The DOI matches its Crossref record, with a small difference in title or year; 30 of the 30 references it cites were found in a registry or an index.
CYCLOSPORIN INCREASES THE RATE AND LENGTH OF REMISSIONS IN INSULIN-DEPENDENT DIABETES OF RECENT ONSET
Abstract
In a double-blind trial 122 patients aged 15-40 years with insulin-dependent diabetes of recent onset were randomly assigned to cyclosporin 7.5 mg/kg per day or placebo. At the sixth month 25.4% of the cyclosporin group and 18.6% of the placebo group were in complete remission (not a significant difference). Treatment was continued in those patients with complete or partial remission (insulin requirement less than 0.25 U/kg per day) and 106 patients were followed to nine months, at which stage 24.1% of the original cyclosporin group and 5.8% of the original placebo group were in complete remission (p less than 0.01). For those patients whose whole-blood trough cyclosporin levels in the first three months averaged 300 ng/ml or more, the rates of complete remission at six and nine months were 37.5% and 37%. The rates of partial remission were also higher in the cyclosporin group and at six months the rate of complete or partial remission was 46% in the whole cyclosporin group and 65.6% in those with an average blood level exceeding 300 ng/ml in the first three months, versus 28.8% in the placebo group. The principal side-effect of cyclosporin was a modest and reversible increase in plasma creatinine. These results indicate that cyclosporin promotes the remission of type I diabetes and suggest the need for new controlled protocols aimed at evaluating the length of the effect and selecting the best drug regimen.
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“Although ciclosporin was unable to induce a durable disease remission, insulin requirements of patients decreased during active treatment, generating enthusiasm that immune modulation could treat type 1 diabetes.134–136”
From Type 1 diabetes (2018) · cites this paper as [136]
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Metadata
- Authors
- Feutren, G., Assan, R., Karsenty, G., Du Rostu, H., Sirmai, J., Papoz, L., Vialettes, B., Vexiau, P., Rodier, M., Lallemand, A., & Bach, J.-F.
- Affiliations
- Hôpital Necker-Enfants Malades (FR)
- Venue
- The Lancet
- Publisher
- Elsevier BV
- Published
- 1986-07
- Volume
- 328
- Issue
- 8499
- Pages
- 119-124
- ISSN
- 0099-5355 (ISSN-L)
- 0140-6736
- OpenAlex
- W2150631622
- Cited by
- 448
- References
- 28
- Citations by year
- 2026: 2 · 2025: 10 · 2024: 9 · 2023: 7 · 2022: 9 · 2021: 11 · 2020: 3 · 2019: 5 · 2018: 7 · 2017: 2 · 2016: 11 · 2015: 11 · 2014: 8 · 2013: 18 · 2012: 10
- FWCI
- 20.67
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Lancet (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Diabetes and associated disorders
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Pancreatic function and diabetes
- Keywords
- cyclosporine, type 1 diabetes, recent-onset diabetes, remission, partial remission, serum creatinine, adverse drug reactions, immunosuppressive therapy
- MeSH terms
- Administration, Oral, Adolescent, Adult, Bacterial Infections, Clinical Trials as Topic, Cyclosporins, Diabetes Mellitus, Type 1, Double-Blind Method, Drug Therapy, Combination, Female, Humans, Hypertension, Hypertrichosis, Insulin, Kidney Function Tests, Male, Random Allocation
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