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Sesame oral immunotherapy (OIT) is a therapeutic approach designed to manage sesame allergy by inducing immunological desensitization. The treatment involves the controlled, gradual administration of increasing amounts of sesame protein to a patient, typically starting with a very low dose and escalating to a maintenance level. This process aims to shift the immune response from a Th2-mediated allergic profile toward clinical tolerance, often characterized by a reduction in allergen-specific IgE sensitivity and an increase in regulatory T-cell activity and allergen-specific IgG4. Clinical data suggest that younger age at initiation and higher initial doses are key determinants of treatment success, such as achieving a high tolerance threshold. While not currently available as a standardized, FDA-approved branded pharmaceutical product, sesame OIT is increasingly integrated into routine food allergy care in specialized clinical and research settings.
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