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Treg cells are a candidate therapy for type-1 diabetes (T1D) that has proven its efficacy in clinical trials, and is safe. That is the gist of a letter PolTREG published in Science Translational Medicine (STM) in May. It was a reaction to an article that described the lack of efficacy in a Phase 2 clinical trial by Caladrius, also in Treg cells in T1D. When diabetes is diagnosed, the body’s immune system has destroyed almost all the cells producing insulin. That means there is simply nothing left for the Treg cells to protect. But when PolTREG allowed earlier-stage patients into the trial, we saw  that patients treated with Tregs were able to still secrete insulin 2, 5 and in some cases, up to 8 years later. A second study showed improved insulin secretion in patients treated with both Tregs and Rituximab. In both studies, patients who did not receive Tregs completely lost the ability to secrete insulin. In our letter, we argue that this change in protocol might have fixed the poor efficacy of the Caladrius trial. And that is good news: it means that there is no reason to doubt the potential that Treg cells to become the first therapy to prevent T1D. PolTREG will be formally presenting long-term safety and efficacy data of its drug candidate PTG-007 in early-onset T1D at a conference in Europe in September. The data are a crucial step in bringing PTG-007 to market, and open up the way for a pivotal Phase 2/3 study. Later this year, PolTREG will launch a study in presymptomatic patients, hoping to prevent T1D before it starts showing any symptoms. This would free patients of the burden of having to take frequent insulin shots, and the serious long-term complications of the disease. To read our letter in STM, click here: https://lnkd.in/dw_fqQhR #biotech #biotechnology #celltherapy #cellandgenetherapy #autoimmunedisease #diabetes #type1diabetes

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