Food allergy population thresholds: an evaluation of the dosing scheme and number of oral food challenges on the accuracy of threshold dose studies

Authors

Rinke Klein Entink, TNO, Zeist, The Netherlands
Ben Remington, TNO, Zeist, The Netherlands
Marty Blom, TNO, Zeist, The Netherlands
Carina Rubingh, TNO, Zeist, The Netherlands
Astrid Kruizinga, TNO, Zeist, The Netherlands
Joseph Baumert, University of Nebraska-LincolnFollow
Steve Taylor, University of Nebraska-LincolnFollow
Geert Houben, TNO, Zeist, The Netherlands

Date of this Version

3-30-2015

Citation

Klein Entink et al.: Food allergy population thresholds: an evaluation of the dosing scheme and number of oral food challenges on the accuracy of threshold dose studies. Clinical and Translational Allergy 2015 5(Suppl 3):O12.

Comments

© 2015 Klein Entink et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License. Used by permission.

Abstract

The availability of clinically established DBPCFC minimal eliciting doses determined in food-allergic individuals is increasing and previous work has shown these data can be used to determine population based reference doses for allergen risk management. Despite the large amount of data for peanut, milk, egg and hazelnut, EU and US public health authorities have not established population thresholds for any of the allergenic foods. In the absence of regulatory guidance regarding thresholds, food producers have attempted to manage risk through the widespread application of precautionary “may contain” labelling. In turn, food-allergic consumer quality-of-life has decreased and some food-allergic individuals are ignoring these advisory statements.