ÎçÒ¹¾ç³¡ | ÎçÒ¹¾ç³¡ Integrating Food Science with Medicine Wed, 10 Jun 2026 11:08:58 +0000 en-GB hourly 1 https://wordpress.org/?v=7.0 /wp-content/uploads/2025/02/Untitled-design-4-150x150.png ÎçÒ¹¾ç³¡ | ÎçÒ¹¾ç³¡ 32 32 ÎçÒ¹¾ç³¡ Receives Extended MHRA Pharmaceutical Manufacturer’s Licence and GMP Certificate /reacta-healthcare-receives-extended-mhra-pharmaceutical-manufacturers-licence-and-gmp-certificate/ /reacta-healthcare-receives-extended-mhra-pharmaceutical-manufacturers-licence-and-gmp-certificate/#respond Wed, 10 Jun 2026 07:07:16 +0000 /?p=1470

ÎçÒ¹¾ç³¡ Receives Extended MHRA Pharmaceutical Manufacturer’s Licence and GMP Certificate

PRESS RELEASE

Deeside, UK, 10 June 2026: ÎçÒ¹¾ç³¡, a leading developer and manufacturer of pharmaceutical-grade oral food challenge (OFC) products for food allergy diagnostics, today announces the renewal and extension of its Manufacturer’s Licence and GMP Certificate by the UK Government’s Medicines & Healthcare products Regulatory Agency (MHRA).www.hyjliao.com

The company has held an MHRA Manufacturer’s Licence for the past five years. Following a further inspection, the scope of its Licence and GMP Certification has been extended, and the Company now has full regulatory authorisation to also perform in-house analytical testing of its challenge meal products, strengthening internal oversight across manufacturing and quality activities.

In preparation for the approval, ÎçÒ¹¾ç³¡ has undertaken a significant expansion of its analytical capabilities. This has included the establishment of new laboratory spaces, the purchase and qualification of analytical equipment, the development and extension of its Pharmaceutical Quality System to support in-house analysis, and the training of its team to carry out analytical testing to the required regulatory standards. Together, these activities ensure that the organisation is equipped to deliver analytical services within its own facilities in line with MHRA requirements.

Paul Abrahams, CEO of ÎçÒ¹¾ç³¡ said: “I am grateful to the team for all the hard work and commitment that went into preparing for our inspection and for ensuring that it was a success. We believe we are the only oral food challenge (OFC) supplier manufacturing to full pharmaceutical GMP standard and operating worldwide. This extended certification by the MHRA further strengthens our position as a specialist partner in the development and manufacture of OFC materials for clinical trials, contributing to the advancement of food allergy research globally.â€

Jan Phillips, Head of Quality at ÎçÒ¹¾ç³¡ added: “This is a significant milestone for ÎçÒ¹¾ç³¡ and reflects the continued investment, commitment and hard work across our business to maintain the highest regulatory and compliance standards. By bringing analytical testing in-house, we can offer our customers further operational efficiency, strengthened quality assurance and increased responsiveness in supporting their clinical development programmes.â€

 

About ÎçÒ¹¾ç³¡

ÎçÒ¹¾ç³¡ is a UK-based pharmaceutical manufacturer specialising in the development and production of oral food challenge materials for use in clinical trials. With a strong focus on quality, safety and regulatory compliance, the company works with global pharmaceutical and biotechnology partners to support the progress of food allergy research.

 

Media Contacts

At the company – Lara Marks
Marketing & Communications Officer
E: lara.marks@reactahealthcare.com T: +44 (0)3332 423 042

Charles Consultants

Sue Charles – E: Sue@charles-consultants.com T: +44 (0)7968 726585

Chris Gardner – E: Chris@CGComms.onmicrosoft.com T: +44 (0)7956 0310

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ÎçÒ¹¾ç³¡ Engages with the Global Allergy Community at AAAAI, Philadelphia /reacta-engages-with-the-global-allergy-community-at-aaaai-philadelphia/ /reacta-engages-with-the-global-allergy-community-at-aaaai-philadelphia/#respond Fri, 20 Mar 2026 16:43:50 +0000 /?p=1395

ÎçÒ¹¾ç³¡ Engages with the Global Allergy Community at AAAAI, Philadelphia

Industry News

ÎçÒ¹¾ç³¡ had a strong presence at this year’s AAAAI Annual Meeting in Philadelphia, where colleagues represented the business and showcased our pharmaceutical grade oral food challenge materials to the global allergy community.

