Name: Frontier Score for "Manufactured Islet Cells Reverse Type 1 Diabetes in a First Trial"
Rating: 41
Author: Frontier

What it is

Zimislecel is an allogeneic islet-cell therapy grown from stem cells and infused once into people with type 1 diabetes and no detectable insulin production, alongside glucocorticoid-free immunosuppression. Among the 12 participants in the efficacy analysis, 10 became fully insulin-independent at one year, and every participant was free of severe hypoglycemia. Detectable C-peptide after infusion confirmed that the manufactured islets engrafted and released insulin in response to meals.

Why it matters

Type 1 diabetes destroys the body's insulin-producing islets, and donor-islet transplants have been limited by scarce cadaveric tissue. Restoring insulin independence in 10 of 12 recipients from a manufactured, scalable cell source removes that supply ceiling. That the cohort had no severe hypoglycemic events points to restored physiologic glucose control, not just a lower average blood sugar.

Underlined numbers link to their source. Every metric and quoted figure is listed under Sources and data below.

Filed undertype 1 diabetes, stem cell therapy, islet cells, insulin independence, regenerative medicine

Scored 2026-09-30How scoring works

The Frontier Score, in full

How this entry's score is built, term by term. Open any pillar to see each sub-metric's raw value, how it maps to 0 to 100, and the record that holds it.

The three pillars as one shape: a result strong on every axis fills the triangle.

How the Frontier Score is calculated for this breakthrough
Term	Score	Weight	Points
EvidenceHow established and verifiable the result is.	83	× 0.25	20.7
ImpactHow much the result matters, judged field-relative and by current momentum.	79	× 0.25	19.8
NoveltyHow genuinely new the result is, and how fast-moving.	50	× 0.50	25.1
Weighted pillars			65.5
Frontier recency15 months since publication		× 0.63
IntegrityNot retracted		× 1
Frontier Score			41

Confidence: SettledEstablished evidence: about 112 citations across 5 independent indices. Corroborated beyond citations (1 clinical trial).

Every sub-metric, traced to its source

EvidenceHow established and verifiable the result is.83

Evidence sub-metrics
Sub-metric	Raw value	0 to 100	Weight	Points	Source
Peer review & venueWhether the work has cleared peer review, and how selective its venue is. Peer review is necessary but not sufficient: before citations accrue, a fresh result in the most selective venues (Nature, Science, Cell, NEJM, the Lancet, PNAS, Physical Review Letters/X) is a stronger evidence signal than one in a legitimate but very high-volume mega-journal, which in turn outranks a preprint that has not been reviewed at all.Maps to 0 to 100: Peer-reviewed article graded by venue prestige: flagship 100, elite-family 90, high-volume mega-journal 78. Review 90, book 70, dataset 60, preprint 45, other 55.	Peer-reviewed	100	0.30	30.0	OpenAlex type / primary_location / source
CorroborationIndependent corroboration that the result is real and being taken up, read as the BREADTH of agreement rather than the size of the citation pile. Counts how many of the five independent citation indices (OpenAlex, Crossref, Semantic Scholar, OpenCitations, Europe PMC) report the work at all, plus orthogonal, non-citation lines of corroboration: entry into the encyclopedia, registered clinical trials, released datasets or software, public funding on record, and technical-community discussion. Citation MAGNITUDE is deliberately judged under Impact, not here, so Evidence and Impact measure genuinely different things instead of both rewarding the same citation pile twice.Maps to 0 to 100: Starts at 28 and rises with each of the five independent citation indices that agree the work is cited (+9 each) and each orthogonal non-citation corroboration line (+6 each: Wikipedia, clinical trials, open datasets or software, public funding, community discussion). Capped at 100.	5 of 5 citation indices agree, 1 independent non-citation line	79	0.30	23.7	OpenAlex, Crossref, Semantic Scholar, OpenCitations, Europe PMC, DataCite, NIH RePORTER, Wikipedia, Hacker News count of agreeing indices + orthogonal reach
VerifiabilityHow openly the result can be read, reused, and reproduced. Rewards open access, a permissive reuse license (CC-BY/CC0), a green repository copy anyone can archive, openly minable full text, and released datasets or software a reader can actually run. Cross-checked across OpenAlex, Unpaywall, Europe PMC, and DataCite.Maps to 0 to 100: Closed 45; open access 80+; a permissive CC license 100; a repository copy, open full text, or a released dataset/software artifact each raise the floor.	Closed access	45	0.20	9.0	OpenAlex, Unpaywall, Europe PMC, DataCite is_oa / license / has_repository_copy / open datasets
IntegrityRetraction and post-publication correction status. A retracted result is not evidence of anything and collapses the whole Frontier Score; a correction or expression of concern is a softer flag. Read across OpenAlex and Crossref (both update-to and updated-by notices).Maps to 0 to 100: Clean 100; a correction or expression of concern 75; retracted 0. Flagged if OpenAlex OR Crossref records the notice.	No retraction or concern on record	100	0.20	20.0	OpenAlex, Crossref is_retracted / update-to / updated-by

ImpactHow much the result matters, judged field-relative and by current momentum.79

