Evidence map›Paper›PMID 32010322›Full record

ArticleExperimental and therapeutic medicine2020

Aged garlic extract reduces low attenuation plaque in coronary arteries of patients with diabetes: A randomized, double-blind, placebo-controlled study.

Kashif Shaikh, April Kinninger, Lavanya Cherukuri, Divya Birudaraju, Rine Nakanishi, Shone Almeida, Eranthi Jayawardena, Chandana Shekar, Ferdinand Flores, Sajad Hamal and 4 more

Open access · diamondAbstract read
In one paragraph

Article in Experimental and therapeutic medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 5% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Naturally Occurring HHandbook of experimental pharmacology · 2026
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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

14 authors at 2 institutions in 1 country.

Kashif ShaikhLundquist Institute for Biomedical Innovation at Harbor UCLA Medical Center, Torrance, CA 90502, USA.
April KinningerLundquist Institute for Biomedical Innovation at Harbor UCLA Medical Center, Torrance, CA 90502, USA.
Lavanya CherukuriLundquist Institute for Biomedical Innovation at Harbor UCLA Medical Center, Torrance, CA 90502, USA.
Divya BirudarajuLundquist Institute for Biomedical Innovation at Harbor UCLA Medical Center, Torrance, CA 90502, USA.
Rine NakanishiLundquist Institute for Biomedical Innovation at Harbor UCLA Medical Center, Torrance, CA 90502, USA.
Shone AlmeidaLundquist Institute for Biomedical Innovation at Harbor UCLA Medical Center, Torrance, CA 90502, USA.
Eranthi JayawardenaLundquist Institute for Biomedical Innovation at Harbor UCLA Medical Center, Torrance, CA 90502, USA.
Chandana ShekarLundquist Institute for Biomedical Innovation at Harbor UCLA Medical Center, Torrance, CA 90502, USA.
Ferdinand FloresLundquist Institute for Biomedical Innovation at Harbor UCLA Medical Center, Torrance, CA 90502, USA.
Sajad HamalLundquist Institute for Biomedical Innovation at Harbor UCLA Medical Center, Torrance, CA 90502, USA.
Mohammed Salman SheikhLundquist Institute for Biomedical Innovation at Harbor UCLA Medical Center, Torrance, CA 90502, USA.
Amit JohanisLundquist Institute for Biomedical Innovation at Harbor UCLA Medical Center, Torrance, CA 90502, USA.
Benedict CuLundquist Institute for Biomedical Innovation at Harbor UCLA Medical Center, Torrance, CA 90502, USA.
Matthew J BudoffLundquist Institute for Biomedical Innovation at Harbor UCLA Medical Center, Torrance, CA 90502, USA.
Harbor–UCLA Medical Center · USUCLA Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Several previous studies have demonstrated that aged garlic extract (AGE) inhibits the progression of coronary artery calcification and non-calcified plaque (NCP) in the general population. However, its effects on plaque progression in patients with diabetes have not yet been investigated, at least to the best of our knowledge. This study investigated whether AGE reduces the coronary plaque volume measured by cardiac computed tomography angiography (CCTA) in patients with diabetes mellitus (DM). A total of 80 participants with DM with a median age of 57 years were prospectively assigned to consume 2,400 mg AGE/day (after completion, 37 participants) or placebo (after completion, 29 participants) orally. Both groups underwent CCTA at baseline and follow-up 365 days apart. In total, 66 participants completed the study. Coronary plaque volume, including total plaque (TP), dense calcium (DC), fibrous, fibro-fatty and low-attenuation plaque (LAP) volumes were measured based upon pre-defined intensity cut-off values using semi-automated software (QAngio CT). Changes in various plaque types were normalized to the total coronary artery length. The non-parametric Wilcoxon rank-sum test was performed to examine the differences in plaque formation between the 2 groups. No significant differences were found in the baseline characteristics between the AGE and placebo groups. Compared with the placebo group, the AGE group exhibited a statistically significant regression in normalized LAP [median and standard deviation (SD) -0.2 (18.8) vs. 2.5 (69.3), P=0.0415]. No differences were observed in TP, fibrous, or fibrofatty plaque volumes between the AGE and placebo group. On the whole, this study indicated that the %LAP change in the AGE group was significantly greater than that in the placebo group in patients with diabetes. However, further studies are warranted to evaluate whether AGE has the ability to stabilize vulnerable plaque and decrease adverse cardiovascular events.

Indexed as

atherosclerosisCT angiographygarlicplaque regressionrandomized trial

Identifiers

PMID32010322
PMCPMC6966158
OpenAlexW2997585405

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.