Across the week, the team met with clinicians, researchers and industry partners who share our commitment to improving the accuracy and consistency of food allergy diagnosis. Discussions focused on the importance of high quality, standardised challenge materials and the role they play in strengthening study reproducibility and dose standardisation.

The meeting also provided valuable opportunities to demonstrate ÎçÒ¹¾ç³¡â€™s approach, connect with existing collaborators and introduce our work to new partners. The team closed the week by hosting a reception for invited partners, which offered further opportunities to build relationships and explore future collaboration.

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ÎçÒ¹¾ç³¡ Appoints Richard Nagle as Chair of Board of Directors /reacta-healthcare-appoints-richard-nagle-as-chair-of-board-of-directors/ /reacta-healthcare-appoints-richard-nagle-as-chair-of-board-of-directors/#respond Wed, 18 Feb 2026 22:02:58 +0000 /?p=1322

ÎçÒ¹¾ç³¡ Appoints Richard Nagle as Chair of Board of Directors

Press Release

Richard brings more than 30 years’ experience in the pharmaceutical, biotechnology and medical technology sectors including in immunology. He has founded and led multiple companies, raised tens of millions of dollars of funding, achieved a number of successful exits and delivered operational transformations as companies grow.www.hyjliao.com

Among his senior leadership positions, Richard was a Strategic Advisor and CEO at Immune Regulation (now Revolo Biotherapeutics and formerly Peptinnovate) in which roles he oversaw significant strategic advancements, clinical and product development programs and corporate development during periods of significant growth. In addition to his role as Chair of ÎçÒ¹¾ç³¡, he is a part-time Executive Director at SASPiPhi, a company developing precision antimicrobials.

Richard’s appointment strengthens ÎçÒ¹¾ç³¡â€™s senior leadership as the Company continues its rapid growth driven by its leading position as the only oral food challenge product manufactured under full pharmaceutical GMP, and its innovation pipeline which will fuel future strategic expansion.

Professor Ashley Woodcock, a co-founder of ÎçÒ¹¾ç³¡ and Chair since inception remains with the Company in a Non-Executive Director role.

 

Dr. Paul Abrahams, ÎçÒ¹¾ç³¡ CEO, said: “We are thrilled to have Richard join us at such a pivotal time in the Company’s growth trajectory. His specific knowledge in the immunology space and broad experience in finance, corporate strategy and product development adds huge value and strengthens our strategic leadership. The senior team and I are looking forward to working with Richard to refine and deliver on an ambitious strategy for 2026 and beyond.

“We are hugely grateful to Ashley for his entrepreneurial leadership, guidance and support of ÎçÒ¹¾ç³¡ to date and look forward to his ongoing contribution to the business as a Non-Executive Director.â€

 

Richard Nagle, ÎçÒ¹¾ç³¡ Chair added: “This is an extremely exciting time for ÎçÒ¹¾ç³¡, and I am delighted to be joining this dynamic business. ÎçÒ¹¾ç³¡ has been at the forefront of food allergy diagnostics R&D and counts many of the leading companies in the allergy therapeutic development space as its partners. Our aim now is to continue to expand our presence both in the UK and internationally, delivering solutions that improve the safety, accuracy and efficiency of food allergy testing.

“ÎçÒ¹¾ç³¡ has built a world class team to execute on its future development goals, and I look forward to working with Paul and the management team in helping them to realise maximum value from its pioneering products and deep innovation pipeline.â€

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ÎçÒ¹¾ç³¡ Secures 12th Place in The Sunday Times 100 Tech 2026 /reacta-healthcare-secures-12th-place-in-the-sunday-times-100-tech-2026/ /reacta-healthcare-secures-12th-place-in-the-sunday-times-100-tech-2026/#respond Wed, 04 Feb 2026 11:55:08 +0000 /?p=1329

ÎçÒ¹¾ç³¡ Secures 12th Place in The Sunday Times 100 Tech 2026

ÎçÒ¹¾ç³¡ is proud to announce that we have ranked 12th in the Sunday Times 100 Tech 2026, a prestigious list celebrating the UK’s fastest-growing and most innovative technology companies. This recognition reflects both our commercial momentum and our commitment to transforming food allergy diagnosis for patients worldwide.

