Allergy Immunotherapy Researches

At-Home Sublingual Immunotherapy Outcomes in 2,897 Patients | Frontiers in Allergy 2026

Peer-reviewed retrospective cohort of 2,897 Curex patients on at-home sublingual immunotherapy: clinically meaningful improvement in 28% at 12 months and 45% at 24 months, adherence above 90%, and no anaphylaxis. Observational, Curex-authored.

Written and prepared by:

Chet Tharpe et al.

What’s inside

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A retrospective cohort study published in Frontiers in Allergy (2026;7:1865860; PMID 42358593) of 2,897 patients treated with customized at-home sublingual immunotherapy for environmental allergies through Curex. Clinically meaningful symptom improvement was reported by 28% of patients at 12 months and 45% at 24 months; adherence exceeded 90%; adverse events were infrequent and mostly mild, with no anaphylaxis. The study is observational and was authored by Curex clinicians, so it describes real-world outcomes rather than proving efficacy against a control group.

Study design and population

Retrospective cohort of 2,897 patients prescribed customized sublingual immunotherapy drops and dosed at home, with telehealth follow-up.

Symptom improvement over time

Clinically meaningful improvement rose from 28% of patients at 12 months to 45% at 24 months of treatment.

Adherence

Adherence to daily at-home dosing exceeded 90%, higher than persistence reported in earlier real-world immunotherapy studies.

Safety

Adverse events were infrequent and mostly mild local reactions; no cases of anaphylaxis were reported.

Limitations

Observational, single-provider, Curex-authored, no control group; results describe real-world outcomes, not comparative efficacy.

Regulatory context

Customized multi-allergen sublingual drops are prescribed off-label in the US; only single-allergen sublingual tablets are FDA-approved.

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