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Currently, most of the protocols used for desensitization to Hymenoptera venoms consist of a very rapid increase in doses of venom extracts administered during the SIT in a day without systemic reaction of the patient which is not yet explained. The hypothesis is that this good tolerance is due to a rapid decrease in the response of mast cells and basophils to the allergen..
The main objective is to study basophil activation in response to the allergen during the first day of desensitization, measured by basophil activation test.
The initiation of desensitization follow a protocol of rapid growth rates. The basophil activation level in the course of desensitization will be analyzed by flow cytometry after in vitro stimulation by allergen.
Changes in T cell polarization is also analyzed by flow cytometry. Evolution of the expression of different proteins in blood basophils will be studied by measuring their messenger RNAs
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Desensitization | Experimental | Blood intake for biological sampling during validated desensitization protocol (Alyostall®) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| biological sampling | Procedure | blood intake for biological sampling during validated desensitization protocol (Alyostall®) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Evolution of basophil activation test value | Evolution of the basophil activation test (% of activated basophils) between the morning before the start of desensitization (Alyostall®) and before the last dose of the first day | Day 1 - 3h30 |
| Measure | Description | Time Frame |
|---|---|---|
| Correlation between results of activation basophil test results and tolerance | Looking for a correlation between the results of activation basophil test (% of activated basophils) and tolerance on the one hand and on the other hand the effectiveness of clinically evaluated desensitization (Alyostall®) | Day 1 - 5h30 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Luc THIBERVILLE, Pr | UH Rouen | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rouen University Hospital | Rouen | 76031 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Result | L'ultrarush pendant l'immunothérapie aux venins d'hyménoptères conduit à une diminution les lymphocytes NK dans le sang - G.Mahay1J.Martinet2M.Roger3O.Boyer2L.Thiberville3 - 2017 |
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| Desensitization protocol (Alyostall®) | Biological | Validated desensitization protocol using Alyostall® performed |
|
| Evolution of basophil surface markers |
Evolution of activated basophil surface markers by cytometric flow (% of activated) between the start of desensitization and before the last injection of the fist day of desensitization (Alyostall®) |
| Day 1 - 5h30 |