Resumen de Investigación
Analyzed using Evidence Intelligence™

Corticosteroids may help manage cytokine release syndrome during teplizumab therapy

Última actualización 21 de agosto de 2026

Key finding

Maximum stimulated C-peptide decreases from about 2 to about 1.3.

This study evaluated the use of glucocorticoids to manage cytokine release syndrome during teplizumab therapy for new-onset type 1 diabetes, finding a low incidence of cytokine release syndrome.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Short-Term (≤3 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study evaluated the use of glucocorticoids to manage cytokine release syndrome during teplizumab therapy for new-onset type 1 diabetes, finding a low incidence of cytokine release syndrome.

Clinical relevance

Understanding the safety and efficacy of teplizumab in managing new-onset type 1 diabetes is crucial for clinicians. The low incidence of cytokine release syndrome suggests that teplizumab may be a viable treatment option, potentially improving patient outcomes while minimizing adverse effects.

Keep in mind

Effectiveness of teplizumab remains unclear due to lack of definitive evidence. Limited sample size may affect generalizability of findings. Variability in HbA1c levels complicates interpretation of glycemic control.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Aye K, Srinath S, Christine T, Zoe Q, Stephen EG. Glucocorticoids to Manage Cytokine Release Syndrome During Teplizumab Therapy for New-Onset Type 1 Diabetes. Diabetes Care. 2026;49(3). doi:10.2337/dc25-2494

Efectos Principales

Maximum stimulated C-peptide decreased from about 2 to about 1.3 pmol/L.

HbA1c levels were 6.3% at 6 months, 7.3% at 9 months, and 6.4% at 15 months.

Insulin requirements reduced to 0.08 units/kg/day by 17 months.

Cytokine release syndrome occurred in 5.8% of individuals treated with teplizumab.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Teplizumab and C-peptide, Cytokine release syndrome, HbA1c, and 1 more.

Primary intervention

Teplizumab

Primary outcomes

  • C-peptide
  • Cytokine release syndrome
  • HbA1c

Evidence topics

Primary intervention

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

4
Evidence pairs
4
Relationships
1
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 59

1

Related topics

4

Evidence pairs

425

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 4 evidence relationships
  • Includes primary outcome data
  • Linked to 1 direct semantic evidence topic

Topic contributions

Evidence topic

Contributes evidence

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Evidencia principal

Tema de evidencia

HbA1c Reduction

matched_outcome

Core evidence

Study findings

The primary outcomes reported in this study.

C-peptide

Teplizumab → C-peptide

Teplizumab → C-peptide

Evidence Intelligence™
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Cytokine release syndrome

Teplizumab → Cytokine release syndrome

Teplizumab → Cytokine release syndrome

Evidence Intelligence™
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

HbA1c

Teplizumab → HbA1c

Teplizumab → HbA1c

Evidence Intelligence™
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Evidence Library

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evidence suggest

La Evidencia Sugiere

  • C-peptide levels decreased by 0.7 pmol/L.
  • Insulin dose reduced by 0.27 units/kg/day.
  • Cytokine release syndrome incidence was 5.8%.
who this applies

A quién se aplica

  • Individuals with new-onset type 1 diabetes.
  • Patients receiving teplizumab therapy.
keep in mind

Tener en Cuenta

  • Findings may not apply to all populations with type 1 diabetes.
  • Long-term effects of teplizumab therapy are still unknown.
  • Further studies are needed to confirm these results and assess broader applicability.
between the lines

Entre Líneas

  • Effectiveness of teplizumab remains unclear due to lack of definitive evidence.
  • Limited sample size may affect generalizability of findings.
  • Variability in HbA1c levels complicates interpretation of glycemic control.

Evidence Library

Build your evidence library

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Teplizumab improve c-peptide?

Limited Evidence

Current evidence does not show a clear benefit of Teplizumab for C-peptide.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    C-peptide

    EvidenceScore™ Unknown | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026

Does Teplizumab improve cytokine release syndrome?

Limited Evidence

Current evidence does not show a clear benefit of Teplizumab for Cytokine release syndrome.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Cytokine release syndrome

    EvidenceScore™ Unknown | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026

Does Teplizumab improve HbA1c?

Limited Evidence

Current evidence does not show a clear benefit of Teplizumab for HbA1c.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Unknown | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026

Does Teplizumab improve reduced insulin requirements after surgery?

Limited Evidence

Current evidence does not show a clear benefit of Teplizumab for Reduced insulin requirements after surgery.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Reduced insulin requirements after surgery

    EvidenceScore™ Unknown | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026
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