CHAMGAP
VERIFIEDPassed the Codex final verification and publication gate. Evidence-verification cutoff: 2026-08-08. AI was used for research and drafting; the existence of all 5 cited sources was verified at the original page, followed by blind grading, adversarial audit, and build validation. Methodology v1.0.
Verdict No. 2464 · Search date 2026-08-08 · Methodology v1.0

House-dust-mite SLIT tablet,
does it really help with Reduced combined allergic-rhinitis symptoms and rescue-medication use?

30-Second Summary
C
Evidence Grade C · 46 · Safety caution
The symptom-plus-medication contrast was small and withdrawal was higher with active treatment
Oral itching, lip or mouth swelling, and throat irritation are common; systemic allergic reactions and anaphylaxis can occur rarely. The first dose requires medical supervision, and uncontrolled asthma or acute oral wounds require label-directed precautions.
What the
research shows
The grade is C. In 992-participant European MT-06, the final eight-week symptom-plus-medication score was 5.71 with 12 SQ-HDM versus 6.81 with placebo: difference -1.09 (95% CI -1.84 to -0.35). Approximate standardization from the interval and sample sizes gives Cohen d near 0.22, below the 0.5 medium-effect convention. Overall withdrawal was 20.7% and differential, 24.2% active versus 17.2% placebo, giving C with 46 points.
What the
ads claim
ACARIZAX 12 SQ-HDM is a prescription product in Korea and should be initiated after confirming mite allergy and clinical suitability. It is not an over-the-counter wellness tablet; first dosing requires supervision capable of managing a severe allergic reaction.
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Useful facts when choosing a product

  • 12 SQ-HDM contains allergen extracts from D. pteronyssinus and D. farinae in a rapidly dissolving sublingual tablet.
  • TCRS combines rhinitis symptom and rescue-medication scores.
  • Pivotal MT-06 and P001 evidence came from the ALK-Merck development ecosystem.
ID

Chamgap Semantic Classification Code

Candidate index · review held

S.12-sq-hdm-house-dust-mite-sublingual-immunotherapy-tablet.sublingual.combined-allergic-rhinitis-symptoms-and-rescue-medication-use.reduce.placebo

Supplements and nutraceuticals > 12 SQ-HDM house-dust-mite sublingual immunotherapy tablet > Sublingual > combined allergic-rhinitis symptoms and rescue-medication use > Reduction claim > Placebo

An automated migration candidate, not an issued permanent code; exact claim scope remains under review. This machine-generated migration candidate helps retrieval but is not a permanent assignment. The original verdict ID and URL remain authoritative.

Download semantic index (JSON) · Codebook v1

Gap Measurement · Verdict 2464 · C 46
What advertising claims
What independent, higher-quality research supports
△ GAP
01

What the research actually shows

MT-06 randomized 992 European adults to placebo (338), 6 SQ-HDM (336), or 12 SQ-HDM (318) for about 52 weeks. Overall withdrawal was 205/992 (20.7%), with differential loss of 77/318 (24.2%) on 12 SQ-HDM versus 58/338 (17.2%) on placebo. This differential withdrawal is the avoidable defect. Participants, investigators, and sponsor staff were blinded. P001 was directionally consistent but remained in the ALK-Merck development network. Manufacturer relationships were used only for independence and were not counted again as a withdrawal defect. MT-06 states 'Supported by ALK, Hørsholm, Denmark.'

02

Why this is classified as C (46)

The one-year placebo contrast was approximately d=0.22, below Cohen's medium-effect convention, and overall 20.7% differential withdrawal gives C with 46 points.

Counterpoint. A modest average effect may still matter to selected patients with medication-resistant symptoms, but it does not establish that a validated clinical threshold was exceeded.

Rejudgment record. Cross-check applied — Approximate Cohen d 0.22 for TCRS and differential withdrawal of 20.7% overall, 24.2% active versus 17.2% placebo; regulatory gates excluded as grade grounds

Stored scoring profile
EndpointPSymptom or function itself is the target - including patient reports and performance tests
ReplicationR1Single confirmatory trial
IndependenceI0Evidence comes only from manufacturer studies
Effect sizeE~Statistically positive but below the threshold

Stored derived and displayed grades match; this is not a current recalculation or validity check (C).

