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Phleum pratense sublingual immunotherapy is a standardized allergen extract derived from Timothy grass pollen, developed by Asac Pharmaceutical Inmunology S.A. for the treatment of grass pollen-induced allergic rhinitis, rhinoconjunctivitis, and associated asthma. Administered as a liquid solution sublingually, the therapy is designed to induce immunological tolerance through a process of desensitization. The mechanism of action involves modulating the patient's immune response to Phleum pratense allergens, specifically by promoting the induction of regulatory T-cells (Tregs) and increasing the production of allergen-specific IgG4 antibodies, which compete with IgE to prevent mast cell and basophil degranulation. This shift from a Th2-mediated allergic response to a Th1/Treg-mediated tolerant state aims to reduce clinical symptoms and the need for rescue medication upon natural allergen exposure. The drug is currently being evaluated in a Phase II dose-finding study (DEDOG) to determine the optimal concentration for efficacy and safety in patients aged 12 to 50 years.
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