Evidence mapPaperPMID 32349742Full record

Trial reportBMC complementary medicine and therapies2020

The effect of aged garlic extract on the atherosclerotic process - a randomized double-blind placebo-controlled trial.

Martiné Wlosinska, Ann-Christin Nilsson, Joanna Hlebowicz, Anders Hauggaard, Maria Kjellin, Mohammed Fakhro, Sandra Lindstedt

3 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC complementary medicine and therapies, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
9.5field-weighted citation impact, top 2% 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.

NCT03860350 nacompletednot on this map

Aged Garlic Extract (Kyolic) Study at Lund University, Sweden

TypeinterventionalSponsorLund University HospitalRan2016 to 2019Enrolled100ConditionsCoronary Artery Disease, Microcirculation, BiomarkersArmsAged Garlic Extract, Placebo
NCT05803759 phase4unknown statusnot on this mapstarted 2023, after this paper: background citation

The Effects of Dietary Supplementation Allicor on the Effectiveness of Treatment of Patients After Coronary Arteria Revascularization

TypeinterventionalSponsorInstitute for Atherosclerosis Research, RussiaRan2023 to 2025Enrolled200ConditionsMyocardial Ischemia, Coronary Artery Bypass Grafting, Coronary Arteriosclerosis, Percutaneous Coronary RevascularizationArmsAllicor, Placebo
NCT05813171 phase4unknown statusnot on this mapstarted 2023, after this paper: background citation

The Effects of Dietary Supplementation Allicor on Patients With Multifocal Atherosclerosis After Peripheral Artery Revascularization Treatment During a Year

TypeinterventionalSponsorInstitute for Atherosclerosis Research, RussiaRan2023 to 2024Enrolled300ConditionsAtherosclerosis, Peripheral Arterial DiseaseArmsAllicor, Placebo
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Martiné WlosinskaDepartment of Cardiothoracic Surgery and Transplantation, Clinical Sciences, Lund University, Skåne University Hospital, SE-221 85, Lund, Sweden.
Ann-Christin NilssonDepartment of Cardiothoracic Surgery and Transplantation, Clinical Sciences, Lund University, Skåne University Hospital, SE-221 85, Lund, Sweden.
Joanna HlebowiczDepartment of Cardiology, Clinical Sciences, Lund University, Skåne University Hospital, Lund, Sweden.
Anders HauggaardDepartment of Radiology, Cardiac Imaging, Skåne Hospital Northwest, Helsingborg, Sweden.
Maria KjellinDepartment of Radiology, Cardiac Imaging, Skåne Hospital Northwest, Helsingborg, Sweden.
Mohammed FakhroDepartment of Cardiothoracic Surgery and Transplantation, Clinical Sciences, Lund University, Skåne University Hospital, SE-221 85, Lund, Sweden.
Sandra LindstedtDepartment of Cardiothoracic Surgery and Transplantation, Clinical Sciences, Lund University, Skåne University Hospital, SE-221 85, Lund, Sweden. sandra.lindstedt.ingemansson@gmail.com.ORCID https://orcid.org/0000-0003-4484-6473
Lund University · SE

Funding

ALF Foundation ALF
6 · The paper itself

Abstract

backgroundOne of the most serious secondary manifestations of Cardiovascular Disease (CVD) is coronary atherosclerosis. This study aimed to evaluate whether aged garlic extract (AGE) can influence coronary artery calcification (CAC) and to predict the individual effect of AGE using a standard process for data mining (CRISP-DM).

methodThis was a single-center parallel randomized controlled study in a university hospital in Europe. Patients were randomized, in a double-blind manner, through a computer-generated randomization chart. Patients with a Framingham risk score ≥ 10 after CT scan (n = 104) were randomized to an intake of placebo or AGE (2400 mg daily) for 1 year. Main outcome measures were changes in CAC score and secondary outcome measures changes in blood pressure, fasting blood glucose, blood lipids and inflammatory biomarkers.

result104 patients were randomized and 46 in the active group and 47 in the placebo group were analyzed. There was a significant (p < 0.05) change in CAC progression (OR: 2.95 [1.05-8.27]), blood glucose (OR: 3.1 [1.09-8.85]) and IL-6 (OR 2.56 [1.00-6.53]) in favor of the active group. There was also a significant (p = 0.027) decrease in systolic blood pressure in the AGE group, from a mean of 148 (SD: 19) mmHg at 0 months, to 140 (SD: 15) mmHg after 12 months. The AGE Algorithm, at a selected probability cut-off value of 0.5, the accuracy score for CAC progression was 80%, precision score of 79% and recall score 83%. The score for blood pressure was 74% (accuracy, precision and recall). There were no side-effects in either group.

conclusionsAGE inhibits CAC progression, lowers IL-6, glucose levels and blood pressure in patients at increased risk of cardiovascular events in a European cohort. An algorithm was made and was used to predict with 80% precision which patient will have a significantly reduced CAC progression using AGE. The algorithm could also predict with a 74% precision which patient will have a significant blood pressure lowering effect pressure using AGE.

trial registrationClinical trials NCT03860350, retrospectively registered (1/32019).

Indexed as

GarlicPhytotherapyAdultAgedBiomarkersBlood PressureCoronary Artery DiseaseDouble-Blind MethodFemaleHumansMaleMiddle AgedPlant ExtractsBiomarkersPlant ExtractsAged garlic extractBlood pressureCalcium scoreCRISP-DMData miningData scienceDouble-blindedPlacebo-controlled

Identifiers

PMID32349742
PMCPMC7191741
OpenAlexW3022699894

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.