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Breakthrough in Oral Immunotherapy Shows Promise for Long-Term Egg Allergy Tolerance

by Ella

A recent clinical trial published in The Journal of Allergy and Clinical Immunology has demonstrated significant success in using oral immunotherapy (OIT) to induce long-term tolerance in children with egg allergies. The study, conducted over five years, involved 150 participants aged 3 to 12 with confirmed IgE-mediated egg allergy. Researchers administered gradually increasing doses of egg protein under strict medical supervision, aiming to desensitize the immune system.

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After the initial desensitization phase, 75% of participants achieved sustained unresponsiveness, meaning they could consume eggs without allergic reactions even after stopping treatment for several months. This contrasts with earlier OIT trials, where many patients experienced relapse after discontinuation. The key difference in this study was the extended maintenance phase, where children consumed small amounts of egg protein daily for two years before attempting complete withdrawal.

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The findings suggest that prolonged exposure may reprogram the immune system more effectively than short-term protocols. However, researchers caution that OIT is not without risks—mild to moderate allergic reactions were common during the trial, though severe anaphylaxis was rare. The study’s lead author, Dr. Emily Carter, emphasized that OIT should only be administered in specialized clinics with emergency protocols in place.

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This breakthrough offers hope for families seeking a permanent solution to egg allergy, though further research is needed to refine dosing strategies and identify which patients are most likely to benefit.

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