Over the past three years, ÎçÒ¹¾ç³¡ has delivered 117.05% annual sales growth, demonstrating strong and sustained commercial progress. This growth has been fuelled by the scientific innovation and engineering excellence at the core of our work, and by a team dedicated to pushing the boundaries of what’s possible in food allergy diagnostics.
“This recognition for ÎçÒ¹¾ç³¡ represents a significant step in the company’s evolution and embodies our employees’ commitment and belief in our vision.â€

– Paul Abrahams, CEO

The Tech category places a spotlight on organisations whose success is driven by engineering, biotech, hardware-led platforms, and scientific invention. Being recognised in this space holds particular meaning for ÎçÒ¹¾ç³¡, reaffirming the impact of our mission and the strength of our technology.

This achievement would not be possible without the trust and collaboration of our colleagues, partners, and customers. Together, we are making meaningful progress toward improving the quality of life for food allergy patients globally.

We’re excited for the journey ahead as we continue scaling our impact, expanding internationally, and delivering innovative solutions that support clearer, safer, and more precise food allergy diagnosis.

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EAACI, Glasgow 2025 – A great success! Showcasing egg, milk and peanut food challenges and a cashew food challenge concept. /1186-2/ /1186-2/#respond Sat, 14 Jun 2025 15:19:13 +0000 /?p=1186

EAACI, Glasgow 2025 – A great success! Showcasing egg, milk and peanut food challenges and a cashew food challenge concept.

Press Release

2025 has been a huge year for the growth and expansion of ÎçÒ¹¾ç³¡ and EAACI 2025 was a fantastic opportunity to showcase our multi-allergen product range of peanut, milk, and egg as well as introduce our innovation pipeline: cashew and products suitable from 6 months.

EAACI allows us to connect with clients and researchers from the allergy field. Over the weekend, various flash talks gave insight to how important oral food challenges are. Including future clinical practice using oral food challenges. Alexsandra Odoi discussed the use of algorithms from routinely collected data of allergy sufferers to determine the likelihood that future generations would be sufferers of food allergies and if the use of an oral food challenge would be beneficial. Mohamed Shamji demonstrated the future uses of AI in allergy diagnosis and treatment. This talk focused not only on diagnosis but on personalised immunotherapy where the use of oral food challenges can be delivered in personalised doses based on previous data collected for that participant.

Our R&D scientist Callum McKenry was part of the exhibition team, “Working on the booth really proved how forward thinking and unique ÎçÒ¹¾ç³¡ is. It was a fantastic opportunity to find out about current and future clinical practice, what future products are needed, regional variation in food allergies such as sesame, shellfish, and even less common allergies such as rice. Attending EAACI gave me a unique insight into the needs of our clients, which are pharmaceutical companies running therapeutic clinical trials. Our clients are striving for solutions to improve the quality of life for those with food allergies.”

The global allergy community comes together each year at EAACI, it is an invaluable opportunity for ÎçÒ¹¾ç³¡ to understand the food allergy environment. We need to understand the challenges that both patients and clinicians face on a daily basis, and get ready for future innovations in diagnosis, treatment and prevention. Belinda Mortelli, Head of Commercial concluded, “EAACI allows us to meet our existing portfolio of international clients and ensure that other companies, involved with clinical trials, know that we are the market leader for pharmaceutical oral food challenge products. We are ready to meet their bespoke needs and encourage potential buyers to get in touch as early as possible in the development of their clinical study protocol to discuss requirements. ÎçÒ¹¾ç³¡ have experience supplying clinical trials across the world since 2017, shipping products globally. We move forward with our preparation for the next conference exhibition: ACAAI, Orlando, 6-10 November.”

