Evidence map›Paper›PMID 39381531›Full record

ArticleHealth science reports2024

Antioxidative effects of N-acetylcysteine in patients with β-thalassemia: A quick review on clinical trials.

Mobin Ghazaiean, Aily Aliasgharian, Hossein Karami, Mohammad Mohsen Ghasemi, Hadi Darvishi-Khezri

Abstract read
In one paragraph

Article in Health science reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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.

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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Review
  5. 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

5 authors.

Mobin GhazaieanStudent Research Committee, Faculty of Medicine Mazandaran University of Medical Sciences Sari Iran.ORCID 0000-0001-9240-494X
Aily AliasgharianThalassemia Research Center (TRC), Hemoglobinopathy Institute Mazandaran University of Medical Sciences Sari Iran.ORCID 0000-0002-8521-4985
Hossein KaramiThalassemia Research Center (TRC), Hemoglobinopathy Institute Mazandaran University of Medical Sciences Sari Iran.ORCID 0000-0001-9765-776X
Mohammad Mohsen GhasemiStudent Research Committee, Faculty of Medicine Mazandaran University of Medical Sciences Sari Iran.ORCID 0009-0003-0530-8127
Hadi Darvishi-KhezriThalassemia Research Center (TRC), Hemoglobinopathy Institute Mazandaran University of Medical Sciences Sari Iran.ORCID 0000-0002-6774-1140

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Several studies have highlighted the potent antioxidant properties of N-acetyl cysteine (NAC). This review aimed to assess the impact of NAC on oxidative stress biomarkers in patients with β-thalassemia. Methods: The review included articles published before 2024 that investigated the effects of NAC on oxidative stress in individuals with β-thalassemia. A comprehensive search was conducted across various databases, including Scopus, PubMed, Web of Science, Trip, and CENTRAL. Only English-language clinical trials were considered for inclusion in this review. Besides, the number needed to treat (NNT) was calculated based on the included studies. Results: Ninety-nine articles were retrieved from electronic databases, and after a thorough review, eight articles were selected for comprehensive text analysis. The highest dose of NAC administered was 10 mg/kg/day (equivalent to 600 mg/day) over a period of 3-6 months. All the studies assessing the impact of NAC on oxidative stress indicators in β-thalassemia patients demonstrated positive effects during the 3-month follow-up period. Most estimated NNTs fell into 1-5, suggesting significant clinical therapeutic value in this context. Conclusion: The current potency of NAC alone appears to be effective in ameliorating oxidative stress in patients with β-thalassemia major. While a 3-month duration seems adequate to demonstrate the antioxidant properties of NAC in this population, larger and well-designed clinical trials are warranted. Current clinical evidence possesses a high risk of bias.

Indexed as

antioxidantsN‐acetylcysteineoxidative stressβ–thalassemia

Identifiers

PMID39381531
PMCPMC11458667

What OpenQuestion holds

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Registered trials

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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.