Evidence map›Paper›PMID 30569273›Full record

ArticleDiabetologia2019

Treatment of type 1 diabetes with teplizumab: clinical and immunological follow-up after 7 years from diagnosis.

Ana Luisa Perdigoto, Paula Preston-Hurlburt, Pamela Clark, S Alice Long, Peter S Linsley, Kristina M Harris, Steven E Gitelman, Carla J Greenbaum, Peter A Gottlieb, William Hagopian and 4 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Diabetologia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02067923 (ITN0127AI Autoimmunity-blocking Antibody for Tolerance in Recently Diagnosed Type 1 Diabetes), which is not on this 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
6.7field-weighted citation impact, top 3% 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.

NCT02067923 completednot on this map

ITN0127AI Autoimmunity-blocking Antibody for Tolerance in Recently Diagnosed Type 1 Diabetes (AbATE) Follow-Up Study

TypeobservationalSponsorYale UniversityRan2014 to 2016Enrolled44ConditionsDiabetes Mellitus, Type 1
3 · Its place in the literature

Who cites it

71 citing papers in PubMed, 2 syntheses or guidelines pooled it, 121 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Frontiers in endocrinology · 2023
    Trial
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  6. Trial
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Are We Ready With Prevention for Type 1 Diabetes?Diabetes/metabolism research and reviews · 2025
    Review
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 1 country.

Ana Luisa PerdigotoDivision of Endocrinology, Department of Internal Medicine, Yale University, New Haven, CT, USA.
Paula Preston-HurlburtDepartment of Immunobiology, Yale University, 300 George St, 353E, New Haven, CT, 06520, USA.
Pamela ClarkDepartment of Immunobiology, Yale University, 300 George St, 353E, New Haven, CT, 06520, USA.
S Alice LongBenaroya Research Institute at Virginia Mason, Seattle, WA, USA.
Peter S LinsleyBenaroya Research Institute at Virginia Mason, Seattle, WA, USA.
Kristina M HarrisImmune Tolerance Network, Biomarker & Discovery Research, Bethesda, MD, USA.
Steven E GitelmanDivision of Pediatric Endocrinology and Diabetes Center, University of California San Francisco, San Francisco, CA, USA.
Carla J GreenbaumBenaroya Research Institute at Virginia Mason, Seattle, WA, USA.
Peter A GottliebBarbara Davis Center for Childhood Diabetes, University of Colorado School of Medicine, Aurora, CO, USA.
William HagopianPacific Northwest Research Institute, Seattle, WA, USA.
Alyssa WoodwykDivision of Epidemiology or Biostatistics, Western Michigan University, Kalamazoo, MI, USA.
James DziuraDepartment of Emergency Medicine, Yale University, New Haven, CT, USA.
Kevan C HeroldDepartment of Immunobiology, Yale University, 300 George St, 353E, New Haven, CT, 06520, USA. kevan.herold@yale.edu.
Immune Tolerance Network
Virginia Mason Medical Center · USYale University · USPacific Northwest Diabetes Research Institute · USUniversity of California, San Francisco · USWestern Michigan University · US

Funding

Immune Tolerance Network UM1 2023 SupplementUM1AI109565 · NIAID · BENAROYA RESEARCH INST AT VIRGINIA MASON · PI Mark S Anderson, Jane Hoyt Buckner · 2014 to 2026
$451.6M
Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale Diabetes Research CenterP30DK045735 · NIDDK · YALE UNIVERSITY · PI Kevan C Herold, GERALD I SHULMAN · 1993 to 2026
$44.0M
Vector and Transgenic Mouse CoreP30DK017047 · NIDDK · UNIVERSITY OF WASHINGTON · PI Sakeneh Zraika · 1986 to 2026
$41.4M
Research BaseP30DK063720 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI VAISSE, CHRISTIAN · 2003 to 2019
$21.8M
Phase II Trial of HOKT3gamma 1 (ALA-ALA) in Type 1 DiabetesR01DK057846 · NIDDK · YALE UNIVERSITY · PI Kevan C Herold · 2000 to 2026
$11.1M
DIABETES MELLITUS &DISORDERS OF METABOLISMT32DK007058 · NIDDK · YALE UNIVERSITY · PI SONIA CAPRIO, Kevan C Herold · 1986 to 2026
$9.6M
Career Development Programs in Diabetes Research for Pediatrics EndocrinologistsK12DK094714 · NIDDK · YALE UNIVERSITY · PI TAMBORLANE, WILLIAM V · 2011 to 2020
$4.3M
Analysis of beta cell death in Type 1 diabetesDP3DK101122 · NIDDK · YALE UNIVERSITY · PI HEROLD, KEVAN C · 2013 to 2013
$807k
NCATS NIH HHS UL1 TR001863NIAID NIH HHS UM1 AI109565NIDDK NIH HHS DP3 DK101122NIDDK NIH HHS K12 DK094714NIDDK NIH HHS P30 DK017047NIDDK NIH HHS P30 DK045735NIDDK NIH HHS P30 DK063720NIDDK NIH HHS R01 DK057846NIDDK NIH HHS T32 DK007058
6 · The paper itself

Abstract

aims/hypothesisThe long-term effects of successful immune therapies for treatment of type 1 diabetes have not been well studied. The Autoimmunity-Blocking Antibody for Tolerance (AbATE) trial evaluated teplizumab, an Fc receptor non-binding humanised anti-CD3 monoclonal antibody in individuals with new-onset type 1 diabetes, and ended in 2011. Clinical drug-treated responders showed an increased frequency of 'partially exhausted' CD8

methodsParticipants with detectable C-peptide at year 2 of AbATE returned for follow-up. C-peptide responses were assessed by 4 h mixed-meal tolerance test. Autoantibodies and HbA

resultsFifty-six per cent of the original participants returned. Three of the original control group who did not return had lost all detectable C-peptide by the end of the 2 year trial. The C-peptide responses to a mixed-meal tolerance test were similar overall in the drug vs control group of participants but were significantly improved, with less loss of C-peptide, in drug-treated responders identified at 1 year. However, the improvements in C-peptide response were not associated with lower HbA CONCLUSIONS/

interpretationThese findings suggest there is reduced decline in C-peptide and persistent immunological responses up to 7 years after diagnosis of diabetes in individuals who respond to teplizumab.

trial registrationClinicalTrials.gov NCT02067923; the protocol is available at www.immunetolerance.org (ITN027AI).

Indexed as

AdolescentAdultAntibodies, Monoclonal, HumanizedArea Under CurveAutoimmunityCD3 ComplexCD8-Positive T-LymphocytesChildC-PeptideCytokinesDiabetes Mellitus, Type 1FemaleFollow-Up StudiesHumansHypoglycemic AgentsInsulinAntibodies, Monoclonal, HumanizedCD3 ComplexC-PeptideCytokinesHypoglycemic AgentsInsulinteplizumabAnergyAnti-CD3C-peptideExhaustionT cellsTeplizumabType 1 diabetes

Identifiers

PMID30569273
PMCPMC6402971
OpenAlexW2904763939

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.