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Development of multi-allergen site and first production of egg and milk challenge meals /development-of-multi-allergen-site-and-first-production-of-egg-and-milkchallenge-meals/ /development-of-multi-allergen-site-and-first-production-of-egg-and-milkchallenge-meals/#respond Fri, 30 May 2025 12:53:20 +0000 /?p=1152

Development of multi-allergen site and first production of egg and milk
challenge meals

Press Release

20 th May 2025 marks another key milestone for ÎçÒ¹¾ç³¡, as the first
production run of milk and egg challenge meals commence on site for the first time.
These first orders will be shipped overseas for a phase III and a phase II clinical trial
investigating novel food allergy treatments.

The importance of considering multiple food allergies in both diagnosis and
treatment has become increasingly evident. Many individuals suffering from food
allergies often experience reactions to more than one allergen, making it crucial for
healthcare providers to adopt a holistic approach. . Clinicians can focus care on the
needs of the individual which improves patient outcomes and enhances the quality of
life for those affected by food allergies.

The addition of egg and milk challenge meals to the existing peanut products at
ÎçÒ¹¾ç³¡ highlights the significance of addressing multiple allergens in
clinical trials. These products are designed to meet the needs of food allergy
research and clinical communities, ensuring safety, quality, and efficacy across
various allergens. The standardised development of these new allergen products
allows for easy expansion of the product portfolio with further allergens.

Full development and manufacture of the new products has been undertaken at the
Medicines & Healthcare products Regulatory Agency (MHRA) licensed site in
Deeside, UK. The products were designed using the Quality by Design approach
which is a systematic and strategic approach employed in pharmaceuticals. This
ensures the consistent delivery of high-quality products with a pre-determined
objective to ensure that the product is fit for intended use. A standardised approach
across multiple allergens has been implemented to ensure the safety, quality, and
efficacy of the challenge meals.

The challenge meals comply with client requirements for allergen identification,
standardisation, and cGMP manufacturing.

 

Products come complete with dossier suitable for submission of IND Module 3.
Successful submissions of these dossiers have been made to various health
agencies including FDA and EMA on numerous occasions since 2017.

These challenge meals are suitable for supply to phase I, II and III clinical trials for
use in double-blind placebo-controlled oral food challenges. With the addition of 2
more allergens ÎçÒ¹¾ç³¡ is ideally placed to supply various challenge meals to clinical
trials seeking an ‘antigen agnostic’ indication for their respective therapy. The multi-
allergen site is now set up to seamlessly develop further allergen challenge meals as
demand increases across the USA ‘Top 9’ allergens: milk, eggs, peanuts, fish, crustacean shellfish, tree nuts, wheat, soybeans, and sesame.

The company is eagerly exploring new opportunities to leverage these innovative
products to revolutionise the food allergy research and clinical community. ÎçÒ¹¾ç³¡ is
exploring innovative new solutions, using advanced technology and research to
improve food allergy diagnosis and management.

About ÎçÒ¹¾ç³¡
ÎçÒ¹¾ç³¡, established in 2013, operates from a pharmaceutical
manufacturing facility in the UK. The MHRA licensed facility is licenced to manufacture oral challenge meals, for use in clinical trials, as non-investigational medicinal products (NIMPs)/auxiliary medicinal products (AxMPs). The ÎçÒ¹¾ç³¡ challenge meals are currently used to diagnose and monitor food allergy in numerous global therapeutic trials. Patents for the challenge meals have been granted in a number of countries.

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ÎçÒ¹¾ç³¡ Develops Innovative Oral Food Challenge meals for the Paediatric food allergy population /reacta-healthcare-develops-innovative-oral-food-challenge-meals-for-the-paediatric-food-allergy-population/ /reacta-healthcare-develops-innovative-oral-food-challenge-meals-for-the-paediatric-food-allergy-population/#respond Fri, 30 May 2025 11:55:49 +0000 /?p=1141 ]]>

ÎçÒ¹¾ç³¡ Develops Innovative Oral Food Challenge meals for the Paediatric food allergy population

ÎçÒ¹¾ç³¡ is excited to announce the development of its new range of Oral Food Challenge meals, designed to significantly improve the quality of life for very young children with food allergies. Committed to addressing the critical issues of food allergy diagnosis, enhancing quality of life, and reducing the economic burden of allergies, ÎçÒ¹¾ç³¡ continues to lead the way in innovative healthcare solutions.

