Evidence map›Paper›PMID 35073398›Full record

Trial reportDiabetes2022

Immune and Metabolic Effects of Antigen-Specific Immunotherapy Using Multiple β-Cell Peptides in Type 1 Diabetes.

Yuk-Fun Liu, Jake Powrie, Sefina Arif, Jennie H M Yang, Evangelia Williams, Leena Khatri, Mamta Joshi, Loic Lhuillier, Nikolaos Fountoulakis, Emma Smith and 4 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetes, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

16 citing papers in PubMed, 20 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Observational
  5. Review
  6. Article
  7. Review
  8. Review
  9. Epitope-based precision immunotherapy of Type 1 diabetes.Human vaccines & immunotherapeutics · 2023
    Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. Review
  15. Self-Antigens Targeted by Regulatory T Cells in Type 1 Diabetes.International journal of molecular sciences · 2022
    Review
  16. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 3 countries.

Yuk-Fun LiuDepartment of Diabetes, School of Life Course Sciences, King's College London, London, U.K.
Jake PowrieDepartment of Diabetes and Endocrinology, Guy's and St. Thomas' NHS Foundation Trust, London, U.K.
Sefina ArifDepartment of Immunobiology, School of Immunology and Microbial Sciences, King's College London, London, U.K.
Jennie H M YangDepartment of Immunobiology, School of Immunology and Microbial Sciences, King's College London, London, U.K.
Evangelia WilliamsDepartment of Immunobiology, School of Immunology and Microbial Sciences, King's College London, London, U.K.
Leena KhatriDepartment of Immunobiology, School of Immunology and Microbial Sciences, King's College London, London, U.K.
Mamta JoshiDepartment of Diabetes and Endocrinology, Guy's and St. Thomas' NHS Foundation Trust, London, U.K.
Loic LhuillierDepartment of Immunobiology, School of Immunology and Microbial Sciences, King's College London, London, U.K.
Nikolaos FountoulakisDepartment of Diabetes and Endocrinology, Guy's and St. Thomas' NHS Foundation Trust, London, U.K.
Emma SmithUCB Celltech, Slough, U.K.
Craig BeamDepartment of Biomedical Sciences, Homer Stryker MD School of Medicine, Western Michigan University, Kalamazoo, MI.ORCID 0000-0002-8772-7661
Anna LorencDepartment of Immunobiology, School of Immunology and Microbial Sciences, King's College London, London, U.K.
Mark PeakmanDepartment of Diabetes, School of Life Course Sciences, King's College London, London, U.K.
Timothy TreeDepartment of Immunobiology, School of Immunology and Microbial Sciences, King's College London, London, U.K.ORCID 0000-0002-6973-5377
King's College London · GBGuy's and St Thomas' NHS Foundation Trust · GBUCB Pharma (United Kingdom) · GBWestern Michigan University · US

Funding

Department of Health
6 · The paper itself

Abstract

Type 1 diabetes is characterized by a loss of tolerance to pancreatic β-cell autoantigens and defects in regulatory T-cell (Treg) function. In preclinical models, immunotherapy with MHC-selective, autoantigenic peptides restores immune tolerance, prevents diabetes, and shows greater potency when multiple peptides are used. To translate this strategy into the clinical setting, we administered a mixture of six HLA-DRB1*0401-selective, β-cell peptides intradermally to patients with recent-onset type 1 diabetes possessing this genotype in a randomized placebo-controlled study at monthly doses of 10, 100, and 500 μg for 24 weeks. Stimulated C-peptide (measuring insulin functional reserve) had declined in all placebo subjects at 24 weeks but was maintained at ≥100% baseline levels in one-half of the treated group. Treatment was accompanied by significant changes in islet-specific immune responses and a dose-dependent increase in Treg expression of the canonical transcription factor FOXP3 and changes in Treg gene expression. In this first-in-human study, multiple-peptide immunotherapy shows promise as a strategy to correct immune regulatory defects fundamental to the pathobiology of autoimmune diabetes.

Indexed as

Diabetes Mellitus, Type 1AutoantigensHumansImmunologic FactorsImmunotherapyPeptidesT-Lymphocytes, RegulatoryAutoantigensImmunologic FactorsPeptides

Identifiers

PMID35073398
PMCPMC8965665
OpenAlexW4207008708

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.