Evidence map›Paper›PMID 39308871›Full record

Trial reportFrontiers in immunology2024

Effect of pioglitazone on inflammatory response and clinical outcome in T2DM patients with COVID-19: a randomized multicenter double-blind clinical trial.

Khaled Baagar, Thamer Alessa, Mohamed Abu-Farha, Jehad Abubaker, Heba Alhumaidi, Jose Antonio Franco Ceruto, Mohammad Khair Hamad, Ali Omrani, Salma Abdelrahman, Muhammad Zaka-Ul Haq and 22 more

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Frontiers in immunology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04604223 (Effect of Pioglitazone on Inflammatory Response and Clinical Outcome in T2DM Patients With COVID-19), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

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

NCT04604223 phase4unknown statusnot on this map

Effect of Pioglitazone on Inflammatory Response and Clinical Outcome in T2DM Patients With COVID-19

TypeinterventionalSponsorDasman Diabetes InstituteRan2021 to 2021Enrolled1,506ConditionsCovid19, Type 2 DiabetesArmsPioglitazone 45 mg
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. 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

32 authors.

Khaled Baagar *Medicine Department, Hamad Medical Corporation, Doha, Qatar.
Thamer Alessa *Jaber AlAhmed Hospital, Ministry of Health, Kuwait City, Kuwait.
Mohamed Abu-Farha *Department of Translational Research, Dasman Diabetes Institute, Kuwait City, Kuwait.
Jehad AbubakerDepartment of Biochemistry and Molecular Biology, Dasman Diabetes Institute, Kuwait City, Kuwait.
Heba AlhumaidiJaber AlAhmed Hospital, Ministry of Health, Kuwait City, Kuwait.
Jose Antonio Franco CerutoMedicine Department, Hamad Medical Corporation, Doha, Qatar.
Mohammad Khair HamadMedicine Department, Hamad Medical Corporation, Doha, Qatar.
Ali OmraniMedicine Department, Hamad Medical Corporation, Doha, Qatar.
Salma AbdelrahmanMedicine Department, Hamad Medical Corporation, Doha, Qatar.
Muhammad Zaka-Ul HaqMedicine Department, Hamad Medical Corporation, Doha, Qatar.
Abdul Wajid SafiMedicine Department, Hamad Medical Corporation, Doha, Qatar.
Bassem AlhaririMedicine Department, Hamad Medical Corporation, Doha, Qatar.
Manish BarmanMedicine Department, Hamad Medical Corporation, Doha, Qatar.
Alaaeldin AbdelmajidMedicine Department, Hamad Medical Corporation, Doha, Qatar.
Humberto Vidal Denis CancioMedicine Department, Hamad Medical Corporation, Doha, Qatar.
Eman ElmekatyPharmacy Department, Hamad Medical Corporation, Doha, Qatar.
Irina Al-KhairiDepartment of Biochemistry and Molecular Biology, Dasman Diabetes Institute, Kuwait City, Kuwait.
Preethi CherianDepartment of Biochemistry and Molecular Biology, Dasman Diabetes Institute, Kuwait City, Kuwait.
Lina JayyousiRoyal College of Surgeons in Ireland, Medical University of Bahrain, Manama, Bahrain.
Mohammed AhmedDepartment of Translational Research, Dasman Diabetes Institute, Kuwait City, Kuwait.
Mohammed QaddoumiPharmacology and Therapeutics Department, Faculty of Pharmacy, Kuwait University, Kuwait City, Kuwait.
Sulaiman HajjiJaber AlAhmed Hospital, Ministry of Health, Kuwait City, Kuwait.
Ahmad EsmaeelJaber AlAhmed Hospital, Ministry of Health, Kuwait City, Kuwait.
Ali Al-AndaleebJaber AlAhmed Hospital, Ministry of Health, Kuwait City, Kuwait.
Arshad ChannanathDasman Diabetes Institute, Kuwait City, Kuwait.
Sriraman DevarajanDasman Diabetes Institute, Kuwait City, Kuwait.
Hamad AliDasman Diabetes Institute, Kuwait City, Kuwait.
Thangavel Alphonse ThanarajDasman Diabetes Institute, Kuwait City, Kuwait.
Salman Al-SabahJaber AlAhmed Hospital, Ministry of Health, Kuwait City, Kuwait.
Fahd Al-MullaDepartment of Translational Research, Dasman Diabetes Institute, Kuwait City, Kuwait.
Muhammad Abdul-GhaniDepartment of Translational Research, Dasman Diabetes Institute, Kuwait City, Kuwait.
Amin JayyousiMedicine Department, Hamad Medical Corporation, Doha, Qatar.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Coronavirus disease 2019 (COVID-19) caused by the coronavirus SARS-CoV-2, has emerged as a rapidly spreading contagious disease across the globe. Recent studies showed that people with diabetes mellitus, severe obesity, and cardiovascular disease are at higher risk of mortality from COVID-19. It has been suggested that the increased risk is due to the chronic inflammatory state associated with type 2 diabetes. This study aimed to evaluate the efficacy of pioglitazone, a strong insulin sensitizer with anti-inflammatory properties, in improving the clinical outcomes of patients with type 2 diabetes admitted with moderate-severe COVID-19. Method: We enrolled 350 patients with type 2 diabetes who were admitted to hospitals in Qatar and Kuwait with COVID-19. Patients were randomized to receive, in a double-blind fashion, pioglitazone ( Results: The first primary outcome occurred in 28 participants (8%), and the secondary outcome occurred in 17. Treatment with pioglitazone showed a significant reduction in interleukin (IL)-3 levels compared with placebo treatment (mean (SD) 2.73 (± 2.14) [95% CI: 0.02, 1.1], Conclusion: The results of the present study demonstrate that pioglitazone treatment did not independently provide any additional clinical benefit to patients with type 2 diabetes admitted with a COVID-19 infection. Clinical trial registration: https://clinicaltrials.gov, identifier NCT04604223.

Indexed as

COVID-19COVID-19 Drug TreatmentDiabetes Mellitus, Type 2Hypoglycemic AgentsPioglitazoneSARS-CoV-2AdultAgedC-Reactive ProteinDouble-Blind MethodFemaleHumansInflammationKuwaitMaleMiddle AgedC-Reactive ProteinHypoglycemic AgentsPioglitazoneCOVID-19inflammationpioglitazoneSARS-CoV-2type 2 diabetes

Identifiers

PMID39308871
PMCPMC11412854

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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.