Food allergies are increasingly prevalent among young children, with studies indicating that approximately 6-8% of the paediatric population is affected. This poses significant challenges for families and healthcare providers alike. ÎçÒ¹¾ç³¡’s innovative Peanut, Milk, and Egg Challenge meals are tailored to meet the needs of children as young as six months, but can also be used for individuals of all ages, including adults. These products have undergone comprehensive development and rigorous testing to ensure their safety and efficacy.

ÎçÒ¹¾ç³¡’s paediatric challenge meals will be the only pharma-grade products developed globally, setting a new standard in the industry. This distinction is crucial as it ensures the highest levels of safety, quality, and efficacy for children undergoing food allergy diagnosis and during clinical trials for the development of new treatments. By adhering to stringent pharmaceutical standards, ÎçÒ¹¾ç³¡ guarantees that these products meet rigorous regulatory requirements, providing healthcare providers and families with the confidence that they are using the best possible tools for managing food allergies. This global first underscores ÎçÒ¹¾ç³¡’s commitment to innovation and excellence in addressing the critical needs of the paediatric population.

Additionally the importance of considering multiple food allergies in both diagnosis and treatment has become increasingly evident. Many children with food allergies often react to more than one allergen, making it crucial for healthcare providers to adopt a comprehensive approach. The development of challenge meals to multiple allergens at ÎçÒ¹¾ç³¡ highlights the significance of addressing an important need in clinical trials. These meals are designed to meet the needs of food allergy research and clinical communities, ensuring safety, quality, and efficacy across various allergens in trial participants from the important paediatric ages through to adult and will be ready by the end of 2026.www.hyjliao.com

 

For more information, please contact our commercial team.

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Development of standardised challenge meals to meet Regulators demands for Oral Food Challenges /development-of-standardised-challenge-meals-to-meet-regulators-demands-for-oral-food-challenges/ /development-of-standardised-challenge-meals-to-meet-regulators-demands-for-oral-food-challenges/#respond Thu, 23 Jan 2025 12:20:25 +0000 https://reactahealthcare-com.lyricalstaging.com/?p=856 ]]>

Development of standardised challenge meals to meet Regulators demands for Oral Food Challenges

T. Mendes Borges; ML. Martinez Casas; M. Wickham; H. Lett

Our challenges meals (CMs) are used in oral food challenges to support clinical trials, they consist of 3 strengths, a low and a high strength allergen product and importantly a 0% non-allergen CM. The 0% can be used in the placebo arm of a blinded placebo controlled randomised clinical trial.

To ensure safety, quality, and efficacy we have developed these using the Quality By Design (QbD)www.hyjliao.com approach.

Standardising the CMs means that we can meet more stringent regulators demands, where there has been a lot of focus on recently.

What is the QbD approach and why is it so important?www.hyjliao.com

This approach means you predetermine all the requirements for the challenge meal before starting the formulation work. This allows you to develop the product with the required quality target product profile and critical quality attributes, therefore the developed product is fit for its intended use.

For example, the 3 strengths must be comparable in terms of flavour, appearance, and texture, whilst ensuring the allergen remains masked. This is important, neither the the clinician nor the participants are not aware if they are using the non-allergen or allergen containing challenge meal. The masking also reduces the chance of a psychosomatic response in participants if they think that they can taste, see or smell the allergen.

In the next stage of the process, analytical test methods were developed and validated to make sure the product meets the established specifications adhering to current guidelines.

In addition stability studies are conducted to determine the shelf life of the CM.

To conclude, by using the QbD approach, standardised CMs have been developed meeting more stringent health authority’s requirements.

