Evidence mapPaperPMID 40359439Full record

SynthesisPloS one2025

Therapeutic potential of anti-thymocyte globulin in type 1 diabetes: A systematic review.

Rahul Mittal, Keelin McKenna, Joana R N Lemos, Shreya Juneja, Mannat Mittal, Khemraj Hirani

Abstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Rahul MittalDiabetes Research Institute, University of Miami Miller School of Medicine, Miami, Florida, United States of America.ORCID https://orcid.org/0000-0003-0894-237X
Keelin McKennaHerbert Wertheim College of Medicine, Florida International University, Miami, Florida, United States of America.ORCID https://orcid.org/0000-0002-0302-7036
Joana R N LemosDiabetes Research Institute, University of Miami Miller School of Medicine, Miami, Florida, United States of America.ORCID https://orcid.org/0000-0001-8211-1617
Shreya JunejaDiabetes Research Institute, University of Miami Miller School of Medicine, Miami, Florida, United States of America.
Mannat MittalDiabetes Research Institute, University of Miami Miller School of Medicine, Miami, Florida, United States of America.
Khemraj HiraniDiabetes Research Institute, University of Miami Miller School of Medicine, Miami, Florida, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundType 1 diabetes (T1D) is an autoimmune condition characterized by the destruction of insulin-producing beta cells in the pancreas. Anti-Thymocyte Globulin (ATG) has emerged as a promising immunomodulatory therapy aimed at preserving beta-cell function and altering the disease course. This systematic review synthesizes current evidence from the clinical trials evaluating the efficacy and safety of low-dose ATG in individuals with T1D.

methodsWe conducted a comprehensive literature search of electronic databases, including PubMed (MEDLINE), Science Direct, Scopus, EMBASE, and ClinicalTrials.gov, to identify studies investigating ATG in T1D in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria. The Joanna Briggs Institute (JBI) Critical Appraisal Tools for randomized clinical trials and case-control studies were used to assess the quality and evaluate the risk of bias in the eligible studies.

resultsThe primary outcomes assessed were preservation of C-peptide levels, glycemic control, and adverse events. Results indicated that ATG showed potential in preserving beta-cell function and improving clinical outcomes in recent-onset T1D. However, the incidence of adverse events, such as cytokine release syndrome and lymphopenia, necessitated careful monitoring and management.

conclusionLow-dose ATG presents a promising therapeutic approach for modifying the progression of T1D. While early-phase trials demonstrate potential benefits in preserving beta-cell function, further large-scale, long-term studies are essential to establish optimal dosing regimens, long-term efficacy, and safety profiles. This review highlights the importance of continued research to fully elucidate the role of ATG in T1D management.

Indexed as

Antilymphocyte SerumDiabetes Mellitus, Type 1HumansInsulin-Secreting CellsAntilymphocyte Serum

Identifiers

PMID40359439
PMCPMC12074605

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.