Wasp venom

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421627001

Articles

Lactation Safety Information

Allergen extract

Allergen extract
-
No published evidence of safety
Components of the venom unlikely to enter breast milk
No adverse effects reported in breastfed infants
15th May 2017

New Medicines

Alutard SQ Wasp · IgE-mediated allergy to wasp venom

Information

Alutard SQ Wasp
New formulation
ALK-Abello
ALK-Abello

Development and Regulatory status

Launched
Launched
None
September 2019
Sep 19 · Alutard SQ Wasp is licensed for allergy immunotherapy for patients with a documented history of generalised and/or systemic IgE-mediated allergic reactions due to sensitisation to wasp venom (Vespula spp.), confirmed by skin prick test and/or intradermal test and/or specific IgE test [7].
Sep 19 · Launched in the UK. Price - initial kit 4 x 5mL vials and maintenance kit 1 x 5mL vial = £462.61 [6].
May 19 · Alutard has been available for about 20 years in Germany and the Nordic countries, and ALK-Abello has now decided to bring this product to the UK [5].
Mar 19 · Alutard SQ Wasp approved in the UK [4].
Dec 18 · Has previously been approved in the EU, presumably via the decentralised procedure [1].

Category

Wasp venom (Vespula spp.) adsorbed onto aluminium hydroxide
Insects of the order Hymenoptera include bees, wasps and ants; most relevant in the UK are wasp (Vespula vulgaris) and honey bee (Apis mellifera). Large local reactions (LLRs) occur in 26% of people and systemic reactions in up to 7.5% of people who are stung. Likelihood of anaphylaxis from a future sting following an LLR is around 5%. With a history of anaphylaxis from a previous sting & a positive skin tests to venom, >60% of adults & 20-32% of children will have anaphylaxis again [2].
IgE-mediated allergy to wasp venom
Subcutaneous injection

Trial or other data

Feb 93 · Prospective 3-yr study published in Allergy. It investigated the safety, immunogenicity, and effectiveness of immunotherapy (IT) with aluminum hydroxide adsorbed insect venom extracts (Alutard SQ, ALK Laboratories) in patients with previous, severe, systemic, IgE-mediated, anaphylactic reactions to Hymenoptera stings. Seventeen patients were treated with honeybee venom (BV), 13 with yellow-jacket venom (YJV - a type of wasp), and 5 with both. No severe reactions to IT were noted. Only 3 BV-allergic patients experienced mild systemic reactions of grades I or II (1 per 139 injections) during the increase phase. As for the immunologic data, there was a significant decrease in specific IgE antibodies after 1 year, and a significant increase in specific IgG and IgG4 antibodies on reaching the maintenance dose, with a further rise after 1, 2, and 3 years. Moreover, a significant decrease in anti-IgE autoantibodies was observed in the BV group. Out of the 11 patients that were occasionally restung by the relevant insect (totaling 19 stings in all), only one patient developed mild systemic allergic symptoms after a third sting [3].