Evidence mapPaperPMID 34062418Full record

Trial reportBiomedicine & pharmacotherapy = Biomedecine & pharmacotherapie2021

Metformin has no impact on nitric oxide production in patients with pre-diabetes.

Edyta Sutkowska, Paulina Fortuna, Bernadetta Kałuża, Karolina Sutkowska, Jerzy Wiśniewski, Andrzej Gamian Prof

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT03398356. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 36% 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.

NCT03398356 phase4completed

The Assessment of the Effect of Metformin and Its Serum Concentration on the Concentration of Substances Associated With the Production of Nitric Oxide in Patients With Impaired Carbohydrate Metabolism

Ran2017Enrolled47Registered outcomes6Posted comparisons0ConditionsImpaired Fasting Glucose (IFG), Impaired Glucose Tolerance (IGT), PrediabetesArmsMetformin
Open the trial in the graph
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
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 4 institutions in 1 country.

Edyta SutkowskaDepartment and Division of Medical Rehabilitation, Wroclaw Medical University, Wroclaw, Poland. Electronic address: edyta.sutkowska@umed.wroc.pl.
Paulina FortunaDepartment of Medical Biochemistry, Wroclaw Medical University, Wroclaw, Poland. Electronic address: paulina.fortuna@umed.wroc.pl.
Bernadetta KałużaDepartment of Internal Medicine, Endocrinology and Diabetology, Central Clinical Hospital of the Ministry of the Interior, Warsaw, Poland. Electronic address: bernadettta@o2.pl.
Karolina SutkowskaFaculty of Medicine, Wroclaw Medical University, Wroclaw, Poland. Electronic address: karolina.sutkowska@student.umed.wroc.pl.
Jerzy WiśniewskiCentral Laboratory of Instrumental Analysis, Wroclaw University of Science and Technology, Wybrzeże Wyspiańskiego 27, 50-370 Wroclaw, Poland. Electronic address: jerzy.wisniewski@pwr.edu.pl.
Andrzej Gamian ProfHirszfeld Institute of Immunology and Experimental Therapy, Polish Academy of Science, Weigla 12, 53-114 Wroclaw, Poland. Electronic address: andrzej.gamian@hirszweld.pl.
Wroclaw Medical University · PLCentral Clinical Hospital · PLLudwik Hirszfeld Institute of Immunology and Experimental Therapy · PLWrocław University of Science and Technology · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIMS/

introductionThe authors evaluated the impact of different dose of metformin on NO (nitric oxide) production in subjects with pre-diabetes. MATERIALS AND

methodsThe metformin-naïve patients from one Diabetic Center with newly diagnosed pre-diabetes, without cardio-vascular diseases, were randomized (based on the identification number, individual for each inhabitant in the country) for treatment with different doses of metformin (group A 3 × 500 mg, group B 3 × 1000 mg) for 12 weeks. Then, the subjects from group B were switched to dose 3 × 500 for the last 3 weeks. The wide panel of L-arginine/NO pathway metabolites concentrations was assessed using the liquid chromatography-mass spectrometry technique.

resultsBetween October 2017 and December 2018, 36 individuals were initially randomized to intervention groups. The study was completed with 25 subjects: 14 patients in group A, 11 in group B; also 11 healthy volunteers were recruited. There was no difference between participants with pre-diabetes and healthy volunteers as regards the baseline characteristics except for fasting glucose and fatty liver. The decrease of L-citrulline concentration only was reported for treatment groups during the intervention period, with no change for the other NO-production related substances.

conclusionIt was the first study on the in vivo release of NO in humans with different metformin doses in patients with pre-diabetes. Metformin did not seem to increase NO production measured by the citrulline plasma levels, irrespective of the dose. The citrulline concentration change might indicate the drug impact on the condition of the enterocytes.

Indexed as

AdultArginineCitrullineFemaleHumansHypoglycemic AgentsMaleMetforminMiddle AgedNitric OxidePrediabetic StateArginineCitrullineHypoglycemic AgentsMetforminNitric OxideMetforminNO-nitric oxidePre-diabetic state

Identifiers

PMID34062418
OpenAlexW3157346172

What Socratic holds

Texttitle and abstract
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.