Evidence map›Paper›PMID 39369111›Full record

ArticleArchives of dermatological research2024

Evaluation the efficacy of microneedling with topical metformin solution compared with microneedling with topical vitamin C solution in treatment of melasma.

Manal Mahmoud Yosef Mahmoud, Abeer Moustafa Kamel, Sara Ahmed Galal

Registry-linked trialAbstract readComparative Study
PubMed Publisher
In one paragraph

Article in Archives of dermatological research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07345507 (Comparison of Efficacy of Metformin Gel 30% vs Triple Combination Cream), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT07345507 nacompletednot on this mapstarted 2025, after this paper: background citation

Comparison of Efficacy of Metformin Gel 30% vs Triple Combination Cream (Hydroquinone 4%, Flucinolone Acetonide 0.01%, Tretinoin 0.025%) in Treatment of Melasma in Tertiary Care Hospital Karachi.

TypeinterventionalSponsorJinnah Postgraduate Medical CentreRan2025 to 2025Enrolled34ConditionsMelasmaArmsMetformin gel, 30%, Triple combination cream (hydroquinone 2% + tretinoin 0.025% + fluocinolone acetonide 0.01%), Broad-spectrum sunscreen (SPF ≥30)
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. 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

3 authors.

Manal Mahmoud Yosef MahmoudDermatology Department, Ministry of Health, Benha University, Benha, Egypt.
Abeer Moustafa KamelProfessor of Dermatology and Venereology Department, Faculty of Medicine (Girls), Al-Azhar University, Cairo, Egypt.
Sara Ahmed GalalFaculty of Medicine (Girls), Assistant Professor of Dermatology and Venereology Department, Al-Azhar University, 53, New Cairo, 3Rd Zone Fifth, Settlement, Cairo, Egypt. drsaragalal@azhar.edu.eg.ORCID http://orcid.org/0000-0002-2776-628X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Several treatment modalities have been used for the treatment of melasma. Topical metformin is an anti-diabetic drug, which has melanopenic action. Vitamin C acts on melanin by inhibiting the tyrosinase enzyme, thus inhibiting melanogenesis. To compare the efficacy and safety of microneedling combined with topical metformin solution versus microneedling combined with topical vitamin C in the treatment of melasma. A spitted-face interventional comparative on 30 female patients suffering from melasma. The right side of the face was treated with microneedling and topical metformin, while the left side was treated with microneedling and topical vitamin C solution. Hemi-MASI score decreased significantly after treatment from before treatment in both groups P-value < 0.001. The percentage of improvement of Hemi-MASI score metformin group was 48.29%, While with vitamin C group was 37.19%. There was a significant improvement in dermoscopic findings in microneedling with topical metformin than with topical vitamin C group. Microneedling with topical metformin or topical vitamin C solution can be an effective and safe therapeutic option for treating melasma with no significant side effects.

Indexed as

Ascorbic AcidMelanosisMetforminNeedlesAdministration, CutaneousAdministration, TopicalAdultCombined Modality TherapyDry NeedlingFemaleHumansMiddle AgedPercutaneous Collagen InductionTreatment OutcomeYoung AdultAscorbic AcidMetforminMelasmaMetforminMicroneedlingVitamin C

Identifiers

PMID39369111

What Socratic holds

Textmetadata
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.