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Sub-claim grades by effect

This ingredient is marketed for several effects. A single overall grade blends strong and weak claims together, so each effect is graded separately here. The overall grade reflects the strongest disconfirming or core claim.

Effect (sub-claim)GradeBasis
Reduced combined symptom-plus-medication scoreCThe difference was -1.09 points, a 16.1% reduction and approximate d of 0.22.
Reduced rhinitis symptom scoreCObserved-data relative reduction was 16.2%.
Reduced rescue-medication scoreCObserved-data relative reduction was 21.4%, with a wide 3.2% to 36.6% interval.
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Cross-check — AI research and Codex final gate

AI was used for research and drafting. Blind grading, adversarial audit, and the methodology boundary rules were then reapplied before Codex performed the final evidence, grade, copy, and build checks. If a grade cannot be narrowed, both evidence positions and their reasons are published.
03

Evidence Table

StudyDesignSampleFundingEndpointResultWeight
Demoly et al. MT-06 2016Double-blind three-arm placebo-controlled phase 3 trial in 12 European countries992: placebo 338, 6 SQ-HDM 336, 12 SQ-HDM 318; full analysis with multiple imputationPaper wording: 'Supported by ALK, Hørsholm, Denmark.'Primary: average TCRS during the final eight weeks of one-year treatment12 SQ-HDM 5.71 versus placebo 6.81; difference -1.09 (95% CI -1.84 to -0.35), relative reduction 16.1% (5.7% to 25.8%)Pivotal manufacturer trial; the regulatory 20% gate was not used for grading
Nolte et al. P001 2016North American double-blind placebo-controlled phase 3 trial1,482 randomized; label analysis 566 active and 620 placeboMerck & Co./ALK-Abelló development programPrimary: average TCRS during the final eight weeks4.10 versus 4.95; difference -0.80, relative reduction 17.2% (95% CI 9.7% to 25.0%)Directionally consistent trial from the same manufacturer ecosystem
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Receipt — 5 References

All 5 cited sources were verified for existence at the original page (as of 2026-08-08).

Demoly P, Emminger W, Rehm D, Backer V, Tommerup L, Kleine-Tebbe J. Effective treatment of house dust mite-induced allergic rhinitis with 2 doses of the SQ HDM SLIT-tablet. J Allergy Clin Immunol. 2016;137(2):444-451.e8. PMID: 26292778. DOI: 10.1016/j.jaci.2015.06.036. NCT01454544.
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Nolte H, Bernstein DI, Nelson HS, et al. Efficacy of house dust mite sublingual immunotherapy tablet in North American adolescents and adults. J Allergy Clin Immunol. 2016;138(6):1631-1638. PMID: 27521719. DOI: 10.1016/j.jaci.2016.06.044. NCT01700192.
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US FDA. Clinical Review Memorandum: ODACTRA. February 24, 2017.
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Cohen J. Statistical Power Analysis for the Behavioral Sciences. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum Associates; 1988.
checked
Reference 5
checked
Research and draft: AI used · Cross-check: blind grading and adversarial audit
Final verification and publication gate: Codex · Evidence date: 2026-08-08 · Corrections: none
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Cite this verdict

House-dust-mite SLIT tablet x reduced rhinitis symptoms and rescue medication Evidence Grade C card
[Chamgap] House-dust-mite SLIT tablet x reduced rhinitis symptoms and rescue medication — Evidence Grade C·46. 5 cited sources checked. Source: https://chamgap.com/en/verdicts/immunity/house-dust-mite-slit-tablet-allergic-rhinitis-score/ · CC BY 4.0

CC BY 4.0 — free to use with attribution; do not distort grades, numbers, or verdict meaning.

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What this document does and does not do

Chamgap is an information source. It reports what research has and has not confirmed; it does not tell readers what to take or buy. That decision belongs to readers and, when needed, medical or legal professionals. This verdict reflects literature available up to the search date and may change as new research appears. Nothing here is medical advice.
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