Evidence map›Paper›PMID 39916680›Full record

ArticleContemporary clinical trials communications2025

Anti-viral action against type 1 diabetes autoimmunity: The GPPAD-AVAnT1A study protocol.

Sandra Hummel, Alexandra Käßl, Stefanie Arnolds, Peter Achenbach, Reinhard Berner, Kristina Casteels, Heikki Hyöty, Olga Kordonouri, Helena Elding Larsson, Markus Lundgren and 11 more

Abstract read
In one paragraph

Article in Contemporary clinical trials communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. 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

21 authors.

Sandra HummelInstitute of Diabetes Research, Helmholtz Munich, German Research Center for Environmental Health, Munich, Germany.
Alexandra KäßlInstitute of Diabetes Research, Helmholtz Munich, German Research Center for Environmental Health, Munich, Germany.
Stefanie ArnoldsInstitute of Diabetes Research, Helmholtz Munich, German Research Center for Environmental Health, Munich, Germany.
Peter AchenbachInstitute of Diabetes Research, Helmholtz Munich, German Research Center for Environmental Health, Munich, Germany.
Reinhard BernerDepartment of Pediatrics, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Kristina CasteelsDepartment of Pedriatrics, University Hospitals Leuven, Leuven, Belgium.
Heikki HyötyFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Olga KordonouriKinder- und Jugendkrankenhaus AUF DER BULT, Hannover, Germany.
Helena Elding LarssonDepartment of Paediatrics, Skane University Hospital, Malmö, Sweden.
Markus LundgrenDepartment of Clinical Sciences Malmö, Lund University, Lund, Sweden.
M Loredana MarcovecchioUniversity of Cambridge, Department of Paediatrics, and Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Catherine OwenGeneral Paediatrics, The Great North Children's Hospital, Royal Victoria Infirmary, Newcastle upon Tyne, UK.
Markus PfirrmannInstitut für Medizinische Informationsverarbeitung, Biometrie und Epidemiologie, Ludwig-Maximilians-Universität München, Munich, Germany.
Steve RobsonGeneral Paediatrics, The Great North Children's Hospital, Royal Victoria Infirmary, Newcastle upon Tyne, UK.
Agnieszka SzadkowskaDepartment of Paediatrics, Diabetology, Endocrinology and Nephrology, Medical University of Lodz, Lodz, Poland.
Agnieszka SzypowskaDepartment of Paediatric Diabetology and Paediatrics, Medical University of Warsaw, Warsaw, Poland.
Timothy TreeDepartment of Immunobiology, School of Immunology & Microbial Sciences, King's College London, UK.
Andreas WeissInstitute of Diabetes Research, Helmholtz Munich, German Research Center for Environmental Health, Munich, Germany.
Anette-Gabriele ZieglerInstitute of Diabetes Research, Helmholtz Munich, German Research Center for Environmental Health, Munich, Germany.
Ezio BonifacioCenter for Regenerative Therapies Dresden (CRTD), Faculty of Medicine, Technische Universität Dresden, Dresden, Germany.
GPPAD Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Viral infections in the first year of life are associated with islet autoimmunity and type 1 diabetes risk. The Anti-Viral Action against Type 1 Diabetes Autoimmunity (AVAnT1A)- study is a clinical phase IV investigator initiated, randomised, controlled, multicentre, primary prevention trial conducted to determine whether vaccination against COVID-19 from 6 months of age reduces the cumulative incidence of islet autoantibodies or type 1 diabetes in children with elevated genetic risk. Additionally, it investigates the role of viral infections in the etiology of islet autoimmunity by intense surveillance within the first two years of life. Infants aged 3.00-4.00 months from Germany, Belgium, UK and Sweden are eligible if they have a >10 % expected risk to develop islet autoantibodies by age 6 years as determined by HLA DR/DQ genotype, polygenic risk score and family history of type 1 diabetes. A total of 2252 eligible children are randomized 1:1 to COVID-19 vaccine (Comirnaty® 3 μg Omicron XBB.1.5 or future new variants) or placebo (0.9 % Sodium Chloride) administered three times. Children are followed until the minimum age of 2.5 years and maximum age of 6 years. The intervention is accompanied by analyses of immune and metabolic parameters to determine changes induced by viral infections and to investigate mechanisms by which viral infection may lead to islet autoimmunity. The Sponsor is the Klinikum rechts der Isar, Technical University Munich. The study was approved by Clinical Trials Information System (CTIS, EU Trial number: 2023-507348-35-00) and by Integrated Research Application System (IRAS, IRAS-ID: 1009668).

Indexed as

COVID-19InfectionIslet autoimmunityType 1 diabetesvaccination

Identifiers

PMID39916680
PMCPMC11799962

What OpenQuestion holds

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Registered trials

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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.