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Accès ouvert déclaré 2023 review

Disease-modifying therapies and features linked to treatment response in type 1 diabetes prevention: a systematic review

26Citations signalées — pas une note de qualité
163Institutions déclarées
26Pays d’affiliation déclarés

Résumé fourni par la source

BACKGROUND: Type 1 diabetes (T1D) results from immune-mediated destruction of insulin-producing beta cells. Prevention efforts have focused on immune modulation and supporting beta cell health before or around diagnosis; however, heterogeneity in disease progression and therapy response has limited translation to clinical practice, highlighting the need for precision medicine approaches to T1D disease modification. METHODS: To understand the state of knowledge in this area, we performed a systematic review of randomized-controlled trials with ≥50 participants cataloged in PubMed or Embase from the past 25 years testing T1D disease-modifying therapies and/or identifying features linked to treatment response, analyzing bias using a Cochrane-risk-of-bias instrument. RESULTS: We identify and summarize 75 manuscripts, 15 describing 11 prevention trials for individuals with increased risk for T1D, and 60 describing treatments aimed at preventing beta cell loss at disease onset. Seventeen interventions, mostly immunotherapies, show benefit compared to placebo (only two prior to T1D onset). Fifty-seven studies employ precision analyses to assess features linked to treatment response. Age, beta cell function measures, and immune phenotypes are most frequently tested. However, analyses are typically not prespecified, with inconsistent methods of reporting, and tend to report positive findings. CONCLUSIONS: While the quality of prevention and intervention trials is overall high, the low quality of precision analyses makes it difficult to draw meaningful conclusions that inform clinical practice. To facilitate precision medicine approaches to T1D prevention, considerations for future precision studies include the incorporation of uniform outcome measures, reproducible biomarkers, and prespecified, fully powered precision analyses into future trial design.

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Contrôle bibliographique ouvert

DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.

Titre Crossref
Disease-modifying therapies and features linked to treatment response in type 1 diabetes prevention: a systematic review
Date Crossref
05/10/2023
Éditeur
Springer Science and Business Media LLC
Type
journal-article

Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude et ne compte pas comme une seconde source scientifique indépendante.

Institutions déclarées

Indiana University School of MedicineIndiana University – Purdue University IndianapolisUniversity of South DakotaSanford ResearchUniversity of ExeterRoyal Devon & Exeter NHS Foundation TrustNIHR Exeter Clinical Research FacilityBenaroya Research InstituteUniversity of VirginiaRichard L. Roudebush VA Medical CenterSansum Diabetes Research InstituteUniversity of Colorado AnschutzColorado School of Public HealthBaylor College of MedicineUniversity of California, San FranciscoDiabetes AustraliaThe Royal Melbourne HospitalThe University of MelbourneWalter and Eliza Hall Institute of Medical ResearchTexas Children's HospitalBrigham and Women's HospitalHarvard UniversityUniversity of CopenhagenNovo Nordisk FoundationMassachusetts General HospitalLund UniversityUniversity of CambridgeRosie HospitalUniversity of CalgaryMadras Diabetes Research FoundationCardinal Glennon Children’s Medical CenterSaint Louis UniversityUniversitat Autònoma de BarcelonaInstituto de Salud Carlos IIIHospital de Sant PauBiomedical Research Networking Center in Bioengineering, Biomaterials and NanomedicineInstitut de Recerca Sant PauBroad InstituteJohns Hopkins UniversityJohns Hopkins MedicineRutgers, The State University of New JerseyCentre Hospitalier Universitaire Sainte-JustineUniversité de MontréalErasmus MCUniversity of DundeeGenomics (United Kingdom)Stanford UniversityUniversity of FloridaUniversity of North Carolina at Chapel HillUniversity of HelsinkiHelsinki University HospitalInstitute for Molecular Medicine FinlandFolkhälsans ForskningscentrumBoston Children's HospitalChinese University of Hong KongUniversity of MalayaAsia Diabetes FoundationBoston Children's MuseumUniversity of Eastern FinlandKuopio University HospitalThe Queen's Medical Research InstituteUniversity of EdinburghUniversity of PittsburghUniversity of PaduaZuyderland Medisch CentrumUniversity of ChicagoDeutsches Diabetes-Zentrum e.V.German Center for Diabetes ResearchHeinrich Heine University DüsseldorfVA Eastern Colorado Health Care SystemUniversity of Colorado DenverSlovak Academy of SciencesInstitute of Experimental Endocrinology of the Slovak Academy of SciencesUniversity of BergenHaukeland University HospitalEastern HealthMonash UniversityChildren's Nutrition Research Center at Baylor College of MedicineUniversity of ManitobaInsermSorbonne UniversitéNutrition et obésité : approches systémiquesAssistance Publique – Hôpitaux de ParisDalian Medical UniversitySecond Affiliated Hospital of Chongqing Medical UniversityChongqing Medical UniversityKing's College LondonUniversity of the WitwatersrandInstitut d'Investigació Biomèdica de GironaHospital Universitari de Girona Doctor Josep TruetaNorthwell HealthFeinstein Institute for Medical ResearchCedars-Sinai Medical CenterThe University of AdelaideSanford Children's Specialty ClinicUniversity of OxfordOxford Centre for Diabetes, Endocrinology and MetabolismChildren's Hospital of PittsburghNorthwestern UniversityPopulation Health Research InstituteMcMaster UniversityUniversity of KwaZulu-NatalUniversity of MinnesotaKU LeuvenUniversity of GlasgowUniversity of Southern DenmarkRigshospitaletNational Health Research InstitutesTaipei Veterans General HospitalTaichung Veterans General HospitalSteno Diabetes CentersAarhus University HospitalUniversity Children's Hospital TübingenInstitute of Diabetes ResearchNewcastle UniversityJoslin Diabetes CenterUniversity Medical Center GroningenHôpital Saint-AntoineDeakin UniversityGuy's and St Thomas' NHS Foundation TrustHôpital Necker-Enfants MaladesInstitut CochinUniversity of Maryland, BaltimoreDartmouth CollegeAzienda USL di BolognaUniversity of BolognaPitié-Salpêtrière HospitalNational University of SingaporeKaiser PermanenteNational Institutes of HealthNational Institute of Diabetes and Digestive and Kidney DiseasesLurie Children's HospitalImpactAmerican Diabetes AssociationUniversity of AntwerpUniversity of GondarUniversity of Colorado BoulderTrinity College DublinWexford General HospitalEndeavor HealthAarhus UniversityUniversity of WashingtonUniversité de SherbrookeHarvard Pilgrim Health CareSeoul National University HospitalIcahn School of Medicine at Mount SinaiImperial College Healthcare NHS TrustImperial College LondonDr. Mohan's Diabetes Specialities CentreUniversity of AucklandCounties Manukau District Health BoardAuckland District Health BoardWellcome/MRC Institute of Metabolic ScienceOxford BioMedica (United Kingdom)University of MichiganTranslational Research Institute for Metabolism and DiabetesPennington Biomedical Research CenterInstitute of Genetics and CancerYale UniversityThe University of SydneyRoyal Prince Alfred HospitalKaiser Permanente Center for Health ResearchDüsseldorf University Hospital

Une affiliation ne permet pas de déduire la nationalité d’un auteur.

Sujets associés

Diabetes and associated disordersDiabetes Management and ResearchPancreatic function and diabetes

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