Evidence map›Paper›PMID 19931408›Full record

Trial reportJournal of autoimmunity2010

Autoantigen-specific regulatory T cells induced in patients with type 1 diabetes mellitus by insulin B-chain immunotherapy.

Tihamer Orban, Klara Farkas, Heyam Jalahej, Janos Kis, Andras Treszl, Ben Falk, Helena Reijonen, Joseph Wolfsdorf, Alyne Ricker, Jeffrey B Matthews and 3 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in Journal of autoimmunity, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00057499 (Autoantigen Vaccination in Human Type 1 Newly Diagnosed Diabetes Mellitus), which is not on this map. Cited by 58 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 1 pooled it
9.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00057499 phase1completednot on this map

Autoantigen Vaccination in Human Type 1 Newly Diagnosed Diabetes Mellitus

TypeinterventionalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2003 to 2007Enrolled12ConditionsInsulin-dependent Diabetes Mellitus, Diabetes MellitusArmsIBC-VS01, IBC-VS01 placebo
3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 1 synthesis or guideline pooled it, 122 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Cell-based therapies for the treatment of rheumatoid arthritis.Immunity, inflammation and disease · 2023
    Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. Review
  16. Review
  17. Why Don't We Have a Vaccine Against Autoimmune Diseases? - A Review.Journal of clinical & cellular immunology · 2019
    Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 7 institutions in 3 countries.

Tihamer OrbanJoslin Diabetes Center, Boston, MA 02215, USA. torban@joslin.harvard.edu <torban@joslin.harvard.edu>
Klara Farkas
Heyam Jalahej
Janos Kis
Andras Treszl
Ben Falk
Helena Reijonen
Joseph Wolfsdorf
Alyne Ricker
Jeffrey B Matthews
Nadio Tchao
Peter Sayre
Pete Bianchine
Joslin Diabetes Center · USImmune Tolerance Network · USBenaroya Research InstituteChildren's Hospital · TNInstitut für Medizinische Informatik, Biometrie und Epidemiologie · DENational Institute of Allergy and Infectious Diseases · USVirginia Mason Medical Center · US

Funding

ZINC STATUS AND T CELL DISORDER IN MILD HUMAN ZINC DEFICIENCYM01RR001032 · NCRR · BETH ISRAEL DEACONESS MEDICAL CENTER · PI PASCUAL-LEONE, ALVARO · 1985 to 2008
$32.3M
WIRELESS CAPSULE ENDOSCOPY TO EVALUATE THE SMALL INTESTINE M01RR002172 · NCRR · CHILDREN'S HOSPITAL BOSTON · PI MANDELL, JAMES WILLIAM · 1985 to 2008
$16.0M
NCRR NIH HHS M01 RR001032NCRR NIH HHS M01 RR002172PHS HHS N01-A1-15416 NIH/NIAID
6 · The paper itself

Abstract

There is a growing body of evidence to suggest that the autoimmunity observed in type 1 diabetes mellitus (T1DM) is the result of an imbalance between autoaggressive and regulatory cell subsets. Therapeutics that supplement or enhance the existing regulatory subset are therefore a much sought after goal in this indication. Here, we report the results of a double blind, placebo controlled, phase I clinical trial of a novel antigen-specific therapeutic in 12 subjects with recently diagnosed T1DM. Our primary objective was to test its safety. The study drug, human insulin B-chain in incomplete Freund's adjuvant (IFA) was administered as a single intramuscular injection, with subjects followed for 2 years. All subjects completed therapy and all follow-up visits. The therapy was generally safe and well-tolerated. Mixed meal stimulated C-peptide responses, measured every 6 months, showed no statistical differences between arms. All patients vaccinated with the autoantigen, but none who received placebo, developed robust insulin-specific humoral and T cell responses. Up to two years following the single injection, in peripheral blood from subjects in the experimental arm, but not the control arm, insulin B-chain-specific CD4+ T cells could be isolated and cloned that showed phenotypic and functional characteristics of regulatory T cells. The induction of a lasting, robust immune response generating autoantigen-specific regulatory T cells provides strong justification for further testing of this therapy in type 1 diabetes. (clinicaltrials.gov identifier NCT00057499).

Indexed as

AdolescentAdultAutoantigensAutoimmunityCell ProliferationClone CellsDiabetes Mellitus, Type 1Double-Blind MethodHumansImmunotherapyInsulinT-Lymphocytes, RegulatoryTreatment OutcomeVaccinationYoung AdultAutoantigensInsulin

Identifiers

PMID19931408
PMCPMC2860016
OpenAlexW2149211656

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.