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Teplizumab in Stage 2 Type 1 Diabetes: Clinical Practice Experience on Feasibility in 3 Adult Patients - PubMed

4 days ago
  • #immunotherapy
  • #type 1 diabetes
  • #teplizumab
  • First Italian experience with teplizumab under compassionate use for adults with Stage 2 type 1 diabetes (T1D).
  • Three adult women (20-40 years) received a 14-day intravenous course of teplizumab in a day-hospital setting.
  • Treatment was well tolerated with minor side effects: transient transaminase elevation, lymphopenia, and mild cytokine-release syndrome in one patient.
  • All patients maintained stable glycaemic control and preserved β-cell function at 3-month follow-up.
  • Teplizumab administration proved feasible and safe in a real-life academic context, consistent with pivotal trial data.
  • Highlights the importance of a structured multidisciplinary approach for early disease-modifying immunotherapy in presymptomatic T1D.