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Analytical development, validation and standardisation strategy for test methods of challenge meals which are utilised as Oral Food Challenges (OFCs) for the diagnosis and monitoring of food allergies /analytical-development-validation-and-standardisation-strategy-for-test-methods-of-challenge-meals-which-are-utilised-as-oral-food-challenges-ofcs-for-the-diagnosis-and-monitoring-of-food-allergies/ /analytical-development-validation-and-standardisation-strategy-for-test-methods-of-challenge-meals-which-are-utilised-as-oral-food-challenges-ofcs-for-the-diagnosis-and-monitoring-of-food-allergies/#respond Thu, 23 Jan 2025 12:18:18 +0000 https://reactahealthcare-com.lyricalstaging.com/?p=848 ]]>

Analytical development, validation and standardisation strategy for test methods of challenge meals which are utilised as Oral Food Challenges (OFCs) for the diagnosis and monitoring of food allergies

S. Maudsley; H. Lett; S. Rosborough; H. Payne

The double-blinded placebo controlled food challenge is currently the gold standard for food allergy diagnosis. Within the industry, there is an unmet need to standardise oral food challenges (OFCs) and regulatory authorities are requiring standardisation due to the usage of OFCs in clinical trials, where product safety, quality and efficacy is paramount.

ÎçÒ¹¾ç³¡â€™s strategy for standardisation of OFCs includes a quality by design approach and analytical testing of critical quality attributes. The quality by design approach is taken during product formulation, where product palatability, masking of allergen and dosing scheme is verified.

The analytical testing of critical quality attributes involves developing and validating test methods according to pharmaceutical guidelines.

Examples of the test methods include (but are not limited to) the following:

  • SDS-PAGE – A method used to identify which allergenic proteins are present in the active substances and the challenge meals. Confirms batch to batch consistency and an indicator of protein stability.
  • ELISA – The method specifically quantifies the amount of allergenic protein present in the challenge meals, confirming product strength.
  • In vitro IgE assay – IgE has an important role in the immune response within allergic individuals. The assay utilises sera from allergic individuals to verify whether the active substance and the challenge meals elicit an immunological response.
  • Microbial testing – To determine whether the challenge meals are free from contamination and are safe for consumption.

In summary, the standardised approach utilised for design and testing of challenge meals ensures product safety, quality and efficacy.

CLICK TO ENLARGE

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What are oral food challenges? /what-is-are-oral-food-challenges/ /what-is-are-oral-food-challenges/#respond Thu, 23 Jan 2025 11:59:27 +0000 https://reactahealthcare-com.lyricalstaging.com/?p=842 ]]>

What Are Oral Food Challenges?

An Oral Food Challenge (OFC) is a diagnostic test use to confirm or rule out food allergies. The process involves the ingestion of a suspected food allergen in incremental quantities under close clinical supervision. [1]

Why are OFCs Used?

OFCs are performed when a patient’s history and various tests, such as a skin prick test (SPT) or specific IgE tests provided inconclusive results. OFC are a well-established diagnostic tool in determining whether a food allergy persists or has resolved. [2]

Guidelines

The European Academy of Allergy and Clinical Immunology (EAACI) and the British Society for Allergy & Clinical Immunology (BSACI) are some examples for guidelines that help standardise the safe administration of OFCs – these detail preparation steps, dosing protocols and emergency management [3, 4]

Methods Explained

The most common methods for administering OFC are the following:

  • www.hyjliao.com www.hyjliao.com www.hyjliao.com Single-Blind Placebo-Controlled Food Challenge (SBPCFC). The patient are not aware whether they are receiving the allergen or a placebo, only the clinician has knowledge of this. This method is used when subjective symptoms may influence the outcome – useful for anxious children or adults who are concerned about being exposed to a certain allergenic food [5]
  • www.hyjliao.com www.hyjliao.com www.hyjliao.com Double-Blind Placebo-Controlled Food Challenge (DBPCFC). In this method both the patient and the clinician are unaware whether the administered food contains allergen or it is a placebo. This approach helps rule out reporting and measurement bias from the observer and psychological effects from the patient. For research purposes, double-blinded food challenges are still considered the gold standard in diagnosing and confirming food allergies [6]
  • www.hyjliao.com www.hyjliao.com www.hyjliao.com Open food challenges are the process of choice when the patients are experiencing objective symptoms, such as angioedema – sudden swelling of body parts (e.g. face, hands) as a result of viral infection. [7]

Subjective Symptoms

These are difficult to interpret given that they are based on personal opinions and feelings rather than facts. Some of the symptoms may arise from the psychological impact of potential exposure to known allergens, resulting in stress and anxiety. [8]

