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Anvisa Approves Tzield, First Therapy to Delay Onset of Type 1 Diabetes

The move advances early immunotherapy by postponing clinical disease in high‑risk people identified before symptoms.

Overview

  • Approval covers patients aged 8 and older who are in stage 2, the pre‑symptomatic phase of type 1 diabetes.
  • Tzield (teplizumab) is the first immunomodulatory treatment authorized in Brazil to alter the course of type 1 diabetes.
  • A pivotal trial showed a median two‑year delay to clinical disease and a 59% reduction in progression to insulin use versus placebo.
  • The monoclonal antibody works by modulating the immune response to help preserve insulin‑producing beta cells.
  • Patient access will depend on CMED price setting and subsequent rollout, and experts call for broader autoantibody screening to find eligible candidates.