Abstract

In the wake of disappointing results from the first phase 3 immune intervention trials in type 1 diabetes mellitus, a report by Tihamer Orban and colleagues in The Lancet1 could provide a much desired glimmer of hope that the course of disease progression can be altered by immunotherapy after all. Treatment of patients with recent-onset type 1 diabetes for 2 years with abatacept (CTLA4 immunoglobulin fusion protein), believed to interfere with priming and activation of T cells, effectively delayed loss of β-cell function for 9 months.

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