Type 1 diabetes

Three-Year Follow-up After Antiviral Treatment in New-Onset Type 1 Diabetes: Results From the Diabetes Virus Detection and Intervention Trial

Diabetes CarePublished Randomised controlled trial

Authors' conclusion

The decreased reduction in C-peptide levels after antiviral treatment is no longer present after 2 or 3 years. Further investigations are needed to explore options to use antiviral treatment in the prevention and treatment of T1D.

Study context

Population
Children and adolescents aged 6–15.9 years newly diagnosed with T1D75 attended 3-year follow-up
Participants
96 children
Comparison
Antiviral treatment for 6 months vs placebo
Primary endpoint
Residual C-peptide secretion, AUC, assessed by 2-h mixed-meal tolerance test
Methodological detailsfollow-up of the Diabetes Virus Detection and Intervention trial, multicenter, placebo-controlled, randomized 1:1
  • Follow-up of the Diabetes Virus Detection and Intervention trial
  • Multicenter
  • Placebo-controlled
  • Randomized 1:1

Primary result

As reported in the abstract

C-peptide AUC · 3 years

Placebo

0.17

mean · SD 0.23

Pleconaril and ribavirin

0.25

mean · SD 0.34

Secondary outcomes

Mean

OutcomePleconaril and ribavirinPlacebo
C-peptide AUC · 2 years0.34 (SD 0.37)0.27 (SD 0.33)

C-peptide AUC · 2 years

No statistically significant difference between the groups

Secondary end points (incl. insulin doses and HbA1c)

Groups comparable with regard to secondary end points

Original publication

Three-Year Follow-up After Antiviral Treatment in New-Onset Type 1 Diabetes: Results From the Diabetes Virus Detection and Intervention Trial. Diabetes Care. Published 13 January 2025. doi:10.2337/dc24-2121

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