Evidence map›Paper›PMID 40815384›Full record

Trial reportEndocrine2025

Repurposing nitazoxanide in type 2 diabetes mellitus: a randomized controlled trial.

Eman M Ghonaim, Osama M Ibrahim, Sahar K Hegazy, Wael F Farrag, Hytham R Badr

Registry-linked trialAbstract readClinical Trial, Phase IIRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Endocrine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06010992 (A Clinical Study Evaluating the Potential Benefit of Nitazoxanide in Patients With Type 2 Diabetes Mellitus), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT06010992 phase2unknown statusnot on this map

A Clinical Study Evaluating the Potential Benefit of Nitazoxanide in Patients With Type 2 Diabetes Mellitus

TypeinterventionalSponsorTanta UniversityRan2023 to 2025Enrolled70ConditionsDiabetes Mellitus, Type 2ArmsNitazoxanide
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

5 authors.

Eman M GhonaimClinical Pharmacy Department, Faculty of Pharmacy, Tanta University, Tanta, Egypt. eman.ghonim@pharm.tanta.edu.eg.ORCID 0000-0001-8823-145X
Osama M IbrahimClinical Pharmacy Department, Faculty of Pharmacy, Tanta University, Tanta, Egypt.
Sahar K HegazyClinical Pharmacy Department, Faculty of Pharmacy, Tanta University, Tanta, Egypt.
Wael F FarragInternal Medicine Department, Faculty of Medicine, Tanta University, Tanta, Egypt.
Hytham R BadrInternal Medicine Department, Faculty of Medicine, Menoufia University, Shebin El-Kom, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePreclinical data suggest nitazoxanide (NTZ) as a potential PPAR-γ agonist with potential benefits in type 2 diabetes. This pilot trial aimed to explore the tolerability and preliminary effects of NTZ as an add-on therapy to the existing metformin-vildagliptin combination on glycemic control and inflammatory biomarkers in type 2 diabetes patients.

methodsEighty-eight patients were analyzed in the control and NTZ groups (44 per group). All patients were treated with metformin-vildagliptin combination. The NTZ group received 500 mg nitazoxanide orally twice daily. The primary outcome was glycemic control, assessed by glycated hemoglobin (HbA1c) and fasting blood glucose. Secondary outcomes included fasting insulin, serum interleukin-6 (IL-6), high mobility group box 1 (HMGB-1), asprosin, and malondialdehyde (MDA). All outcomes were measured at baseline and after three months.

resultsA between-groups comparison revealed significantly lower inflammatory markers with NTZ compared to control [IL-6: 23.64 ng/L (21.00-32.71) vs. 32.52 ng/L (29.63-36.13) and HMGB-1: 10.46 ng/mL (6.37-14.61) vs. 22.60 ng/mL (20.18-27.37), P < 0.001 for both]. HbA1c, fasting blood glucose, insulin, asprosin, and MDA were not considerably different between the two groups. Markedly lower levels of IL-6 (P = 0.009), HMGB-1 (P < 0.001), asprosin, (P = 0.002), and MDA (P < 0.001) were observed following NTZ treatment. Conversely, IL-6 and HMGB-1 increased significantly in the control group (P < 0.001 for both). Other biomarkers did not change significantly in both groups.

conclusionNTZ may alleviate oxidative stress and inflammation in type 2 diabetes despite no improvement in glycemic parameters.

trial registrationThis trial is registered on ClinicalTrials.gov under the name: Nitazoxanide as Adjuvant Therapy in Type 2 Diabetes Mellitus with the identifier: NCT06010992. Registration date: 8-2023.

Indexed as

Diabetes Mellitus, Type 2Drug RepositioningHypoglycemic AgentsThiazolesAgedBiomarkersBlood GlucoseDrug Therapy, CombinationFemaleGlycated HemoglobinHumansInterleukin-6MaleMetforminMiddle AgedNitro CompoundsBiomarkersBlood GlucoseGlycated HemoglobinHypoglycemic AgentsInterleukin-6MetforminnitazoxanideNitro CompoundsThiazolesAsprosinDiabetesHMGB-1IL-6MDANitazoxanide

Identifiers

PMID40815384

What OpenQuestion holds

Texttitle and abstract
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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.