Lack of effect of intermittently administered sodium fusidate in patients with newly diagnosed type 1 diabetes mellitus : the FUSIDM trial

We evaluated in a double-blind study the effect of early treatment with the immunomodulatory drug fusidin in patients with newly diagnosed type 1 diabetes mellitus. Twenty-eight adults with newly diagnosed type 1 diabetes were included in the study. The patients were randomly assigned (computer-gene...

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Veröffentlicht in:Diabetologia 2005-08, Vol.48 (8), p.1464-1468
Hauptverfasser: CONGET, I, AGUILERA, E, PELLITERO, S, NÄF, S, BENDTZEN, K, CASAMITJANA, R, GOMIS, R, NICOLETTI, F
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container_end_page 1468
container_issue 8
container_start_page 1464
container_title Diabetologia
container_volume 48
creator CONGET, I
AGUILERA, E
PELLITERO, S
NÄF, S
BENDTZEN, K
CASAMITJANA, R
GOMIS, R
NICOLETTI, F
description We evaluated in a double-blind study the effect of early treatment with the immunomodulatory drug fusidin in patients with newly diagnosed type 1 diabetes mellitus. Twenty-eight adults with newly diagnosed type 1 diabetes were included in the study. The patients were randomly assigned (computer-generated random number sequence) to two experimental groups. Patients allocated to the fusidin (FUS) group (n=15) received sodium fusidate (fusidin; 500 mg orally three times daily for 4 weeks). Subsequently the drug was given at the same dose and scheduled for two consecutive weeks a month followed by 2 weeks a month without the drug for 20 weeks. Subjects allocated to the placebo (PCB) group (n=13) received placebo according to the same schedule and conditions described for sodium fusidate in the FUS group. All patients received a diet adjusted to their age and BMI, and intensive insulin therapy. There were no statistically significant differences between the FUS and PCB groups in beta cell function, evaluated by basal and glucagon-stimulated C-peptide values during the follow-up (24 and 48 weeks). There was also no difference between the two groups in insulin requirement after 48 weeks (0.4+/-0.2 and 0.4+/-0.2 U/kg body weight for the FUS and PCB groups, respectively). Antibody titres, including insulin autoantibodies, were similar in the two groups during the follow-up. Early treatment of newly diagnosed type 1 diabetes patients with intermittently administered fusidin failed to influence the natural course of the disease.
doi_str_mv 10.1007/s00125-005-1823-2
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Twenty-eight adults with newly diagnosed type 1 diabetes were included in the study. The patients were randomly assigned (computer-generated random number sequence) to two experimental groups. Patients allocated to the fusidin (FUS) group (n=15) received sodium fusidate (fusidin; 500 mg orally three times daily for 4 weeks). Subsequently the drug was given at the same dose and scheduled for two consecutive weeks a month followed by 2 weeks a month without the drug for 20 weeks. Subjects allocated to the placebo (PCB) group (n=13) received placebo according to the same schedule and conditions described for sodium fusidate in the FUS group. All patients received a diet adjusted to their age and BMI, and intensive insulin therapy. There were no statistically significant differences between the FUS and PCB groups in beta cell function, evaluated by basal and glucagon-stimulated C-peptide values during the follow-up (24 and 48 weeks). There was also no difference between the two groups in insulin requirement after 48 weeks (0.4+/-0.2 and 0.4+/-0.2 U/kg body weight for the FUS and PCB groups, respectively). Antibody titres, including insulin autoantibodies, were similar in the two groups during the follow-up. Early treatment of newly diagnosed type 1 diabetes patients with intermittently administered fusidin failed to influence the natural course of the disease.</abstract><cop>Berlin</cop><pub>Springer</pub><pmid>15995847</pmid><doi>10.1007/s00125-005-1823-2</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Anti-Bacterial Agents - therapeutic use
Biological and medical sciences
C-Peptide - blood
Diabetes Mellitus, Type 1 - drug therapy
Diabetes Mellitus, Type 1 - physiopathology
Diabetes. Impaired glucose tolerance
Double-Blind Method
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Etiopathogenesis. Screening. Investigations. Target tissue resistance
Female
Follow-Up Studies
Fusidic Acid - therapeutic use
Glycated Hemoglobin A - analysis
Glycated Hemoglobin A - metabolism
Humans
Hypoglycemic Agents - therapeutic use
Immunologic Factors - therapeutic use
Insulin - therapeutic use
Islets of Langerhans - drug effects
Islets of Langerhans - physiopathology
Male
Medical sciences
title Lack of effect of intermittently administered sodium fusidate in patients with newly diagnosed type 1 diabetes mellitus : the FUSIDM trial
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