Evidence map›Paper›PMID 40970049›Full record

ArticleCureus2025

A Phase-II Investigator-Initiated Randomized, Double-Blind, Parallel-Group Clinical Trial of 5-Aminolevulinic Acid Hydrochloride/Sodium Ferrous Citrate (5-ALA-HCl/SFC) for Patients With Adult-Onset Still's Disease (AOSD) Refractory to Corticosteroids.

Remi Sumiyoshi, Tomohiro Koga, Osamu Kamisawa, Shimpei Morimoto, Naoki Hosogaya, Hiroshi Yamamoto, Mariko Kawakami, Yosuke Inaba, Yoko Hattori, Tamiki Hikake and 7 more

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

17 authors.

Remi SumiyoshiImmunology and Rheumatology, Division of Advanced Preventive Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, JPN.
Tomohiro KogaImmunology and Rheumatology, Division of Advanced Preventive Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, JPN.
Osamu KamisawaClinical Research Center, Nagasaki University Hospital, Nagasaki, JPN.
Shimpei MorimotoClinical Research Center, Nagasaki University Hospital, Nagasaki, JPN.
Naoki HosogayaClinical Research Center, Nagasaki University Hospital, Nagasaki, JPN.
Hiroshi YamamotoClinical Research Center, Nagasaki University Hospital, Nagasaki, JPN.
Mariko KawakamiClinical Research Center, Chiba University Hospital, Chiba, JPN.
Yosuke InabaClinical Research Center, Chiba University Hospital, Chiba, JPN.
Yoko HattoriClinical Research Center, Chiba University Hospital, Chiba, JPN.
Tamiki HikakeClinical Research Center, Chiba University Hospital, Chiba, JPN.
Tomoya KurokawaClinical Research Center, Chiba University Hospital, Chiba, JPN.
Hideki HanaokaClinical Research Center, Chiba University Hospital, Chiba, JPN.
Shuzo SatoDepartment of Rheumatology, Fukushima Medical University School of Medicine, Fukushima, JPN.
Kiyoshi MigitaDepartment of Rheumatology, St Francisco Hospital, Nagasaki, JPN.
Noriyoshi OgawaInternal Medicine 3, Division of Immunology and Rheumatology, Hamamatsu University School of Medicine, Hamamatsu, JPN.
Motomu HashimotoClinical Immunology, Osaka Metropolitan University of Medicine, Osaka, JPN.
Atsushi KawakamiImmunology and Rheumatology, Division of Advanced Preventive Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the efficacy and safety of 5-aminolevulinic acid hydrochloride/sodium ferrous citrate (5-ALA-HCl/SFC) in patients with adult-onset Still's disease (AOSD) refractory to corticosteroids. METHODS/

designThis multicenter, investigator-initiated, randomized, double-blind, placebo-controlled, parallel-group phase II trial was designed to enroll 30 participants but was prematurely terminated after enrolling four participants because of slow recruitment. Participants were randomized to receive 5-ALA-HCl/SFC (100 or 300 mg/day) or placebo for 8 weeks. The primary endpoint was the achievement of adapted ACR 30 at week 4.

resultsAll four enrolled participants achieved adapted ACR 30 at week 4. Adapted ACR 50/ 70/ 90 responses and improvements in systemic feature score, serum ferritin, and quality of life varied among individuals. No serious adverse events were observed.

conclusionEfficacy signals were observed, especially in the high-dose group; however, the small sample size precludes definitive conclusions. Further research is required to confirm this.

Indexed as

5-aminolevulinic acid hydrochloride/sodium ferrous citrate (5-ala-hcl/sfc)adult-onset still's diseaseglucocorticoidsheme oxygenase (ho-1)systemic feature score

Identifiers

PMID40970049
PMCPMC12441657

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.