Evidence map›Paper›PMID 24178792›Full record

Trial reportThe Journal of clinical endocrinology and metabolism2014

Anatabine supplementation decreases thyroglobulin antibodies in patients with chronic lymphocytic autoimmune (Hashimoto's) thyroiditis: a randomized controlled clinical trial.

Lowell R Schmeltz, Thomas C Blevins, Stephen L Aronoff, Kerem Ozer, Jonathan D Leffert, Marc A Goldberg, Barry S Horowitz, Richard H Bertenshaw, Pedro Troya, Amy E Cohen and 2 more

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The Journal of clinical endocrinology and metabolism, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.0field-weighted citation impact, top 22% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 24 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. The chemotype core collection of genus Nicotiana.The Plant journal : for cell and molecular biology · 2022
    Article
  5. Article
  6. Article
  7. Latent autoimmune thyroid disease.Journal of translational autoimmunity · 2020
    Article
  8. Primordial and Primary Preventions of Thyroid Disease.International journal of endocrinology and metabolism · 2017
    Review
  9. Article
  10. Prevalence and risk factors of subclinical thyroid disease.Endocrinology and metabolism (Seoul, Korea) · 2014
    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

12 authors at 5 institutions in 1 country.

Lowell R SchmeltzAssociated Endocrinologists, PC (L.R.S.), West Bloomfield, Michigan 48322; Texas Diabetes and Endocrinology (T.C.B.), Austin, Texas 78731; Endocrine Associates of Dallas (S.L.A.), Dallas, Texas 75231; Texas Diabetes and Endocrinology (K.O.), Round Rock, Texas 78681; North Texas Endocrine Center (J.D.L.), Dallas, Texas 75231; New Jersey Physicians, LLC (M.A.G.), Clifton, New Jersey 07012; Metabolic Research Institute, Inc (B.S.H.), West Palm Beach, Florida 33401; Diabetes and Endocrine Associates (R.H.B.), La Grange, Illinois 60525; Bay Area Endocrinology Associates, LLC (P.T.), Tampa, Florida 33614; and Rock Creek Pharmaceuticals, Inc (A.E.C., R.K.L., C.W.), Gloucester, Massachusetts 01930.
Thomas C Blevins
Stephen L Aronoff
Kerem Ozer
Jonathan D Leffert
Marc A Goldberg
Barry S Horowitz
Richard H Bertenshaw
Pedro Troya
Amy E Cohen
Ryan K Lanier
Curtis Wright
Diabetes & Endocrine Associates · USTexas Diabetes & Endocrinology · USAmerican Association of Clinical Endocrinologists · USUniversity Physicians · USUrology Associates · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextHashimoto's thyroiditis is less prevalent in tobacco smokers. Anatabine, an alkaloid found in Solanaceae plants including tobacco, has been reported to ameliorate a mouse model of Hashimoto's thyroiditis.

objectiveThe effects of anatabine in patients with Hashimoto's thyroiditis were studied. DESIGN, SETTING, PATIENTS, AND

interventionThis was a double-blind, randomized, placebo-controlled multisite study. A total of 146 patients (70 treated with anatabine and 76 with placebo) completed the study. Approximately 50% of patients in each group were taking levothyroxine. Anatabine lozenges (9-24 mg/d) or placebo, each containing vitamins A and D3, were administered orally 3 times a day for 3 months.

main outcome measuresSerum thyroperoxidase antibody (TPOAb) and thyroglobulin antibody (TgAb) levels were assessed. Safety was assessed through adverse events, clinical laboratory evaluations, and vital sign measurements.

resultsAnatabine-treated patients had a significant reduction in absolute serum TgAb levels from baseline by study end relative to those receiving placebo (P=.027); however, there were no significant changes or differences in treatment group means for TPOAb or TgAb levels. Mean±SD TgAb values decreased by 46.2±101.1 and 3.9±83.9 World Health Organization units for the anatabine and placebo groups, respectively. Significantly more patients had a >20% drop in TgAb levels in the anatabine than placebo group (P=.023). Overall, the anatabine supplement was safe and well tolerated, although significantly (P<.05) more patients in the anatabine group reported adverse events.

conclusionsThese results demonstrate an immunological effect of anatabine on TgAb levels. Further studies are warranted to determine the longer-term effects and possible actions of anatabine on the course of Hashimoto's thyroiditis.

Indexed as

AlkaloidsAutoantibodiesDouble-Blind MethodDown-RegulationDrug-Related Side Effects and Adverse ReactionsFemaleHashimoto DiseaseHumansIodide PeroxidaseMalePlacebosPyridinesAlkaloidsanatabineanti-thyroglobulinAutoantibodiesIodide PeroxidasePlacebosPyridines

Identifiers

PMID24178792
PMCPMC3928963
OpenAlexW2051340961

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.