Type 1 diabetes

Pleconaril and ribavirin in new-onset type 1 diabetes: a phase 2 randomized trial

Nat MedPublished Randomised controlled trial

Primary result · Stimulated serum C-peptide AUCResult — go to the resultAverage marginal effect 0.057 95% CI 0.004–0.11

Authors' conclusion

The results show that antiviral treatment may preserve residual insulin production in children and adolescent with new-onset T1D.

Study context

Population
Children and adolescents (aged 6–15 years) with new-onset T1D; treatment initiated less than 3 weeks after diagnosis
Participants
96 children
Comparison
Pleconaril and ribavirin vs placebo for 6 months
  • Pleconaril and ribavirinn = 47
  • Placebon = 49reference
Primary endpoint
Mean stimulated C-peptide AUC (mixed linear model of longitudinal log-transformed serum C-peptide AUCs at baseline, 3 months, 6 months and 1 year)
Follow-up
12 months after initiation of treatment
Methodological detailsphase 2, placebo-controlled, parallel group, double-blind
  • Phase 2
  • Placebo-controlled
  • Parallel group
  • Double-blind

Primary result

Stimulated serum C-peptide AUC · 12 months

Average marginal effect

0.057

95% CI 0.004–0.11

P = 0.037

As reported in the abstract

Safety

Tolerability

The treatment was well tolerated

Original publication

Pleconaril and ribavirin in new-onset type 1 diabetes: a phase 2 randomized trial. Nat Med. Published 4 October 2023. doi:10.1038/s41591-023-02576-1

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