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Table. 1.

Table. 1.

Studies on primary and secondary prevention of T1D

Drug Study Population, age (years) Time of diagnosis Intervention Primary outcome Outcome (p-value)
Primary prevention
Insulin-free whey-based formula FINDIA27) n=1104, birth n/a Whey-based FINDIA formula essentially free of bovine insulin Acquisition of autoimmunity OR: 0.39 (0.01)
Casein hydrolysate formula TRIGR29) n=2159, birth n/a Casein hydrolysate formula until 6 months of age or least 60 days but not beyond 8 months of age Diagnosis of T1D HR: 1.1 (0.46)
Delayed gluten exposure BABYDIET30) n=150, birth n/a Control group: gluten introduction at the age of 6 months Late-exposure group: delay gluten introduction until the age of 12 months Acquisition of autoimmunity HR: 1.3 (0.6)
Oral insulin GPPAD-03 POInT32) n=25, 2-7 n/a Oral insulin 7.5 mg/day vs. 22.5 mg/day vs. 67.5 mg/day vs. placebo for 2 months Acquisition of autoimmunity or diagnosis of T1D In progress
Secondary prevention
Oral insulin TrialNet Oral Insulin34) n=389, 3-45 n/a Oral insulin 7.5 mg/day Diagnosis of T1D HR: 0.87 (0.21)
Abatacept (anti-CD80/86) TrialNet abatacept41) n=212, 6-45 <6 months* Total 14 IV infusions at week 0, 2, 4, then every 28±7 days for 12 months Diagnosis of T1D HR: 0.702 (0.11)
Teplizumab (anti-CD3) TrialNet teplizumab7) n=76, 8-45 <6 months* IV infusion for 14 days day 0: 51 μg/m2; day 1: 103 μg/m2; day 2: 207 μg/m2; day 3: 413 μg/m2; day 4-13: 826 μg/m2 Diagnosis of T1D HR: 0.41 (95% CI: 0.22-0.78)

*Time after diagnosis of stage 1. Abbreviations: HR, hazard ratio; IV, intravenous; n/a, not applicable; OR, odds ratio; T1D, type 1 diabetes

Korean J Clin Pharm 2024;34:210-21 https://doi.org/10.24304/kjcp.2024.34.4.210
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