Technical standards in allergen exposure chambers worldwide - an EAACI Task Force Report

Oliver Pfaar, Karl-Christian Bergmann, Sergio Bonini, Enrico Compalati, Nathalie Domis, Frédéric de Blay, Pieter-Jan de Kam, Philippe Devillier, Stephen R Durham, Anne K Ellis, Alina Gherasim, Laura Haya, Jens M Hohlfeld, Friedrich Horak, Tomohisa Iinuma, Robert L Jacobs, Henrik Hugo Jacobi, Marek Jutel, Susanne Kaul, Suzanne KellyLudger Klimek, Mark Larché, Patrick Lemell, Vera Mahler, Hendrik Nolte, Yoshitaka Okamoto, Piyush Patel, Ronald L Rabin, Cynthia Rather, Angelika Sager, Anne Marie Salapatek, Torben Sigsgaard, Alkis Togias, Christoph Willers, William H Yang, René Zieglmayer, Torsten Zuberbier, Petra Zieglmayer

Research output: Journal article (peer-reviewed)Journal article

6 Citations (Scopus)

Abstract

Allergen exposure chambers (AECs) can be used for controlled exposure to allergenic and non-allergenic airborne particles in an enclosed environment, in order to (i) characterize the pathological features of respiratory diseases and (ii) contribute to and accelerate the clinical development of pharmacological treatments and allergen immunotherapy for allergic disease of the respiratory tract (such as allergic rhinitis, allergic rhinoconjunctivitis, and allergic asthma). In the guidelines of the European Medicines Agency for the clinical development of products for allergen immunotherapy (AIT), the role of AECs in determining primary endpoints in dose-finding Phase II trials is emphasized. Although methodologically insulated from the variability of natural pollen exposure, chamber models remain confined to supporting secondary, rather than primary, endpoints in Phase III registration trials. The need for further validation in comparison with field exposure is clearly mandated. On this basis, the European Academy of Allergy and Clinical Immunology (EAACI) initiated a Task Force in 2015 charged to gain a better understanding of how AECs can generate knowledge about respiratory allergies and can contribute to the clinical development of treatments. Researchers working with AECs worldwide were asked to provide technical information in eight sections: (i) dimensions and structure of the AEC, (ii) AEC staff, (iii) airflow, air processing, and operating conditions, (iv) particle dispersal, (v) pollen/particle counting, (vi) safety and non-contamination measures, (vii) procedures for symptom assessments, (viii) tested allergens/substances and validation procedures. On this basis, a minimal set of technical requirements for AECs applied to the field of allergology is proposed.

Original languageEnglish
Pages (from-to)3589-3612
Number of pages24
JournalAllergy: European Journal of Allergy and Clinical Immunology
Volume76
Issue number12
DOIs
Publication statusPublished - Dec 2021

Keywords

  • Allergens
  • Asthma
  • Desensitization, Immunologic
  • Humans
  • Pollen
  • Rhinitis, Allergic

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