Review Article

Therapeutic Efficacy of Flavonoids in Allergies: A Systematic Review of Randomized Controlled Trials

Table 1

Baseline characteristics of the randomized controlled trials included in the systematic review.

Author, yearCountryStudy designSample size (interv./placebo)Sex (♂/♀)Range age (mean years)Allergic diseaseInterventionDose/dayStudy duration (wk)

Lau et al., 2004USAParallel28/26NA6-18 (14)AsthmaPycnogenol®105 mg13 wk
Kishi et al., 2005JapanParallel18/1836/020-64 (NA)Cedar pollinosisApple polyphenol500 mg12 wk
Enomoto et al., 2006JapanParallel22/119/2415-65 (35)Allergic rhinitisApple polyphenol50 mg
200 mg
4 wk
Yoshimura et al., 2007JapanParallel17/1614/1918-56 (35)Allergic rhinitisTomato extract360 mg8 wk
Watson et al., 2008IranParallel22/2116/2718-60 (36)AsthmaPurple passion fruit peel extract150 mg4 wk
Corren et al., 2008USACrossover16NA18-65 (38)Allergic rhinitisClearGuard™1350 mg3 d
Kawai et al., 2009JapanParallel10/1016/4NA (39)Cedar pollinosisEnzymatically modified isoquercitrin100 mg8 wk
Hirano et al., 2009JapanParallel12/1219/5NA (36)Cedar pollinosisEnzymatically modified isoquercitrin100 mg8 wk
Wilson et al., 2010CanadaParallel30/3021/3918-65 (44)Allergic rhinitisPycnogenol®100 mg3-8 wk
Bakhshaee et al., 2011IranParallel30/3023/37NA (29)Allergic rhinitisSilymarin420 mg4.3 wk
Smith et al., 2015USAParallel193/193132/25417-49 (34)AsthmaSoy isoflavone100 mg24 wk
Mehrbani et al., 2015IranParallel24/186/36NA (28)Atopic dermatitisWhey+dodder seed extract2000 mg4.28 wk
Patrizi et al., 2016ItalyParallel20/1913/266-69 (27)Atopic dermatitisVitamin E, EGCG, and grape seed procyanidins (MD2011001)NA4 wk
Marseglia et al., 2019ItalyParallel64/64NA6-12 (9)Allergic rhinitisLertal®150 mg4-12 wk
Arpornchayanon et al., 2019ThailandParallel8/85/1118-65 (43)Allergic rhinitisShallot extract3 g4 wk

Abbreviations: wk: week; d: day; NA: not available or unclear; USA: United States of America; ♂: male; ♀: female; PEF: peak expiratory flow; Pycnogenol®: mixture of water-soluble bioflavonoids extracted from the bark of French maritime pine (Pinus pinaster Aiton); ClearGuard™ combination botanical product: cinnamon (Cinnamomum zeylanicum) bark extract, acerola (Malpighia glabra) fruit concentrate, and Spanish needles (Bidens pilosa); EGCG: epigallocatechin gallate; Lertal®: quercetin 150 mg, Perilla frutescens 80 mg (as dry extract of the seeds containing rosmarinic acid, luteolin, apigenin, and chrysoeriol), and vitamin D3 5 mcg (200 IU). Dose considering the average weight of a teen (47.6 kg).