Delay of the Stage 3 onset of type 1 diabetes

Active Ingredient: Teplizumab

Indication for Teplizumab

Population group: only children (1 year - 12 years old) , adolescents (12 years - 18 years old) , adults (18 years old or older)
Therapeutic intent: Preventive action

Teplizumab is indicated to delay the onset of Stage 3 type 1 diabetes in adults and pediatric patients 8 years of age and older with Stage 2 type 1 diabetes.

For this indication, competent medicine agencies globally authorize below treatments:

65 ug/m² on Day 1, 125 ug/m² on Day 2, 250 ug/m² on Day 3, 500 ug/m² on Day 4 and 1,030 ug/m² on Days 5-14

For:

Dosage regimens

In case that patient age in years is ≥ 8, intravenous, 65 micrograms teplizumab per square meter of body surface, one dose, over the duration of 1 day. Afterwards, in case that patient age in years is ≥ 8, intravenous, 125 micrograms teplizumab per square meter of body surface, one dose, over the duration of 1 day. Afterwards, in case that patient age in years is ≥ 8, intravenous, 250 micrograms teplizumab per square meter of body surface, one dose, over the duration of 1 day. Afterwards, in case that patient age in years is ≥ 8, intravenous, 500 micrograms teplizumab per square meter of body surface, one dose, over the duration of 1 day. Afterwards, in case that patient age in years is ≥ 8, intravenous, 1,030 micrograms teplizumab per square meter of body surface, one dose, over the duration of 10 days.

Detailed description

Select adult patients and pediatric patients 8 years of age and older for teplizumab treatment who have a diagnosis of Stage 2 type 1 diabetes.

  • Confirm Stage 2 type 1 diabetes by documenting:
    • At least two positive pancreatic islet cell autoantibodies
    • Dysglycemia without overt hyperglycemia using an oral glucose tolerance test (if an oral glucose tolerance test is not available, an alternative method for diagnosing dysglycemia without overt hyperglycemia may be appropriate)
  • Ensure the clinical history of the patient does not suggest type 2 diabetes.

Administer teplizumab by intravenous infusion (over a minimum of 30 minutes), using a body surface area-based dosing, once daily for 14 consecutive days as follows:

  • Day 1: 65 mcg/m²
  • Day 2: 125 mcg/m²
  • Day 3: 250 mcg/m²
  • Day 4: 500 mcg/m²
  • Days 5 through 14: 1,030 mcg/m²

Do not administer two doses on the same day.

Recommendations regarding missed dose(s)

If a planned teplizumab infusion is missed, resume dosing by administering all remaining doses on consecutive days to complete the 14-day treatment course.

Active ingredient

Teplizumab

Teplizumab-mzwv binds to CD3 (a cell surface antigen present on T lymphocytes) and delays the onset of Stage 3 type 1 diabetes in adults and pediatric patients aged 8 years and older with Stage 2 type 1 diabetes. The mechanism may involve partial agonistic signaling and deactivation of pancreatic beta cell autoreactive T lymphocytes. Teplizumab-mzwv leads to an increase in the proportion of regulatory T cells and of exhausted CD8+ T cells in peripheral blood.

Read more about Teplizumab

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