Evidence map›Paper›PMID 31192505›Full record

Trial reportPediatric diabetes2019

Identification of infants with increased type 1 diabetes genetic risk for enrollment into Primary Prevention Trials-GPPAD-02 study design and first results.

Christiane Winkler, Florian Haupt, Martin Heigermoser, Jose Zapardiel-Gonzalo, Jasmin Ohli, Theresa Faure, Evdokia Kalideri, Angela Hommel, Petrina Delivani, Reinhard Berner and 18 more

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Pediatric diabetes, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
4.5field-weighted citation impact, top 5% 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.

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

43 citing papers in PubMed, 56 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Determinants of Infant Participation and Non-Participation in Primary Prevention Trials.Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme · 2026
    Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Genetic risk in extremely early onset type 1 diabetes.medRxiv : the preprint server for health sciences · 2025
    Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Actionability of Genetic Variants in Diabetes: Core Aspects and Applied Examples.Diabetes spectrum : a publication of the American Diabetes Association · 2025
    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

28 authors at 12 institutions in 5 countries.

Christiane WinklerInstitute of Diabetes Research, Helmholtz Zentrum München, German Research Center for Environmental Health, Munich, Germany.ORCID 0000-0002-7606-3687
Florian HauptInstitute of Diabetes Research, Helmholtz Zentrum München, German Research Center for Environmental Health, Munich, Germany.
Martin HeigermoserInstitute of Diabetes Research, Helmholtz Zentrum München, German Research Center for Environmental Health, Munich, Germany.
Jose Zapardiel-GonzaloInstitute of Diabetes Research, Helmholtz Zentrum München, German Research Center for Environmental Health, Munich, Germany.
Jasmin OhliInstitute of Diabetes Research, Helmholtz Zentrum München, German Research Center for Environmental Health, Munich, Germany.
Theresa FaureInstitute of Diabetes Research, Helmholtz Zentrum München, German Research Center for Environmental Health, Munich, Germany.
Evdokia KalideriInstitute of Diabetes Research, Helmholtz Zentrum München, German Research Center for Environmental Health, Munich, Germany.
Angela HommelFaculty of Medicine, Center for Regenerative Therapies Dresden (CRTD), Technische Universität Dresden, Dresden, Germany.
Petrina DelivaniFaculty of Medicine, Center for Regenerative Therapies Dresden (CRTD), Technische Universität Dresden, Dresden, Germany.
Reinhard BernerDepartment of Pediatrics, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Olga KordonouriHannoversche Kinderheilanstalt, Kinder- und Jugendkrankenhaus AUF DER BULT, Hannover, Germany.
Frank RoloffHannoversche Kinderheilanstalt, Kinder- und Jugendkrankenhaus AUF DER BULT, Hannover, Germany.
Thekla von dem BergeHannoversche Kinderheilanstalt, Kinder- und Jugendkrankenhaus AUF DER BULT, Hannover, Germany.
Karin LangeDepartment of Medical Psychology, Hannover Medical School, Hannover, Germany.
Mariusz OltarzewskiInstitute of Mother and Child, Warsaw, Poland.
Ryszard GlabInstitute of Mother and Child, Warsaw, Poland.
Agnieszka SzypowskaDepartment of Paediatrics, Medical University of Warsaw, Warsaw, Poland.
Matthew D SnapeDepartment of Paediatrics, NIHR Oxford Biomedical Research Centre, University of Oxford, Oxford, UK.
Manu VatishNuffield Department of Women's & Reproductive Health, University of Oxford, Oxford, UK.
John A ToddNuffield Department of Medicine, Wellcome Centre for Human Genetics, University of Oxford, Oxford, UK.
Helena E LarssonUnit for Pediatric Endocrinology, Department of Clinical Sciences Malmö, Lund University, Lund, Sweden.ORCID 0000-0003-3306-1742
Anita RameliusLund University, Lund, Sweden.
Jeanette Å KördelLund University, Lund, Sweden.
Kristina CasteelsDepartment of Pediatrics, University Hospitals Leuven, Leuven, Belgium.
Jasmin PaulusDepartment of Pediatrics, University Hospitals Leuven, Leuven, Belgium.
Anette G ZieglerInstitute of Diabetes Research, Helmholtz Zentrum München, German Research Center for Environmental Health, Munich, Germany.
Ezio BonifacioFaculty of Medicine, Center for Regenerative Therapies Dresden (CRTD), Technische Universität Dresden, Dresden, Germany.
GPPAD Study Group
Helmholtz Zentrum München · DEKinderkrankenhaus auf der Bult · DELund University · SETechnische Universität Dresden · DEKU Leuven · BEMother and Child Foundation · GBUniversity of Oxford · GBCentre for Human Genetics · GBMedical University of Warsaw · PLMedizinische Hochschule Hannover · DETUM Klinikum · DEUniversity Hospital Carl Gustav Carus · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Primary prevention of type 1 diabetes (T1D) requires intervention in genetically at-risk infants. The Global Platform for the Prevention of Autoimmune Diabetes (GPPAD) has established a screening program, GPPAD-02, that identifies infants with a genetic high risk of T1D, enrolls these into primary prevention trials, and follows the children for beta-cell autoantibodies and diabetes. Genetic testing is offered either at delivery, together with the regular newborn testing, or at a newborn health care visits before the age of 5 months in regions of Germany (Bavaria, Saxony, Lower Saxony), UK (Oxford), Poland (Warsaw), Belgium (Leuven), and Sweden (Region Skåne). Seven clinical centers will screen around 330 000 infants. Using a genetic score based on 46 T1D susceptibility single-nucleotide polymorphisms (SNPs) or three SNPS and a first-degree family history for T1D, infants with a high (>10%) genetic risk for developing multiple beta-cell autoantibodies by the age of 6 years are identified. Screening from October 2017 to December 2018 was performed in 50 669 infants. The prevalence of high genetic risk for T1D in these infants was 1.1%. Infants with high genetic risk for T1D are followed up and offered to participate in a randomized controlled trial aiming to prevent beta-cell autoimmunity and T1D by tolerance induction with oral insulin. The GPPAD-02 study provides a unique path to primary prevention of beta-cell autoimmunity in the general population. The eventual benefit to the community, if successful, will be a reduction in the number of children developing beta-cell autoimmunity and T1D.

Indexed as

Genetic TestingPatient SelectionAutoantibodiesAutoimmunityDiabetes Mellitus, Type 1EuropeFemaleGenetic Predisposition to DiseaseHumansInfantInfant, NewbornIslets of LangerhansMaleNeonatal ScreeningPolymorphism, Single NucleotidePreliminary DataAutoantibodiesbeta-cell autoantibodiesgenetic risk for type 1 diabetestype 1 diabetes

Identifiers

PMID31192505
PMCPMC6851563
OpenAlexW2949088599

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.