Evidence map›Paper›PMID 38117469›Full record

ArticleDiabetes care2024

Low-Dose Antithymocyte Globulin: A Pragmatic Approach to Treating Stage 2 Type 1 Diabetes.

Timothy P Foster, Laura M Jacobsen, Brittany Bruggeman, Chelsea Salmon, Jennifer Hosford, Angela Chen, Miriam Cintron, Clayton E Mathews, Clive Wasserfall, Maigan A Brusko and 4 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Diabetes care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06455319 (Precision Administration of Anti-thymocyte Globulin With or Without Verapamil in Adolescents and Young Adults With Type 1 Diabetes), which is not on this map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
4.4field-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.

NCT06455319 phase2recruitingnot on this mapstarted 2025, after this paper: background citation

Precision Administration of Anti-thymocyte Globulin With or Without Verapamil in Adolescents and Young Adults With Type 1 Diabetes

TypeinterventionalSponsorUniversity of FloridaRan2025 to 2030Enrolled60ConditionsType 1 DiabetesArmsAnti-thymocyte globulin (ATG), verapamil extended release capsule, Placebo
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Review
  8. Review
  9. 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

14 authors at 1 institution in 1 country.

Timothy P FosterDepartment of Pediatrics, College of Medicine, University of Florida, Gainesville, FL.
Laura M JacobsenDepartment of Pediatrics, College of Medicine, University of Florida, Gainesville, FL.ORCID 0000-0002-5144-7836
Brittany BruggemanDepartment of Pediatrics, College of Medicine, University of Florida, Gainesville, FL.
Chelsea SalmonDepartment of Pediatrics, College of Medicine, University of Florida, Gainesville, FL.
Jennifer HosfordDepartment of Pediatrics, College of Medicine, University of Florida, Gainesville, FL.
Angela ChenDepartment of Pediatrics, College of Medicine, University of Florida, Gainesville, FL.
Miriam CintronDepartment of Pediatrics, College of Medicine, University of Florida, Gainesville, FL.
Clayton E MathewsDepartment of Pediatrics, College of Medicine, University of Florida, Gainesville, FL.
Clive WasserfallDepartment of Pathology, Immunology, and Laboratory Medicine, Diabetes Institute, University of Florida, Gainesville, FL.
Maigan A BruskoDepartment of Pathology, Immunology, and Laboratory Medicine, Diabetes Institute, University of Florida, Gainesville, FL.
Todd M BruskoDepartment of Pediatrics, College of Medicine, University of Florida, Gainesville, FL.
Mark A AtkinsonDepartment of Pediatrics, College of Medicine, University of Florida, Gainesville, FL.
Desmond A SchatzDepartment of Pediatrics, College of Medicine, University of Florida, Gainesville, FL.
Michael J HallerDepartment of Pediatrics, College of Medicine, University of Florida, Gainesville, FL.ORCID 0000-0002-2803-1824
University of Florida · US

Funding

Project 3P01AI042288 · NIAID · UNIVERSITY OF FLORIDA · PI CLAYTON E MATHEWS · 1997 to 2026
$32.9M
Diabetes-Docs: Physician-Scientist Career Development Program (DiabDocs)K12DK133995 · NIDDK · STANFORD UNIVERSITY · PI LINDA A DIMEGLIO, David Matthew Maahs · 2022 to 2026
$16.0M
Optimization of Helicobacter pylori-related Disease Outcomes in VeteransIK2CX002027 · VA · VETERANS HEALTH ADMINISTRATION · PI SHAILJA C SHAH · 2020 to 2026
–
NIAID NIH HHS P01 AI042288NIDDK NIH HHS K12 DK133995
6 · The paper itself

Abstract

objectiveLow-dose antithymocyte globulin (ATG) (2.5 mg/kg) preserves C-peptide and reduces HbA1c in new-onset stage 3 type 1 diabetes, yet efficacy in delaying progression from stage 2 to stage 3 has not been evaluated. RESEARCH DESIGN AND

methodsChildren (n = 6) aged 5-14 years with stage 2 type 1 diabetes received off-label, low-dose ATG. HbA1c, C-peptide, continuous glucose monitoring, insulin requirements, and side effects were followed for 18-48 months.

resultsThree subjects (50%) remained diabetes free after 1.5, 3, and 4 years of follow-up, while three developed stage 3 within 1-2 months after therapy. Eighteen months posttreatment, even disease progressors demonstrated near-normal HbA1c (5.1% [32 mmol/mol], 5.6% [38 mmol/mol], and 5.3% [34 mmol/mol]), time in range (93%, 88%, and 98%), low insulin requirements (0.17, 0.18, and 0.34 units/kg/day), and robust C-peptide 90 min after mixed meal (1.3 ng/dL, 2.3 ng/dL, and 1.4 ng/dL).

conclusionsThese observations support additional prospective studies evaluating ATG in stage 2 type 1 diabetes.

Indexed as

Antilymphocyte SerumDiabetes Mellitus, Type 1Blood GlucoseBlood Glucose Self-MonitoringChildC-PeptideGlycated HemoglobinHumansHypoglycemic AgentsInsulinProspective StudiesAntilymphocyte SerumBlood GlucoseC-PeptideGlycated HemoglobinHypoglycemic AgentsInsulin

Identifiers

PMID38117469
PMCPMC10834389
OpenAlexW4389992445

What OpenQuestion holds

Textmetadata
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.