Evidence map›Paper›PMID 27669730›Full record

Trial reportDiabetes2016

Antithymocyte Globulin Plus G-CSF Combination Therapy Leads to Sustained Immunomodulatory and Metabolic Effects in a Subset of Responders With Established Type 1 Diabetes.

Michael J Haller, Stephen E Gitelman, Peter A Gottlieb, Aaron W Michels, Daniel J Perry, Andrew R Schultz, Maigan A Hulme, Jonathan J Shuster, Baiming Zou, Clive H Wasserfall and 5 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetes, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 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

52 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Frontiers in endocrinology · 2023
    Trial
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. New and emerging therapies in type 1 diabetes mellitus.The Journal of clinical investigation · 2026
    Review
  9. Review
  10. Are We Ready With Prevention for Type 1 Diabetes?Diabetes/metabolism research and reviews · 2025
    Review
  11. Review
  12. Article
  13. The immunology of type 1 diabetes.Nature reviews. Immunology · 2024
    Review
  14. Review
  15. Therapeutic Antibodies in Medicine.Molecules (Basel, Switzerland) · 2023
    Review
  16. Article
  17. Article
  18. Prevention of Type 1 Diabetes in Children: A Worthy Challenge?International journal of environmental research and public health · 2023
    Review
  19. Article
  20. Review
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

15 authors.

Michael J HallerDepartment of Pediatrics, University of Florida, Gainesville, FL hallemj@peds.ufl.edu.
Stephen E GitelmanDepartment of Pediatrics, University of California, San Francisco, San Francisco, CA.
Peter A GottliebDepartment of Pediatrics and Medicine, University of Colorado, Denver, CO.
Aaron W MichelsDepartment of Pediatrics and Medicine, University of Colorado, Denver, CO.
Daniel J PerryDepartment of Pathology, Immunology and Laboratory Medicine, University of Florida, Gainesville, FL.
Andrew R SchultzDepartment of Pathology, Immunology and Laboratory Medicine, University of Florida, Gainesville, FL.
Maigan A HulmeDepartment of Biomedical Engineering, University of Florida, Gainesville, FL.
Jonathan J ShusterDepartment of Health Outcomes and Policy, University of Florida, Gainesville, FL.
Baiming ZouDepartment of Biostatistics, University of Florida, Gainesville, FL.
Clive H WasserfallDepartment of Pathology, Immunology and Laboratory Medicine, University of Florida, Gainesville, FL.
Amanda L PosgaiDepartment of Pathology, Immunology and Laboratory Medicine, University of Florida, Gainesville, FL.
Clayton E MathewsDepartment of Pathology, Immunology and Laboratory Medicine, University of Florida, Gainesville, FL.
Todd M BruskoDepartment of Pathology, Immunology and Laboratory Medicine, University of Florida, Gainesville, FL.
Mark A AtkinsonDepartment of Pediatrics, University of Florida, Gainesville, FL.
Desmond A SchatzDepartment of Pediatrics, University of Florida, Gainesville, FL.

Funding

Engaging University of California Stakeholders for Biorespository ResearchUL1TR000004 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRANDIS, JENNIFER RUBIN · 2012 to 2015
$78.0M
Using social networks to map and evaluate team science across CTSA hubsUL1TR001427 · NCATS · UNIVERSITY OF FLORIDA · PI MITCHELL, DUANE A. · 2015 to 2024
$37.2M
Project 3P01AI042288 · NIAID · UNIVERSITY OF FLORIDA · PI Todd Michael Brusko · 1997 to 2026
$32.9M
Research BaseP30DK063720 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI VAISSE, CHRISTIAN · 2003 to 2019
$21.8M
NCATS NIH HHS UL1 TR000004NCATS NIH HHS UL1 TR001427NIAID NIH HHS P01 AI042288NIDDK NIH HHS P30 DK063720
6 · The paper itself

Abstract

Low-dose antithymocyte globulin (ATG) plus pegylated granulocyte colony-stimulating factor (G-CSF) preserves β-cell function for at least 12 months in type 1 diabetes. Herein, we describe metabolic and immunological parameters 24 months following treatment. Patients with established type 1 diabetes (duration 4-24 months) were randomized to ATG and pegylated G-CSF (ATG+G-CSF) (N = 17) or placebo (N = 8). Primary outcomes included C-peptide area under the curve (AUC) following a mixed-meal tolerance test (MMTT) and flow cytometry. "Responders" (12-month C-peptide ≥ baseline), "super responders" (24-month C-peptide ≥ baseline), and "nonresponders" (12-month C-peptide < baseline) were evaluated for biomarkers of outcome. At 24 months, MMTT-stimulated AUC C-peptide was not significantly different in ATG+G-CSF (0.49 nmol/L/min) versus placebo (0.29 nmol/L/min). Subjects treated with ATG+G-CSF demonstrated reduced CD4

Indexed as

AdolescentAdultAntilymphocyte SerumArea Under CurveCD4-Positive T-LymphocytesCD56 AntigenCD8-Positive T-LymphocytesChildC-PeptideDiabetes Mellitus, Type 1FemaleForkhead Transcription FactorsGranulocyte Colony-Stimulating FactorHumansImmunologic FactorsKiller Cells, NaturalAntilymphocyte SerumCD56 AntigenC-PeptideCXCR3 protein, humanForkhead Transcription FactorsFOXP3 protein, humanGranulocyte Colony-Stimulating FactorImmunologic Factorspegylated granulocyte colony-stimulating factorPolyethylene GlycolsReceptors, CXCR3Receptors, IgGRecombinant Proteins

Identifiers

PMID27669730
PMCPMC5127248

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.