Type 1 diabetes

β-Cell Function and Diabetes Outcomes 1 Year After Stopping Oral Baricitinib Immunotherapy for Type 1 Diabetes

Diabetes CarePublished Post-treatment follow-up of the BANDIT randomised controlled trial

Authors' conclusion

The benefits of oral baricitinib in type 1 diabetes wane over 48 weeks following treatment cessation.

Study context

Population
Recent-onset T1D, BANDIT trial participants followed after study drug ceased at week 4888 completed week 96
Participants
91 participants
Comparison
Baricitinib vs placebo, outcomes after treatment cessation
  • Baricitinibn = 58
  • Placebon = 30reference
Methodological detailsdouble-blind, placebo-controlled
  • Double-blind
  • Placebo-controlled

Primary result

As reported in the abstract

C-peptide response to mixed meal · week 72

P = 0.015

Further findings

C-peptide response to mixed meal · week 96

P = 0.336

Insulin dose, HbA1c, continuous glucose monitoring (CGM) measures · follow-up

No significant between-group differences during follow-up

C-peptide change from baseline after cessation, by age (Baricitinib)

Children (n = 32): C-peptide decreased relative to baseline, P = 0.022
0.09 pmol/mL
Adults (n = 28): full preservation of β-cell function
  • Post hoc

Glucagon response to mixed meal

Baricitinib did not resolve paradoxical glucagon increase after a mixed meal

Effector memory CD8+ T cells · week 96

Decreased frequency and cytokine signaling seen at week 48 resolved by week 96

Original publication

β-Cell Function and Diabetes Outcomes 1 Year After Stopping Oral Baricitinib Immunotherapy for Type 1 Diabetes. Diabetes Care. Published 21 August 2026. doi:10.2337/dc26-1072

Composed by AI from the published abstract and checked against it. How Briefs are made →

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