Evidence map›Paper›PMID 41292422›Full record

ArticleDiabetes, obesity & metabolism2026

Safety and efficacy of the therapy with CD4 + CD25highCD127-T regulatory cells: When paediatric patient becomes adult.

Marta Bandura, Magdalena Piotrowska-Mieczkowska, Matylda Hennig, Mateusz Gliwiński, Anna Wołoszyn-Durkiewicz, Julia Schoenhoff, Milena Dybowska, Anna Alska, Piotr Gutknecht, Bartosz Trzeciak and 9 more

Abstract read
In one paragraph

Article in Diabetes, obesity & metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. 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

19 authors.

Marta BanduraDepartment of Pediatric Diabetology and Endocrinology, Medical University of Gdańsk, Gdańsk, Poland.
Magdalena Piotrowska-MieczkowskaDepartment of Medical Immunology, Medical University of Gdańsk, Gdańsk, Poland.
Matylda HennigDepartment of Pediatric Diabetology and Endocrinology, Medical University of Gdańsk, Gdańsk, Poland.
Mateusz GliwińskiDepartment of Medical Immunology, Medical University of Gdańsk, Gdańsk, Poland.
Anna Wołoszyn-DurkiewiczDepartment of Pediatric Diabetology and Endocrinology, Medical University of Gdańsk, Gdańsk, Poland.
Julia SchoenhoffPoltreg S.A., Gdańsk, Poland.
Milena DybowskaDepartment of Family Medicine, Medical University of Gdańsk, Gdańsk, Poland.
Anna AlskaDepartment of Pediatric Diabetology and Endocrinology, Medical University of Gdańsk, Gdańsk, Poland.
Piotr GutknechtDepartment of Family Medicine, Medical University of Gdańsk, Gdańsk, Poland.
Bartosz TrzeciakDepartment of Family Medicine, Medical University of Gdańsk, Gdańsk, Poland.
Katarzyna StefańskaDepartment of Obstetrics and Gynecology, Faculty of Medicine, Medical University of Gdańsk, Gdańsk, Poland.
Paulina GlasnerDepartment of Ophthalmology, Medical University of Gdansk, Gdańsk, Poland.
Marcin HellmannDivision of Cardiac Diagnostics, Faculty of Medicine, Medical University of Gdańsk, Gdańsk, Poland.
Jacek BurzyńskiDepartment of Biostatistics and Translational Medicine, Medical University of Lodz, Lodz, Poland.
Arkadiusz MichalakDepartment of Biostatistics and Translational Medicine, Medical University of Lodz, Lodz, Poland.
Janusz SiebertDepartment of Family Medicine, Medical University of Gdańsk, Gdańsk, Poland.
Dorota Iwaszkiewicz-GrześDepartment of Medical Immunology, Medical University of Gdańsk, Gdańsk, Poland.
Małgorzata MyśliwiecDepartment of Pediatric Diabetology and Endocrinology, Medical University of Gdańsk, Gdańsk, Poland.
Piotr TrzonkowskiDepartment of Medical Immunology, Medical University of Gdańsk, Gdańsk, Poland.ORCID 0000-0001-5287-5210

Funding

Agencja Badań Medycznych 2022/ABM/05/00001-00
6 · The paper itself

Abstract

aimCD4 + CD25highCD127-T regulatory cells (Tregs) remain a drug candidate for immunotherapy of type 1 diabetes. We completed three trials testing Tregs in recently diagnosed type 1 diabetes children. Here, we looked for long-term safety and efficacy aspects important in the authorisation of this therapy. MATERIALS AND

methodsWe re-examined 51 participants exposed to Treg therapy between 7.5 and 12 years prior to assessment. Based on previous assignments, we assessed the following subgroups treated with Tregs and anti-CD20 antibody (Tregs+antiCD20, N = 9), with 1 or 2 doses of Tregs only (Tregs 1 dose, N = 10 and Tregs 2 doses, N = 8). The exposed participants were compared with those who received standard of care therapy (SoC control, N = 24) as part of previous studies. The patients underwent diabetes-oriented tests as well as non- to minimal invasive evaluation of the anatomy and function of the eye, micro- and microcirculation, endocrine system, genitourinary tract and fertility, kidney and liver profiles, detailed biochemistry lab tests and safety screening. Over 700 variables were analysed.

resultsTregs+antiCD20 group was superior to SoC control group in terms of C-peptide secretion in mixed-meal tolerance test, the time of insulin independence and remission. No clinically relevant between-groups differences were found in other performed examinations. Importantly, no severe adverse effects including tumors or deaths were reported.

conclusionsWe confirmed the long-term safety and efficacy of the therapy. Due to the superior efficacy profile, the combined treatment with Tregs and antiCD20 antibody should be considered as a routine therapy for recent-onset type 1 diabetes patients.

Indexed as

Diabetes Mellitus, Type 1ImmunotherapyT-Lymphocytes, RegulatoryAdolescentAdultChildFemaleHumansInterleukin-2 Receptor alpha SubunitInterleukin-7 Receptor alpha SubunitMaleTreatment OutcomeInterleukin-2 Receptor alpha SubunitInterleukin-7 Receptor alpha Subunitcell therapyimmune toleranceimmunotherapyT regulatory cellstype 1 diabetes

Identifiers

PMID41292422
PMCPMC12803574

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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.