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type1.science

PIpepTolDC tolerogenic dendritic-cell vaccine

City of Hope / investigator-led

A personalized immune-tolerance vaccine made from a person's own dendritic cells loaded with proinsulin peptide, being tested by City of Hope in a small phase 1 T1D safety/manufacturing study. The goal is to teach immune tolerance to beta-cell antigens, but efficacy is completely unproven.

Years awayEarly evidenceimmunotherapytolerogenic-vaccinedendritic-cellproinsulinpersonalized-cell-therapy

The scorecard

Beta-cell preservation5

The registered phase 1 study is focused on safety and manufacturing; no beta-cell-preservation efficacy result has been posted.[1]

Durability5

Immune tolerance is the desired mechanism, but there are no durability data in T1D.[1]

Safety30

Safety is exactly what the small phase 1 trial is assessing; until results post, risk is uncertain and manufacturing burden is high.[1]

Eligibility breadth15

Personalized cell manufacturing plus the current adult-only phase 1 design make broad eligibility speculative.[1]

Maturity15

Earliest human stage: Phase 1 enrollment complete (actual n=6); primary completion 3 June 2024; still active-not-recruiting for follow-up (estimated completion 15 December 2026). No results posted.[1]

The full picture

PIpepTolDC belongs on the horizon list, not the near-term treatment list. It is scientifically elegant — a patient-specific dendritic-cell product designed to teach tolerance to proinsulin — but still at phase 1 safety and feasibility.

The registered study (NCT04590872) has finished enrollment (actual n=6). Primary completion was 3 June 2024; the record remains active, not recruiting, with estimated study completion 15 December 2026 and last update 22 April 2026. No results are posted. A passed primary-completion date is not an efficacy readout.

Coming soon

ETA · Phase 1 enrollment complete (n=6 actual); primary completion 3 June 2024; follow-up estimated through 15 December 2026. No results posted.

  • Phase 1 safety and manufacturing results

Sources

  1. [1]An Immunotherapy Vaccine PIpepTolDC for the Treatment of Patients With Type 1 Diabetes · registry · 2026-04-22