Evidence map›Paper›PMID 21610123›Full record

Trial reportDiabetes care2011

Effect of diacerein on insulin secretion and metabolic control in drug-naive patients with type 2 diabetes: a randomized clinical trial.

Maria G Ramos-Zavala, Manuel González-Ortiz, Esperanza Martínez-Abundis, José A Robles-Cervantes, Roberto González-López, Nestor J Santiago-Hernández

2 registry-linked trialsOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetes care, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 3 pooled it
2.9field-weighted citation impact, top 9% 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.

NCT02177643 phase2unknown statusnot on this mapstarted 2013, after this paper: background citation

Effect of Diacerein in the Metabolic Control of Patients With Diabetes Mellitus Type 2 and Secondary Failure to Metformin

TypeinterventionalSponsorUniversity of Campinas, BrazilRan2013Enrolled60ConditionsDiabetes-Related Complications, Diabetes Mellitus, Type 2, Insulin ResistanceArmsDiacerein, Placebo
NCT03208309 phase2completednot on this mapstarted 2013, after this paper: background citation

Effect of Diacerein in the Metabolic Control of Patients With Diabetes Mellitus Type 2 and Secondary Failure to Metformin

TypeinterventionalSponsorANS PharmaRan2013 to 2015Enrolled40ConditionsComplications of Diabetes Mellitus, Diabetes Mellitus, Diabetes Mellitus, Type 2ArmsDiacerein, Placebo
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 68 citations in OpenAlex.

  1. Pooled it
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  13. Anti-Inflammatory and Anti-Adipocyte Dysfunction Effects ofPharmaceuticals (Basel, Switzerland) · 2024
    Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. An Update of Anthraquinone Derivatives Emodin, Diacerein, and Catenarin in Diabetes.Evidence-based complementary and alternative medicine : eCAM · 2021
    Review
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Maria G Ramos-ZavalaMedical Research Unit in Clinical Epidemiology, Specialties Hospital, Medical Unit of High Specialty, West National Medical Center, Mexican Institute of Social Security, and Physiology Department, Health Science University Center, University of Guadalajara, Guadalajara, Mexico.
Manuel González-Ortiz
Esperanza Martínez-Abundis
José A Robles-Cervantes
Roberto González-López
Nestor J Santiago-Hernández
Mexican Social Security Institute · MXUniversidad de Guadalajara · MX

Funding

DNA SAMPLE ANALYSIS27307C2007 · NIEHS · PI LEHMAN, TERESA · 2007 to 2007
$74k
NIEHS NIH HHS 27307C2007
6 · The paper itself

Abstract

objectiveTo assess the effect of diacerein on insulin secretion and metabolic control in drug-naïve patients with type 2 diabetes. RESEARCH DESIGN AND

methodsA randomized, double-blind, placebo-controlled clinical trial was carried out in 40 drug-naïve adult patients with type 2 diabetes. A metabolic profile including interleukin (IL)-1β, tumor necrosis factor-α, IL-6, and fasting insulin levels was carried out before the intervention and 2 months afterward. A hyperglycemic-hyperinsulinemic clamp technique was performed to assess the phases of insulin secretion and insulin sensitivity. After randomization, 20 patients received diacerein (50 mg once daily) for the first 15 days and twice daily for 45 additional days. The remaining patients received placebo. Intra- and intergroup differences were calculated by Wilcoxon signed rank and Mann-Whitney U tests.

resultsThere were significant increases in first (102±63 vs. 130±75 pmol/L; P<0.01), late (219±111 vs. 280±135 pmol/L; P<0.01), and total insulin (178±91 vs. 216±99 pmol/L; P<0.01) secretions without changes in insulin sensitivity after diacerein administration. There were significant decreases in fasting glucose (7.9±1.4 vs. 6.8±1.0 mmol/L; P<0.01) and in A1C levels (8.3±1.0 vs. 7.0±0.8%; P<0.001) after diacerein administration. There were no significant changes after placebo administration in the above-mentioned evaluations.

conclusionsInsulin secretion increased and metabolic control improved after diacerein administration in drug-naïve patients with type 2 diabetes.

Indexed as

AdultAnthraquinonesBlood GlucoseDiabetes Mellitus, Type 2FastingFemaleGlycated HemoglobinHumansInsulinInsulin SecretionInterleukin-1betaInterleukin-6MaleMiddle AgedObesityOverweightAnthraquinonesBlood GlucosediacereinGlycated Hemoglobinhemoglobin A1c protein, humanInsulinInterleukin-1betaInterleukin-6Tumor Necrosis Factor-alpha

Identifiers

PMID21610123
PMCPMC3120202
OpenAlexW2152871321

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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 OpenQuestion graph.