Evidence map›Paper›PMID 38334258›Full record

SynthesisCNS neuroscience & therapeutics2024

Efficacy of the iron-chelating agent, deferiprone, in patients with Parkinson's disease: A systematic review and meta-analysis.

Ahmed Negida, Nafisa M Hassan, Heba Aboeldahab, Youmna E Zain, Yasmin Negida, Shirin Cadri, Nivin Cadri, Leslie J Cloud, Matthew J Barrett, Brian Berman

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in CNS neuroscience & therapeutics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 pooled it
13.7field-weighted citation impact, top 1% 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

32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Efficacy and safety of deferiprone for Parkinson's disease: a systematic review and meta-analysis of motor function and overall disease severity.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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  13. Organosulfur Compounds: Potential Therapeutics for Parkinson's Disease.CNS & neurological disorders drug targets · 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

10 authors at 5 institutions in 3 countries.

Ahmed NegidaParkinson's and Movement Disorder Center, Virginia Commonwealth University, Richmond, Virginia, USA.ORCID 0000-0001-5363-6369
Nafisa M HassanMedical Research Group of Egypt, Negida Academy, Arlington, Massachusetts, USA.
Heba AboeldahabMedical Research Group of Egypt, Negida Academy, Arlington, Massachusetts, USA.
Youmna E ZainMedical Research Group of Egypt, Negida Academy, Arlington, Massachusetts, USA.
Yasmin NegidaMedical Research Group of Egypt, Negida Academy, Arlington, Massachusetts, USA.
Shirin CadriMedical Research Group of Romania, Negida Academy, Arlington, Massachusetts, USA.
Nivin CadriMedical Research Group of Romania, Negida Academy, Arlington, Massachusetts, USA.
Leslie J CloudParkinson's and Movement Disorder Center, Virginia Commonwealth University, Richmond, Virginia, USA.
Matthew J BarrettParkinson's and Movement Disorder Center, Virginia Commonwealth University, Richmond, Virginia, USA.
Brian BermanParkinson's and Movement Disorder Center, Virginia Commonwealth University, Richmond, Virginia, USA.
Virginia Commonwealth University · USGrigore T. Popa University of Medicine and Pharmacy · ROMinistry of Health and Population · EGTanta University · EGZagazig University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSeveral studies have reported iron accumulation in the basal ganglia to be associated with the development of Parkinson's Disease (PD). Recently, a few trials have examined the efficacy of using the iron-chelating agent Deferiprone (DFP) for patients with PD. We conducted this meta-analysis to summarize and synthesize evidence from published randomized controlled trials about the efficacy of DFP for PD patients.

methodsA comprehensive literature search of four electronic databases was performed, spanning until February 2023. Relevant RCTs were selected, and their data were extracted and analyzed using the RevMan software. The primary outcome was the change in the Unified Parkinson's Disease Rating Scale (UPDRS-III).

resultsThree RCTs with 431 patients were included in this analysis. DFP did not significantly improve UPDRS-III score compared to placebo (Standardized mean difference -0.06, 95% CI [-0.69, 0.58], low certainty evidence). However, it significantly reduced iron accumulation in the substantia nigra, putamen, and caudate as measured by T2*-weighted MRI (with high certainty evidence).

conclusionCurrent evidence does not support the use of DFP in PD patients. Future disease-modification trials with better population selection, adjustment for concomitant medications, and long-term follow up are recommended.

Indexed as

Parkinson DiseaseDeferiproneHumansIronIron Chelating AgentsSubstantia NigraDeferiproneIronIron Chelating Agentsdeferiproneiron-chelating agentParkinson's diseaseunified Parkinson's disease rating scale

Identifiers

PMID38334258
PMCPMC10853946
OpenAlexW4391682128

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.