinical efficacy and more. Allergy. 2004;59(11):1205–10.CrossRefPubMed
36.
go back to reference Lombardi C, Gani F, Landi M, Falagiani P, Bruno G, Canonica GW, et al. Quantitative assessment of the adherence to sublingual immunotherapy. J Allergy Clin Immunol. 2004;113(6):1219–20.CrossRefPubMed Lombardi C, Gani F, Landi M, Falagiani P, Bruno G, Canonica GW, et al. Quantitative assessment of the adherence to sublingual immunotherapy. J Allergy Clin Immunol. 2004;113(6):1219–20.CrossRefPubMed
37.
go back to reference Passalacqua G, Musarra A, Pecora S, Amoroso S, Antonicelli L, Cadario G, et al. Quantitative assessment of the compliance with once-daily sublingual immunotherapy regimen in real life (EASY project: evaluation of A novel SLIT formulation during a Year). J Allergy Clin Immunol. 2006;117(4):946–8.CrossRefPubMed Passalacqua G, Musarra A, Pecora S, Amoroso S, Antonicelli L, Cadario G, et al. Quantitative assessment of the compliance with once-daily sublingual immunotherapy regimen in real life (EASY project: evaluation of A novel SLIT formulation during a Year). J Allergy Clin Immunol. 2006;117(4):946–8.CrossRefPubMed
38.
go back to reference Passalacqua G, Musarra A, Pecora S, Amoroso S, Antonicelli L, Cadario G, et al. Quantitative assessment of the compliance with once-daily sublingual immunotherapy children (EASY project: Evaluation of A novel SLIT formulation during a Year). Pediatr Allergy Immunol. 2007;18(1):58–62.CrossRefPubMed Passalacqua G, Musarra A, Pecora S, Amoroso S, Antonicelli L, Cadario G, et al. Quantitative assessment of the compliance with once-daily sublingual immunotherapy children (EASY project: Evaluation of A novel SLIT formulation during a Year). Pediatr Allergy Immunol. 2007;18(1):58–62.CrossRefPubMed
39.
go back to reference Cadario G, Ciprandi G, Cara D, Fadel R, Incorvaia C, Marcucci F, et al. Comparison between continuous or intermittent schedules of sublingual immunotherapy for house dust mite : effects on compliance, patient’s satisfaction, quality of life and safety. Int J Immunopharmacol. 2008;21(2):471–3. Cadario G, Ciprandi G, Cara D, Fadel R, Incorvaia C, Marcucci F, et al. Comparison between continuous or intermittent schedules of sublingual immunotherapy for house dust mite : effects on compliance, patient’s satisfaction, quality of life and safety. Int J Immunopharmacol. 2008;21(2):471–3.
40.
go back to reference Röder E, Berger MY, de Groot H, Gerth van Wijk R. Sublingual immunotherapy in youngsters: adherence in a randomized clinical trial. Clin Exp Allergy. 2008;38(10):1669–67.CrossRef Röder E, Berger MY, de Groot H, Gerth van Wijk R. Sublingual immunotherapy in youngsters: adherence in a randomized clinical trial. Clin Exp Allergy. 2008;38(10):1669–67.CrossRef
41.
go back to reference Chang H, Han DH, Mo JH, Kim JW, Kim DY, Lee CH, et al. Early compliance and efficacy of sublingual immunotherapy in patients with allergic rhinitis to house dust mite. Clin Exp Otorhinolaryngol. 2009;2(3):136–40.CrossRefPubMedCentralPubMed Chang H, Han DH, Mo JH, Kim JW, Kim DY, Lee CH, et al. Early compliance and efficacy of sublingual immunotherapy in patients with allergic rhinitis to house dust mite. Clin Exp Otorhinolaryngol. 2009;2(3):136–40.CrossRefPubMedCentralPubMed
42.
go back to reference Jansen A, Andersen KF, Bruning H. Evaluation of a compliance device in a subgroup of adult patients receiving specific immunotherapy with grass allergen tablets (Grazax) in a randomized open-label, controlled study: an a priori subgroup analysis. Clin Ther. 2009;31(2):321–7.CrossRefPubMed Jansen A, Andersen KF, Bruning H. Evaluation of a compliance device in a subgroup of adult patients receiving specific immunotherapy with grass allergen tablets (Grazax) in a randomized open-label, controlled study: an a priori subgroup analysis. Clin Ther. 2009;31(2):321–7.CrossRefPubMed
43.
