Table 1.
Antigen-specific therapies described in this review article. This article almost solely focusses on larger controlled trials, some small proof-of-concept trials are included that are of particular interest. The trials are listed according to their order of appearance in this article.
| Trial designation+ref. | Design | Outcome |
|---|---|---|
| (prepro)Insulin | ||
| Diabetes Prevention Trial (DPT-1) [47] (oral insulin) | Secondary prevention | No delay, post hoc subgroup effect identified |
| NCT00419562 (oral insulin) | Secondary prevention | Currently recruiting, results expected February 2014 |
| IMDIAB [48] | Recent-onset | No preservation of beta cell function |
| Diabète Insuline Orale group [49] | Recent-onset | No preservation of beta cell function |
| MacLaren et al. [50] | Recent-onset | No preservation of beta cell function |
| Type 1 diabetes prediction and prevention (DIPP) [54] (nasal insulin) | Secondary prevention | No delay |
| Intranasal insulin trial (INIT-1) [52] | Safety trial in prevention | Safe, no delay or acceleration, INIT-II trial ongoing (NCT00336674) |
| Fourlanos et al. [55] | Recent-onset | No preservation of beta cell function |
| Primary Oral/intranasal INsulin Trial (Pre-point) [56] (oral/nasal insulin) | Primary prevention | Recruiting |
| Diabetes Prevention Trial (DPT-1) [58] (parenteral insulin) | Secondary prevention | No delay |
| Belgian Diabetes Registry [99] (parenteral insulin) | Secondary prevention | No delay |
| Proinsulin peptide vaccination [36] | Safety trial in longstanding disease | Safe, immunological tolerance signs observed |
| Insulin B chain vaccination [37] | Safety trial in recent-onset | Safe, immunological tolerance signs observed |
| GAD65 | ||
| GAD-alum [75,76] | Dose-escalation study in LADA | Safe, beta cell function preservation with 20 μg dose |
| GAD-alum [77] | Recent-onset | Beta cell function preservation |
| GAD-alum (TrialNet) [82] | Recent-onset | No preservation of beta cell function |
| GAD-alum (Europe) [83] | Recent-onset | No preservation of beta cell function |
| GAD-alum (U.S., DIAPREVENT, NCT00751842) | Recent-onset | Suspended |
| Diabetes prevention — Immune Tolerance | Secondary prevention | Ongoing, fully enrolled |
| (DIAPREV-IT; NCT01122446) | ||
| HSP60 (p277) | ||
| DiaPep277 pilot trial [89] | Recent-onset | Evidence of beta cell preservation |
| Huurman et al. [91] | Recent-onset | Trend for beta cell preservation |
| Lazar et al. [92] | Recent-onset | No trend for beta cell preservation |
| Schloot et al. [93] | Recent-onset | Trend for beta cell preservation |
| Buzzetti et al. [94] | Recent-onset | Trend for beta cell preservation |
| DiaPep277 phase III trial (www.andromedabio.com/news.php) | Recent-onset | Evidence of beta cell preservation, confirmatory trial ongoing |