Evidence mapPaperPMID 22676348Full record

Trial reportArthritis research & therapy2012

Hydroxychloroquine improves insulin sensitivity in obese non-diabetic individuals.

Emileigh Mercer, Laura Rekedal, Rajesh Garg, Bing Lu, Elena M Massarotti, Daniel H Solomon

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in Arthritis research & therapy, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02874287 (Hydroxychloroquine Assessment of Management Study in Coronary Artery Disease After Angiography.), which is not on this map. Cited by 35 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 4 pooled it
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02874287 phase4completednot on this mapstarted 2017, after this paper: background citation

Hydroxychloroquine Assessment of Management Study in Coronary Artery Disease After Angiography.

TypeinterventionalSponsorFirst Affiliated Hospital Xi'an Jiaotong UniversityRan2017 to 2019Enrolled35ConditionsCoronary Artery DiseaseArmsHydroxychloroquine Sulfate Tablets, Placebo Tablets
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 4 syntheses or guidelines pooled it, 88 citations in OpenAlex.

  1. Pooled it
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  11. Article
  12. Review
  13. Relationship of Hydroxychloroquine and Ophthalmic Complications in Patients with Type 2 Diabetes in Taiwan.International journal of environmental research and public health · 2021
    Article
  14. Hydroxychloroquine, COVID-19 and diabetes. Why it is a different story.Diabetes/metabolism research and reviews · 2021
    Article
  15. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Emileigh MercerDivision of Rheumatology, Brigham and Women's Hospital/Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA.
Laura Rekedal
Rajesh Garg
Bing Lu
Elena M Massarotti
Daniel H Solomon
Brigham and Women's Hospital · USHarvard University · US

Funding

NIAMS NIH HHS K24 AR055989
6 · The paper itself

Abstract

introductionHydroxychloroquine (HCQ) is a common disease modifying therapy for the treatment of rheumatoid arthritis (RA). Prior research suggests that HCQ may reduce the risk of diabetes mellitus in patients with RA. To investigate the mechanism of this effect, we examined the effect of HCQ on insulin resistance, insulin sensitivity, and pancreatic β-cell secretion of insulin in non-diabetic, obese subjects.

methodsWe recruited 13 obese, non-diabetic subjects without systemic inflammatory conditions for an open-label longitudinal study of HCQ 6.5 mg per kilogram per day for six weeks. Subjects underwent an oral glucose tolerance test at three time points: 0 weeks (pre-treatment with HCQ), 6 weeks (at the end of the HCQ treatment), and 12 weeks (6 weeks post HCQ-treatment). The Matsuda Insulin Sensitivity Index (ISI), HOMA-IR, and HOMA-B were compared across time-points.

resultsThe mean age of the cohort was 49 years, 77% females and median body mass index was 36.1 kg/m2. After 6 weeks of HCQ therapy, ISI increased from a median (interquartile range) of 4.5 (2.3-7.8) to 8.9 (3.7-11.4) with a p-value of 0.040, and HOMA-IR decreased from a median of 2.1 (1.6-5.4) to 1.8 (1.02-2.1) with a p-value of 0.09. All these variables returned toward baseline at week 12.

conclusionHCQ use for 6 weeks in non diabetic obese subjects was associated with a significant increase in ISI and trends toward reduced insulin resistance and insulin secretion. These data suggest that HCQ, a common medication used to treat RA, possesses beneficial effects upon insulin sensitization. Further study of the insulin sensitizing effects of HCQ in patients with RA is warranted.

Indexed as

Insulin ResistanceAntirheumatic AgentsBody Mass IndexFemaleHumansHydroxychloroquineLongitudinal StudiesMaleMiddle AgedObesityAntirheumatic AgentsHydroxychloroquine

Identifiers

PMID22676348
PMCPMC3446518
OpenAlexW2111220434

What Socratic holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.