Developing combination immunotherapies for type 1 diabetes: recommendations from the ITN–JDRF Type 1 Diabetes Combination Therapy Assessment Group

作者: JB Matthews , TP Staeva , PL Bernstein , M Peakman , M Von Herrath

DOI: 10.1111/J.1365-2249.2010.04153.X

关键词: Clinical trialPsychological interventionTherapeutic approachUnknown aetiologyType 1 diabetesImmunologyMedicineCombination therapyPharmacologyDiabetes mellitusIntensive care medicine

摘要: Like many other complex human disorders of unknown aetiology, autoimmune-mediated type 1 diabetes may ultimately be controlled via a therapeutic approach that combines multiple agents, each with differing modes action. The numerous advantages such strategy include the ability to minimize toxicities and realize synergies enhance prolong efficacy. recognition combinations might offer far-reaching benefits, at time when few single agents have yet proved themselves in well-powered trials, represents significant challenge our conceive implement rational treatment designs. As first step this process, Immune Tolerance Network, collaboration Juvenile Diabetes Research Foundation, convened Type Combination Therapy Assessment Group, recommendations which are discussed Perspective paper.

参考文章(31)
T. Staeva-Vieira, M. Peakman, M. Von Herrath, Translational Mini‐Review Series on Type 1 Diabetes: Immune‐based therapeutic approaches for type 1 diabetes Clinical and Experimental Immunology. ,vol. 148, pp. 17- 31 ,(2007) , 10.1111/J.1365-2249.2007.03328.X
F Anders Karlsson, Christian Berne, Elisabeth Björk, Mikael Kullin, Zhanchun Li, Jing-Yie Ma, Anna Schölin, Lijun Zhao, Beta-cell Activity and Destruction in Type 1 Diabetes Upsala Journal of Medical Sciences. ,vol. 105, pp. 85- 95 ,(2000) , 10.1517/03009734000000056
Damien Bresson, Lisa Togher, Evelyn Rodrigo, Yali Chen, Jeffrey A Bluestone, Kevan C Herold, Matthias von Herrath, None, Anti-CD3 and nasal proinsulin combination therapy enhances remission from recent-onset autoimmune diabetes by inducing Tregs Journal of Clinical Investigation. ,vol. 116, pp. 1371- 1381 ,(2006) , 10.1172/JCI27191
Kevan C Herold, Stephen Gitelman, Carla Greenbaum, Jennifer Puck, William Hagopian, Peter Gottlieb, Peter Sayre, Peter Bianchine, Emelita Wong, Vicki Seyfert-Margolis, Kasia Bourcier, Jeffrey A Bluestone, Immune Tolerance Network ITN007AI Study Group, Treatment of patients with new onset Type 1 diabetes with a single course of anti-CD3 mAb Teplizumab preserves insulin production for up to 5 years. Clinical Immunology. ,vol. 132, pp. 166- 173 ,(2009) , 10.1016/J.CLIM.2009.04.007
Matthias von Herrath, Andrew Chan, How can we improve the translational landscape for a faster cure of type 1 diabetes Journal of Clinical Investigation. ,vol. 119, pp. 1061- 1065 ,(2009) , 10.1172/JCI37593
Nicole A. Sherry, Wei Chen, Jake A. Kushner, Mariela Glandt, Qizhi Tang, Sue Tsai, Pere Santamaria, Jeffrey A. Bluestone, Anne-Marie B. Brillantes, Kevan C. Herold, Exendin-4 Improves Reversal of Diabetes in NOD Mice Treated with Anti-CD3 Monoclonal Antibody by Enhancing Recovery of β-Cells Endocrinology. ,vol. 148, pp. 5136- 5144 ,(2007) , 10.1210/EN.2007-0358
L. Bekris, T. Kavanagh, A. Lernmark, Targeting type 1 diabetes before and at the clinical onset of disease. Endocrine‚ Metabolic & Immune Disorders-Drug Targets. ,vol. 6, pp. 103- 124 ,(2006) , 10.2174/187153006776056576
C. Stiller, J Dupre, M Gent, M. Jenner, P. Keown, A Laupacis, R Martell, N. Rodger, B von Graffenried, B. Wolfe, Effects of cyclosporine immunosuppression in insulin-dependent diabetes mellitus of recent onset Science. ,vol. 223, pp. 1362- 1367 ,(1984) , 10.1126/SCIENCE.6367043
C. J. Greenbaum, L. C. Harrison, Guidelines for intervention trials in subjects with newly diagnosed type 1 diabetes. Diabetes. ,vol. 52, pp. 1059- 1065 ,(2003) , 10.2337/DIABETES.52.5.1059
S. L. Thrower, L. James, W. Hall, K. M. Green, S. Arif, J. S. Allen, C. Van-Krinks, B. Lozanoska-Ochser, L. Marquesini, S. Brown, F. S. Wong, C. M. Dayan, M. Peakman, Proinsulin peptide immunotherapy in type 1 diabetes: report of a first-in-man Phase I safety study. Clinical and Experimental Immunology. ,vol. 155, pp. 156- 165 ,(2009) , 10.1111/J.1365-2249.2008.03814.X