Evidence map›Paper›PMID 39748269›Full record

Trial reportBMC endocrine disorders2025

Hydroxychloroquine enhances insulin sensitivity and ameliorates abnormal lipid metabolism in obese women with polycystic ovary syndrome.

Ruihan Wang, Shanqin Qi, Qi Wang, Jiajia Lang, Conghui Pang, Kehua Wang

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC endocrine disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

6 authors.

Ruihan WangShandong University of Traditional Chinese Medicine, Jinan, Shandong, 250011, China.
Shanqin QiShandong University of Traditional Chinese Medicine, Jinan, Shandong, 250011, China.
Qi WangShandong University of Traditional Chinese Medicine, Jinan, Shandong, 250011, China.
Jiajia LangHandan Hospital of Integrated Traditional Chinese and Western Medicine, Handan, Hebei, 056000, China.
Conghui PangHospital Affiliated to Shandong University of Traditional Chinese Medicine, Jinan, Shandong, 250011, China.
Kehua WangHospital Affiliated to Shandong University of Traditional Chinese Medicine, Jinan, Shandong, 250011, China. wkh2021@163.com.

Funding

National Natural Science Foundation of China 81573778Natural Science Foundation of Shandong Province No.ZR2021MH256
6 · The paper itself

Abstract

backgroundHydroxychloroquine (HCQ) is frequently utilized in rheumatic immune disorders and has been discovered to exert hypoglycemic effects in some obese women with polycystic ovary syndrome(PCOS), however, the precise efficacy and mechanism of action remain ambiguous.

objectiveTo examine the impact of HCQ on glucose and lipid metabolism as well as sex hormone levels in obese women with PCOS.

methodFifty obese women with PCOS were randomly allocated into two groups: HCQ group (n = 25) and metformin (MET) group (n = 25). The HCQ group received a daily dose of 200 mg hydroxychloroquine, while the MET group received a daily dose of 1000 mg metformin. Body fat parameters, glucose and lipid metabolism levels, as well as hormone levels were evaluated. Additionally, the incidence of pregnancy within six months following treatment was also assessed. Network pharmacology was also employed to analyze the potential molecular mechanism.

resultPatients in the HCQ group (n = 20) and MET group (n = 23) were ultimately included for analysis. Following treatment, both groups exhibited significant improvements in body fat distribution and glucose metabolism status, with the HCQ group demonstrating a notable advantage over the MET group in increasing insulin sensitivity index (ISI)(HCQ:1.87 ± 0.21,MET:1.75 ± 0.29). Serum lipid levels [Serum total cholesterol(TC, mmol/L)(HCQ:4.51 ± 0.87,MET:5.05 ± 0.65), triglyceride(TG, mmol/L)(HCQ:1.36 ± 0.51,MET:1.67 ± 0.72), low-density lipoprotein (LDL, mmol/L)(HCQ:2.66 ± 0.98,MET:0.47 ± 1.42),decreased in both groups post-treatment, with the HCQ group displaying clear advantages compared to the MET group. The improvement of sex hormone levels was not pronounced in either group, although there was an overall downward trend.

conclusionThe potential benefits of HCQ in the management of in obese women with PCOS include significant improvements in body fat distribution, glucose and lipid metabolism levels, as well as correction of hormonal disorders. CLINICAL

trial registrationThe study was officially registered as a clinical trial on April 17, 2022, with the registration number ChiCTR2200058816. https://www.chictr.org.cn/showproj.html?proj=160099 .

Indexed as

HydroxychloroquineInsulin ResistanceLipid MetabolismObesityPolycystic Ovary SyndromeAdultBlood GlucoseFemaleHumansHypoglycemic AgentsMetforminYoung AdultBlood GlucoseHydroxychloroquineHypoglycemic AgentsMetforminHydroxychloroquineInsulin resistanceLipid metabolismPolycystic ovary syndrome

Identifiers

PMID39748269
PMCPMC11697925

What OpenQuestion holds

Texttitle and abstract
LicenceCC BY-NC-ND
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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.