Type 1 diabetes

M120 Risk Score Improves Identification of Children at High Risk of Developing Clinical Type 1 Diabetes and Reports Short-term Response to Preventive Immunotherapy

Diabetes CarePublished Risk score evaluation study

Authors' conclusion

M120 improves risk stratification and identifies early effects of immunotherapy. It could be applied to increase prevention trial efficiency and guide treatment decisions in the clinic.

Study context

Population
TrialNet participants with multiple islet autoantibodies and those who joined the teplizumab prevention trial
Comparison
M120 risk score vs OGTT for risk stratification; teplizumab vs placebo for M120 change
Outcome
Identification of children at high risk of progression, M120 vs OGTT
Methodological detailssecondary analysis of TrialNet data and the teplizumab prevention trial
  • Secondary analysis of TrialNet data and the teplizumab prevention trial

Performance

As reported in the abstract

M120 identified more children at high risk of progression than OGTT

26% more

Further findings

OutcomeP value
Change in M120 in the teplizumab trial · 6 monthsSignificant treatment effectP < 0.001
Change in M120 in the teplizumab trial — M120 improved after teplizumab
P = 0.0362
Change in M120 in the teplizumab trial — M120 deteriorated after placebo
P = 0.0489

Original publication

M120 Risk Score Improves Identification of Children at High Risk of Developing Clinical Type 1 Diabetes and Reports Short-term Response to Preventive Immunotherapy. Diabetes Care. Published 10 April 2025. doi:10.2337/dc24-2794

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