Evidence map›Paper›PMID 26719803›Full record

ArticleBMC hematology2015

Gum Arabic as fetal hemoglobin inducing agent in sickle cell anemia; in vivo study.

Lamis Kaddam, Imad FdleAlmula, Omer Ali Eisawi, Haydar Awad Abdelrazig, Mustafa Elnimeiri, Florian Lang, Amal M Saeed

2 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in BMC hematology, 2015. 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 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 13% 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.

NCT02467257 phase1 / phase2completednot on this map

Potential Role of Gum Arabic as Fetal Hemoglobin Agent in Sudanese Sickle Cell Anemia Patients

TypeinterventionalSponsorAl-Neelain UniversityRan2014 to 2015Enrolled47ConditionsSickle Cell AnemiaArmsGum Arabic
NCT04191213 phase2 / phase3unknown statusnot on this mapstarted 2020, after this paper: background citation

Efficacy of Gum Arabic as Anti-oxidant, Anti-inflammatory and Fetal Hemoglobin Inducing Agent in Sickle Cell Anemia Patients : A Randomized, Double-blind, Two-armed Parallel-group, Placebo-controlled Phase II/III Study - Khartoum, Sudan

TypeinterventionalSponsorAl-Neelain UniversityRan2020 to 2020Enrolled100ConditionsSickle Cell Anemia in ChildrenArmsAcacia Senegal extract, Pectin
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Phytomedicines (medicines derived from plants) for sickle cell disease.The Cochrane database of systematic reviews · 2020
    Pooled it
  2. Phytomedicines (medicines derived from plants) for sickle cell disease.The Cochrane database of systematic reviews · 2018
    Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Gum Arabic (International journal of nephrology · 2020
    Article
  10. Role ofMicroorganisms · 2019
    Article
  11. Article
  12. Article
  13. Article
  14. Article
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 3 institutions in 2 countries.

Lamis KaddamDepartment of Physiology Faculty of Medicine, Alneelain University, P.O. Box: 11121, Khartoum, 12702 Sudan.
Imad FdleAlmulaAlneelain Research Centre Faculty of Medicine, Alneelain University, Khartoum, Sudan.
Omer Ali EisawiDepartment of Hematology, Military Hospital, Khartoum, Sudan.
Haydar Awad AbdelrazigDepartment of Pediatrics, Military Hospital, Khartoum, Sudan.
Mustafa ElnimeiriDepartment of Community Medicine Faculty of Medicine, Alneelain University, Khartoum, Sudan.
Florian LangDepartment of Physiology, University of Tübingen, Tübingen, Germany.
Amal M SaeedDepartment of Physiology Faculty of Medicine, University of Khartoum, Khartoum, Sudan.
Al-Neelain University · SDUniversity of Khartoum · SDUniversity of Tübingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh levels of fetal haemoglobin (HbF) decrease sickle cell anaemia (SCA) severity and leads to improved survival. According to in vivo and in vitro studies, butyrate increases HbF production. Its utilization in clinical practice is hampered, however, by its short half-life. Serum butyrate concentrations could be enhanced by colonic bacterial fermentation of Gum Arabic (GA), edible, dried, gummy exudates from Acacia Senegal tree. We hypothesized that regular intake of GA increases serum butyrate levels, thus inducing HbF production and ameliorating symptoms of sickle cell anemia.

methodsFourty seven patients (5-42 years) carrying hemoglobin SS were recruited from April 2014 to January 2015. Patients received 30 g/day GA for 12 weeks. HbF, blood count and erythropoietin level were measured. The main outcome of interest was the level of HbF after 12 weeks. The secondary outcomes were improvement in clinical and laboratory results. The study was ethically approved by Alneelain University IRB.

resultsThe study revealed significant increase in HbF level P.V0.000 [95 % CI, 0.43-1.02], MCV P.V:000 [95 % CI, 2.312-6.058] and Hematocrit level P.V:0.026 [95 % CI, 0.124-1.902]. No significant difference was encountered in platelets count P.V: 0.346 [95 % CI,-25.76-71.94], and WBCs count P.V:0.194 [95 % CI,-8.035-1.68]. Thirty seven percent of patients experienced minor side effects which resolved within a week.

conclusionThese findings reveal a novel effect of GA, which may be used to foster fetal hemoglobin production.

trial registrationClinicalTrials.gov Identifier: NCT02467257. Registered 3rd June 2015.

Identifiers

PMID26719803
PMCPMC4696138
OpenAlexW2206567612

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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.