Type 1 diabetes

Perspectives on prevention of type 1 diabetes and heterogeneities

DiabetologiaPublished Perspective article with simulation study

Authors' conclusion

While such a trial is conceivable, it would demand robust safety data before initiation.

Study context

Population
Type 1 diabetes prevention trials (TN10 teplizumab trial as example)
Outcome
Simulated implications of heterogeneity and chance for T1D prevention trials
Methodological detailssimulations
  • Simulations

Main finding

As reported in the abstract

Robust identification of treatment effect heterogeneity may require sample sizes ≈4 times larger than for overall efficacy in certain scenarios
approximately four times larger
Infant general-population prevention trial with multivalent antiviral vaccine will likely need participants
over 50,000

Original publication

Perspectives on prevention of type 1 diabetes and heterogeneities. Diabetologia. Published 6 August 2025. doi:10.1007/s00125-025-06512-5

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