Evidence map›Paper›PMID 29256528›Full record

ArticleJPMA. The Journal of the Pakistan Medical Association2017

Comparison of metformin and pioglitazone in achieving sustained virological response in chronic hepatitis C patients with insulin resistance: A quasi-experimental study.

Imran Mahfooz Khan, Bilal Rafique Malik, Fawad Ahmad Randhawa, Nasir Farooq Butt, Uzma Malik, Shahid Hamid

Registry-linked trialAbstract readComparative Study
PubMed
In one paragraph

Article in JPMA. The Journal of the Pakistan Medical Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04377451 (Metformin as Adjunctive Therapy in Overweight and Obese Patients With Dengue), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 72% 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.

NCT04377451 phase1 / phase2completedstarted 2020, after this paper: background citation

Metformin as Adjunctive Therapy in Overweight and Obese Patients With Dengue: an Open-label Safety and Tolerability Trial

Ran2020Enrolled120Registered outcomes7Posted comparisons0ConditionsAnti-inflammatory Agents, Dengue, Metformin, ObesityArmsMetformin
Open the trial in the graph
3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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 1 institution in 1 country.

Imran Mahfooz KhanDepartment of Medicine, King Edward Medical University, Lahore.
Bilal Rafique MalikPost-Graduate Trainee, East Medical Ward, Mayo Hospital, Lahore.
Fawad Ahmad RandhawaDepartment of Medicine/Endocrinology, King Edward Medical University, Lahore.
Nasir Farooq ButtDepartment of Medicine, King Edward Medical University, Lahore.
Uzma MalikDepartment of Medicine, King Edward Medical University, Lahore.
Shahid HamidDepartment of Medicine, King Edward Medical University, Lahore.
King Edward Medical University · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare metformin and pioglitazone with standard interferon and ribavirin in achieving sustained virological response in chronic hepatitis C patients.

methodsThis quasi-experimental, comparative, interventional study was conducted at Mayo Hospital, Lahore, Pakistan, from January 2015 to March 2016, and comprised chronic hepatitis C patients who had insulin resistance. The patients were divided evenly in three groups. Group A had patients treated with interferon 3 million units, three times in a week and ribavirin 400mg three times in a day. In addition to interferon and ribavirin, group B was treated with metformin, and group C received pioglitazone. Polymerase chain reaction was done at the completion of 24 and 48 weeks to assess the end treatment and sustained virological response, respectively. SPSS 20 was used for data analysis.

resultsOf the 138 patients, there were 46(33.3%) in each group. The mean age of the patients in group A was 36.83±9.65 years, in group B was 37.72±10.00 years and in group C it was 38.07±8.85 years. Overall, there were 70(50.72%) males and 68(49.28%) females. At the end of 24 weeks, polymerase chain reaction exhibited that in group A, the score was <100 in 28(60.9%) and >100 in 18(39.1%) patients. In group-B, it was <100 in 39(84.8%) and >100 in 7(15.2%) patients. In group-C, it was <100 in 31(67.4%) and >100 in 15(32.6%) patients. The sustained virological response was considerably higher in group B (p=0.003).

conclusionsSustained virological response with standard therapy with metformin gave high-end response as compared to other groups.

Indexed as

Hepatitis C, ChronicAdultAntiviral AgentsBlood GlucoseFemaleHumansHypoglycemic AgentsInsulin ResistanceInterferonsMaleMetforminMiddle AgedPioglitazoneSustained Virologic ResponseAntiviral AgentsBlood GlucoseHypoglycemic AgentsInterferonsMetforminPioglitazoneHepatitis C, Interferon, Insulin resistance, Metformin, Pioglitazone.

Identifiers

PMID29256528
OpenAlexW2975428759

What OpenQuestion 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 OpenQuestion graph.