go back to reference Ott H, Sieber J, Breheler R, Folster-Holst R, Kapp A, Klimek L, et al. Efficacy of grass pollen immunotherapy for three consecutive seasons and after cessation of treatment. The ECRIT study. Allergy. 2009;64(9):179–86.CrossRefPubMed Ott H, Sieber J, Breheler R, Folster-Holst R, Kapp A, Klimek L, et al. Efficacy of grass pollen immunotherapy for three consecutive seasons and after cessation of treatment. The ECRIT study. Allergy. 2009;64(9):179–86.CrossRefPubMed
44.
go back to reference Vita D, Caminiti L, Ruggeri P, Pajno G. Sublingual immunotherapy: adherence based on timing and monitoring control visits. Allergy. 2010;65(5):668–9.CrossRefPubMed Vita D, Caminiti L, Ruggeri P, Pajno G. Sublingual immunotherapy: adherence based on timing and monitoring control visits. Allergy. 2010;65(5):668–9.CrossRefPubMed
45.
go back to reference Pajno G, Caminiti L, Crisafulli G, Barberi S, Landi M, Aversa T, et al. Adherence to sublingual immunotherapy in preschool children. Pediatr Allergy Immunol. 2012;23(5):688–9.CrossRefPubMed Pajno G, Caminiti L, Crisafulli G, Barberi S, Landi M, Aversa T, et al. Adherence to sublingual immunotherapy in preschool children. Pediatr Allergy Immunol. 2012;23(5):688–9.CrossRefPubMed
46.
go back to reference Trebuchon F, Lheritier-Barrand M, David M, Demoly P. Characteristics and management of sublingual allergen immunotherapy in children with allergic rhinitis and asthma induced by house dust mite allergens. Clin Transl Allergy. 2014;29:4–15. Trebuchon F, Lheritier-Barrand M, David M, Demoly P. Characteristics and management of sublingual allergen immunotherapy in children with allergic rhinitis and asthma induced by house dust mite allergens. Clin Transl Allergy. 2014;29:4–15.
48.
go back to reference Senna G, Caminati M, Canonica GW. Safety and tolerability of sublingual immunotherapy in clinical trials and real life. Curr Opin Allergy Clin Immunol. 2013;13:656–62.CrossRefPubMed Senna G, Caminati M, Canonica GW. Safety and tolerability of sublingual immunotherapy in clinical trials and real life. Curr Opin Allergy Clin Immunol. 2013;13:656–62.CrossRefPubMed
49.
go back to reference Makatsori M, Scadding GW, Lombardo C, Bisoffi G, Ridolo E, Durham SR, et al. Dropouts in sublingual allergen immunotherapy trials-a systematic review. Allergy. 2014;69(5):571–80.CrossRefPubMed Makatsori M, Scadding GW, Lombardo C, Bisoffi G, Ridolo E, Durham SR, et al. Dropouts in sublingual allergen immunotherapy trials-a systematic review. Allergy. 2014;69(5):571–80.CrossRefPubMed
50.
go back to reference Bender BG, Oppenheimer J. The special challenge of nonadherence with sublingual immunotherapy. J Allergy Clin Immunol Pract. 2014;2(2):152–5.CrossRefPubMed Bender BG, Oppenheimer J. The special challenge of nonadherence with sublingual immunotherapy. J Allergy Clin Immunol Pract. 2014;2(2):152–5.CrossRefPubMed
Metadata
Title
Prospective adherence to specific immunotherapy in Europe (PASTE) survey protocol
Authors
Melina Makatsori
Gianenrico Senna
Constantinos Pitsios
Ramon Lleonart
Ludger Klimek
Carlos Nunes
Maia Rukhadze
Barbara Rogala
Radoslaw Gawlik
Petr Panzner
Oliver Pfaar
Moises Calderon
Publication date
01-12-2015
Publisher
BioMed Central
Published in
Clinical and Translational Allergy / Issue 1/2015
Electronic ISSN: 2045-7022
DOI
https://doi.org/10.1186/s13601-015-0060-0

Other articles of this Issue 1/2015

Clinical and Translational Allergy 1/2015 Go to the issue