Evidence map›Paper›PMID 26404927›Full record

ReviewDiabetes care2015

Defining pathways for development of disease-modifying therapies in children with type 1 diabetes: a consensus report.

Diane K Wherrett, Jane L Chiang, Alan M Delamater, Linda A DiMeglio, Stephen E Gitelman, Peter A Gottlieb, Kevan C Herold, Daniel J Lovell, Trevor J Orchard, Christopher M Ryan and 4 more

Abstract readReviewConsensus Statement
In one paragraph

Review in Diabetes care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

71 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
  3. Trial
  4. Trial
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Pediatric Type 1 Diabetes Care in Indonesia: A Review of Current Challenges and PracticeJournal of clinical research in pediatric endocrinology · 2025
    Review
  13. Review
  14. Article
  15. Review
  16. Article
  17. Review
  18. Review
  19. Article
  20. Review

11 more citing papers are in PubMed but not listed here.

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

14 authors.

Diane K WherrettDepartment of Pediatrics, University of Toronto, Toronto, Canada.
Jane L ChiangAmerican Diabetes Association, Alexandria, VA.
Alan M DelamaterDepartment of Pediatrics, University of Miami, Miami, FL.
Linda A DiMeglioDepartment of Pediatrics, Indiana University, Indianapolis, IN.
Stephen E GitelmanDepartment of Pediatrics, University of California, San Francisco, San Francisco, CA.
Peter A GottliebDepartments of Medicine and Pediatrics, University of Colorado, Denver, CO.
Kevan C HeroldDepartment of Immunobiology, Yale University, New Haven, CT.
Daniel J LovellDivision of Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Trevor J OrchardGraduate School of Public Health, University of Pittsburgh, Pittsburgh, PA.
Christopher M RyanDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA.
Desmond A SchatzDepartment of Pediatrics, University of Florida, Gainesville, FL.
David S WendlerDepartment of Bioethics, National Institutes of Health, Bethesda, MD.
Carla J GreenbaumDiabetes Research Program, Benaroya Research Institute, Seattle, WA cjgreen@benaroyaresearch.org.
Type 1 Diabetes TrialNet Study Group

Funding

Research BaseP30DK063720 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI VAISSE, CHRISTIAN · 2003 to 2019
$21.8M
Type I Diabetes Trialnet at StsnfordU01DK061042 · NIDDK · STANFORD UNIVERSITY · PI WILSON, DARRELL M · 2001 to 2018
$8.5M
Type 1 Diabetes-A Proposal for Prevention & InterventionU01DK085476 · NIDDK · UNIVERSITY OF MINNESOTA · PI MORAN, ANTOINETTE M. · 2009 to 2018
$7.1M
Prediction and Prevention of Type I DiabetesU01DK061058 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BECKER, DOROTHY J · 2001 to 2018
$6.5M
Type 1 Diabetes TrialNet: Toronto Clinical CenterU01DK107013 · NIDDK · HOSPITAL FOR SICK CHLDRN (TORONTO) · PI WHERRETT, DIANE K · 2015 to 2018
$1.8M
NIDDK NIH HHS P30 DK063720NIDDK NIH HHS U01 DK061042NIDDK NIH HHS U01 DK061058NIDDK NIH HHS U01 DK085476NIDDK NIH HHS U01 DK107013
6 · The paper itself

Abstract

Emerging data suggest that type 1 diabetes is a more aggressive disease in children than in adults, with important differences in pathophysiology and clinical course. Therefore, the efficacy of disease-modifying therapies may be different in the two populations. Understanding the developmental and regulatory pathways for type 1 diabetes-modifying therapies in children will enable industry, academia, funders, advocacy groups, and regulators to translate new science to clinical care. This consensus report characterizes the fundamental differences in type 1 diabetes between children and adults and proposes a thoughtful approach to better understand the development and regulatory pathways for type 1 diabetes therapies.

Indexed as

AdultAge FactorsChildClinical Trials as TopicCognition DisordersCost of IllnessDiabetes Mellitus, Type 1Disease ProgressionEthics, MedicalGlycated HemoglobinHumansHypoglycemic AgentsInsulinInsulin SecretionOrphan Drug ProductionQuality of LifeGlycated HemoglobinHypoglycemic AgentsInsulin

Identifiers

PMID26404927
PMCPMC4876737

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.