Publications by authors named "Frederic de Blay"

Background: Regulatory T (Treg) cells are pivotal in immune tolerance to allergens. Low-dose IL-2 (IL-2) activates Treg cells.

Objective: Our aim was to assess IL-2 efficacy for controlling clinical responses to allergen exposures.

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Background: Bronchial thermoplasty (BT) is a bronchoscopic procedure for patients with severe uncontrolled asthma, but randomized controlled studies of its efficacy in severe asthma with frequent exacerbations are lacking. The current aim was to assess BT efficacy in this patient population.

Methods: Thirty patients with asthma (GINA 5) who had experienced at least four severe exacerbations in the preceding year were randomized to BT (n = 15) or control groups (n = 15).

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Article Synopsis
  • The study evaluated the effectiveness of specific IgE (sIgE) testing for wheat and rye flour in diagnosing occupational asthma compared to a specific inhalation challenge (SIC), which is considered the gold standard.
  • Results showed that sIgE levels of 0.35 kU/L or greater had similar diagnostic sensitivity and specificity to the SIC, but higher sIgE thresholds increased specificity significantly.
  • The findings suggest that high sIgE levels can effectively indicate flour-induced occupational asthma, while low levels in patients with a positive SIC may correlate with lower T2 inflammatory biomarkers.
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Background: An innovation to better manage cat-allergic patients utilises anti-Fel d 1 IgY antibodies to neutralise Fel d 1 after its production by the cat. However, there is no published study showing its clinical efficacy in humans in a home setting. A longitudinal, open-label, proof-of-concept study was carried out to approach clinical efficacy of the cat food in cat-allergic patients.

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Background: The impact of allergic rhinoconjunctivitis on the early (EAR) and late asthmatic response (LAR) has yet to be assessed during optimal allergen exposure conditions.

Objective: We aimed to assess predictive factors of the EAR and LAR and to evaluate the relation between rhinitis, conjunctivitis and asthma induced by cat allergen exposure in an environmental exposure chamber (EEC).

Methods: Data from two cohort studies involving asthmatic patients with cat allergy who performed a cat allergen exposure challenge in ALYATEC EEC were analysed.

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Background: House dust mite (HDM)-induced allergic rhinitis (AR) is a major cause of allergic respiratory disease. The efficacy and safety of the 300 IR HDM sublingual immunotherapy (SLIT) tablet in patients with moderate-to-severe HDM-AR was confirmed in a large, international, phase 3 randomized controlled trials (RCTs). Here, we analyzed the results in the European population.

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Background: Asthma is a multifactorial chronic disease, whose most frequent etiology is allergy, especially to . In French Guiana, the childhood prevalence of Blomia T sensitization is unkwown. The aim of this study was to determine the proportion of sensitization to Blomia T and other mites in asthmatic children, and to describe the characteristics of childhood asthma in French Guiana.

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Background: Pollen variation can affect field study data quality. Nasal allergen challenge (NAC) is considered the gold standard for evaluating allergic rhinitis, while environmental exposure chambers (EECs) are mainly used in phase 2 drug development studies. We aimed to study birch-induced allergic rhinitis under 3 different conditions.

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Background: Validated questionnaires are used to assess asthma control over the past 1-4 weeks from reporting. However, they do not adequately capture asthma control in patients with fluctuating symptoms. Using the Mobile Airways Sentinel Network for airway diseases (MASK-air) app, we developed and validated an electronic daily asthma control score (e-DASTHMA).

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MASK-air , a validated mHealth app (Medical Device regulation Class IIa) has enabled large observational implementation studies in over 58,000 people with allergic rhinitis and/or asthma. It can help to address unmet patient needs in rhinitis and asthma care. MASK-air is a Good Practice of DG Santé on digitally-enabled, patient-centred care.

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Article Synopsis
  • Dysphonia, or trouble speaking clearly, is common in people with asthma and might be caused by inhaled medications, but researchers think it might actually be due to how the voice box works instead.
  • In a study, they looked at 68 women with asthma who used inhaled corticosteroids and compared them to 53 women without asthma. They found that a lot more asthma patients had voice problems (66.2%) compared to the control group (11.3%).
  • The researchers found that the voice problems in asthma patients weren't linked to throat infections or serious throat damage, but showed that asthma patients had more difficulty with how their voice box works when talking than the healthy women did.
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Background: The dominant allergen in cat dander, Felis domesticus allergen 1 (Fel d 1), is a persistent trigger for allergic rhinitis and asthma symptoms.

Objective: We evaluated the efficacy of Fel d 1 monoclonal antibodies (REGN1908/1909) in preventing cat allergen-induced early asthmatic responses (EARs) in cat-allergic patients with mild asthma.

Methods: Patients were randomized to single-dose REGN1908/1909 600 mg (n = 29) or placebo (n = 27).

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Introduction: Humanized monoclonal anti-IgE antibody (omalizumab) has demonstrated efficacy in severe atopic asthma. However, few studies have assessed its efficacy in non-atopic and even less in T2-low severe asthma. The objective was to determinate the omalizumab response according to atopic status.

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Biological therapies are available for the treatment of the severe allergic asthma (SAA) with blood eosinophil count ≥ 0.3 × 10/L. Several of them also showed benefits on nasal polyps (NP), one of the most frequent comorbidities of the severe asthma, but comparative studies on their effectiveness in the association SAA-NP are currently lacking.

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Article Synopsis
  • The study aims to understand why peanut allergy (PA) severity differs among patients by analyzing data from 393 cases, focusing on clinical profiles and predictive factors for severity.* -
  • Results indicate that factors such as female sex, age of onset, and specific allergies (e.g., atopic dermatitis, latex) are linked to more severe PA, while birch pollen allergy is associated with milder cases.* -
  • Although some IgE levels (like those to peanut extract and specific components) correlate with PA severity, clinical background factors remain the most effective predictors of an individual patient's risk for severe allergic reactions.*
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Background: Topical mast cell stabilizers were previously shown to treat the signs and symptoms of seasonal and perennial allergic conjunctivitis safely and effectively in active and placebo-controlled trials. However, mast cell stabilizers have not been compared to topical corticosteroids for efficacy. We tested the non-inferiority of a topical mast cell stabilizer, N-acetyl aspartyl glutamic acid (4.

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If allergen immunotherapy (AIT) is to be considered as a treatment option for allergic asthma, it must undergo the same developmental steps as other antiasthmatic drugs. The bronchial allergen challenge model has demonstrated excellent negative predictive value for the development of new therapies for asthma. Subcutaneous immunotherapy appears to have a clinical and significant effect on the early asthmatic response to mite, cat, and birch and grass pollens in children and adults.

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Article Synopsis
  • Allergic asthma (AA) is a type of asthma that requires proof of IgE-sensitization to allergens and its role in causing symptoms; bronchial allergen challenge (BAC) may help identify AA cases among atopic asthmatics.
  • Current BAC methods are mainly used in research settings focused on mild asthma, which limits their application for moderate-to-severe cases in clinical practice.
  • The EAACI Task Force suggests a new BAC methodology aimed at improving patient identification for effective treatments like immunotherapy, ultimately enhancing asthma management in real-world scenarios.
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