  • www.hyjliao.com www.hyjliao.com www.hyjliao.com Examples: nausea, irritability, sleeplessness, excitement, apprehension, change of mood/behaviour

Objective Symptoms

These symptoms are more reliable as a marker of body’s reaction to an allergen – they can be observed directly as they physically manifest and are usually obvious. [8]

  • www.hyjliao.com www.hyjliao.com www.hyjliao.com Examples: flushing, worsening of eczema, vomiting, blood pressure changes, respiratory difficulties

Confirming a positive food challenge

To confirm a positive diagnosis to an allergen, the OFC process must present with at least 1 of the major criteria or 2 or more of the minor criteria listed below. Some examples of these:

  • www.hyjliao.com www.hyjliao.com www.hyjliao.com Major criteria: hives appearing on more than 3 sites, emergence of angio-oedema, wheezing, dyspnoea and aphonia
  • www.hyjliao.com www.hyjliao.com www.hyjliao.com Minor criteria: some sneezing and congestion, nausea and/or vomiting for under 20 minutes, anxiety, distress, drowsiness [8, 9]

Pros and Cons of OFCs

Positives:

  • Highly accurate diagnosis, low risk of bias with double-blind procedures – essential for guiding dietary management​. [2]
  • Helps reduce unnecessary food avoidance, improving nutritional status and quality of life​.[3]
  • Can provide peace of mind and clarify tolerance levels​. Reduced anxiety around accidental exposure occurring. [3]

Negatives:

  • Substantial risk of severe reactions to known allergens including anaphylaxis​. [2]
  • Emotional distress for patients, especially children​.[3]
  • Time-consuming and resource-intensive​. Highly trained clinical staff are required to observe patients during trial. [6]
  • Conditions during OFC may not reflect real-life scenarios where accidental exposure may happen. [4]

 

Referenceswww.hyjliao.com

  1. www.hyjliao.com www.hyjliao.com www.hyjliao.com Panel, N.-S.E., Guidelines for the diagnosis and management of food allergy in the United States: report of the NIAID-sponsored expert panel. Journal of Allergy and Clinical Immunology, 2010. 126(6): p. S1-S58.
  2. www.hyjliao.com www.hyjliao.com www.hyjliao.com Nowak-Węgrzyn, A., et al., Work Group report: oral food challenge testing. Journal of Allergy and Clinical Immunology, 2009. 123(6): p. S365-S383.
  3. www.hyjliao.com www.hyjliao.com www.hyjliao.com Stiefel, G., et al., BSACI guideline for the diagnosis and management of peanut and tree nut allergy. Clinical & Experimental Allergy, 2017. 47(6): p. 719-739.
  4. www.hyjliao.com www.hyjliao.com www.hyjliao.com Muraro, A., et al., EAACI food allergy and anaphylaxis guidelines: diagnosis and management of food allergy. Allergy, 2014. 69(8): p. 1008-25.
  5. www.hyjliao.com www.hyjliao.com www.hyjliao.com Skypala, I. and C. Venter, Food Hypersensitivity: Diagnosing and Managing Food Allergies and Intolerance. 1 ed. 2009, Newark: John Wiley & Sons, Incorporated.
  6. www.hyjliao.com www.hyjliao.com www.hyjliao.com Sampson, H.A., et al., Standardizing double-blind, placebo-controlled oral food challenges: American Academy of Allergy, Asthma & Immunology–European Academy of Allergy and Clinical Immunology PRACTALL consensus report. Journal of Allergy and Clinical Immunology, 2012. 130(6): p. 1260-1274.
  7. www.hyjliao.com www.hyjliao.com www.hyjliao.com Venter, C., et al., Comparison of open and doubleâ€blind placeboâ€controlled food challenges in diagnosis of food hypersensitivity amongst children. Journal of human nutrition and dietetics, 2007. 20(6): p. 565-579.
  8. www.hyjliao.com www.hyjliao.com www.hyjliao.com Niggemann, B., When is an oral food challenge positive? Allergy, 2010. 65(1): p. 2-6.
  9. www.hyjliao.com www.hyjliao.com www.hyjliao.com Joan Gandy, J.G., Manual of Dietetic Practice. Sixth edition. ed. 2019, Newark: Wiley.
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