“…The test article consists of pollen extract from 13 species of grass chemically modified with glutaraldehyde (forming an allergoid) adsorbed to L-tyrosine, a naturally occurring amino acid in a microcrystalline form with the addition of the adjuvant MPL ® , a detoxified derivative of lipid A of Salmonella minnesota R595. It has been shown that modification of allergen to allergoid reduces IgE reactivity with retention of IgG binding epitopes as shown from immunoreactivity and structural analysis testing with single or multiple mix grass allergoids (Moran, Wheeler, Overell, & Woroniecki, 1977;Starchenka, Bell, Mwange, Skinner, & Heath, 2017). Adjuvant use of microcrystalline tyrosine (MCT) allows controlled slow release of allergoid resulting in reduced incidence of local IgE-mediated allergic responses, while prolonging the antigenic response of the therapy (Leuthard et al, 2018).…”