Impact sub-metrics
Sub-metric	Raw value	0 to 100	Weight	Points	Source
Field-normalized impactImpact relative to the world average for the same field, year, and type, so a small field and a large field are judged fairly. Triangulates three independent field-normalized measures: OpenAlex's Field-Weighted Citation Impact, its citation percentile within the exact field-and-year cohort, and the NIH iCite Relative Citation Ratio. 1.0x is average; the percentile is the share of same-field, same-year work it out-cites.Maps to 0 to 100: Each ratio (1.0 = field average) maps 1.0 to 50, 3.0 to 75, 9.0 to 90; the field+year percentile maps directly (top 1% -> ~99). The available measures are averaged. Falls back to a saturating citation count when none is available yet.	139.8x FWCI, 35.7x RCR, top 0.0% of field-year vs field	99	0.45	44.5	OpenAlex, NIH iCite fwci / citation_normalized_percentile / relative_citation_ratio
Influential citationsCitations that genuinely build on the work rather than mention it in passing (Semantic Scholar's influential-citation measure). A sharper signal of real impact than a raw count.Maps to 0 to 100: Saturating: 15 influential citations maps to 50. Falls back to a fraction of consensus citations when unavailable.	4 influential	21	0.20	4.2	Semantic Scholar influentialCitationCount
Citation velocityCitations received in the trailing twelve months, judged as a rate rather than a lifetime total. Momentum is what a frontier index cares about: a result being taken up fast right now is landing, whether its lifetime pile is large or still small. Where an expected field citation rate is known, the momentum is also read relative to it, so a fast-moving result in a quiet field is not overlooked.Maps to 0 to 100: Saturating: 30 citations in the last twelve months maps to 50. When NIH iCite provides the field's expected rate, this is blended evenly with the ratio of observed to expected momentum.	119 in last 12 months (13.8x field rate)	87	0.35	30.3	OpenAlex, NIH iCite counts_by_year / field_citation_rate

NoveltyHow genuinely new the result is, and how fast-moving.50

Novelty sub-metrics
Sub-metric	Raw value	0 to 100	Weight	Points	Source
Conceptual noveltyHow genuinely new the contribution is, measured at publication from the work's OWN content, not its date: how atypical its combination of research areas is versus all prior work, and whether it builds on a broad, deep base rather than only the newest papers in a fast-moving area. This is what separates a real advance from a recent-but-commodity result, and it needs no forward citations, so it is stable for brand-new work. An honestly noisy proxy (even state-of-the-art novelty measures agree only moderately with expert judgment), so it carries bounded weight and never drives the ranking alone.Maps to 0 to 100: Blends two publication-time signals, each 0-100: an atypical-combination score (how unusual the pairing of the work's research topics is versus the prior literature, by pointwise mutual information) and a foundational-reach score (median age and depth of the work's references). The stronger signal weighs 0.62, the weaker 0.38. When neither is measurable (a work too thin in topics or references), the pillar renormalizes over its recency signals instead.	Pancreatic function and diabetes x Diabetes Management and Research (52,798 prior works made this pairing); builds on refs a median 9.4y deep	40	0.45	18.0	OpenAlex topics + referenced_works (publication-time)
RecencyHow recently the work appeared. The frontier is now, so newer scores higher.Maps to 0 to 100: Exponential decay with a 12-month half-life from the publication date.	15 months old	41	0.30	12.4	OpenAlex publication_date
Attention accelerationWhether attention is rising: citations in the latest full year versus the year before. Accelerating interest signals an active, opening frontier.Maps to 0 to 100: Latest/prior-year ratio: 1x maps to 50, 2x to 75, 4x to 100. Unknown is neutral.	15.7x rising	100	0.10	10.0	OpenAlex counts_by_year
Edge of reviewPreprints and brand-new work sit ahead of the peer-review process. That earns novelty here (while it is discounted under Evidence), because it is where the frontier forms first.Maps to 0 to 100: Preprint 95, article <6 months 80, article <18 months 65, else 45.	Peer-reviewed record	65	0.15	9.8	OpenAlex type / publication_date

ProvenanceAll sources

Sources and data

Every number behind this entry, grouped by the source that holds it: up to five citation indices cross-checked, field-normalized impact, then real-world reach (Wikipedia, community discussion, clinical trials, released data and public funding) where it exists. Each value links to its record.

OpenAlex

Primary record

Total citations: 155
Field-weighted citation impact: 139.8x field average
Citation percentile: Top 0.1% of its field-year
Citations, recent 12 months: 119
Publication date: 2025-06-20
Access: Closed access

Crossref

Citations: 171
Works it builds on: 30
Funders on record: 1

Semantic Scholar

Citations, all versions: 112
Influential citations: 4

OpenCitations

Citations: 74

Europe PMC

Citations: 95

NIH iCite

Relative Citation Ratio: 35.73x field average
Potential to translate: 75%
Cited by clinical articles: 1

ClinicalTrials.gov

Registered clinical trials: 1 (to phase 3)

OpenAlex record Read it in New England Journal of Medicine

Figures quoted in the write-up

Figure	Value	Source
Insulin independence (Full insulin independence at one year among the efficacy cohort)	10 of 12	New England Journal of Medicine
Follow-up (Primary efficacy assessed between days 180 and 365)	1 year	New England Journal of Medicine
Severe hypoglycemia (No severe hypoglycemic events during days 90 to 365)	None	New England Journal of Medicine
Efficacy cohort (Full-dose single-infusion recipients in parts B and C)	12 participants	New England Journal of Medicine
Deaths (Cryptococcal meningitis; severe dementia progression)	2	New England Journal of Medicine
Serious neutropenia (Most common serious adverse event)	3 participants	New England Journal of Medicine

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E 94I 70N 69Aug 31, 2026

Back to the Frontier Index, or browse every breakthrough by date.

What it is

Why it matters

The Frontier Score, in full

Sources and data

OpenAlex

Crossref

Semantic Scholar

OpenCitations

Europe PMC

NIH iCite

ClinicalTrials.gov

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