Evidence map›Paper›PMID 41128897›Full record

Trial reportNaunyn-Schmiedeberg's archives of pharmacology2026

Repurposing minocycline as an added-on treatment for ulcerative colitis patients on mesalamine: a randomized clinical pilot study.

Amira F Mashaly, Sahar K Hegazy, Monir M Bahgat

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Naunyn-Schmiedeberg's archives of pharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06201793 (Clinical Study to Evaluate the Possible Efficacy and Safety of Minocycline in Patients With Ulcerative Colitis Treated With Mesalamine), 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.

NCT06201793 phase2completednot on this map

Clinical Study to Evaluate the Possible Efficacy and Safety of Minocycline in Patients With Ulcerative Colitis Treated With Mesalamine

TypeinterventionalSponsorMostafa BahaaRan2024 to 2025Enrolled46ConditionsInflammatory Bowel DiseasesArmsMesalazine, Minocycline
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

3 authors.

Amira F MashalyPharmacy Practice Department, Faculty of Pharmacy, Horus University-Egypt, New Damietta, 34518, Egypt. amashaly@horus.edu.eg.ORCID http://orcid.org/0009-0004-4224-8255
Sahar K HegazyPharmacy Practice Department, Faculty of Pharmacy, Horus University-Egypt, New Damietta, 34518, Egypt.
Monir M BahgatInternal Medicine Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

One of the most prevalent forms of chronic inflammatory bowel disease is ulcerative colitis (UC). The key characteristics observed in UC patients involve fecal urgency, abdominal discomfort, and bloody diarrhea, all of which significantly lower their quality of life. Preclinical studies investigated the protective effect of minocycline in animal models of colitis. This study aimed to assess minocycline's potential efficacy and safety in mesalamine-treated UC patients. This randomized, controlled pilot clinical research included 46 individuals with mild to moderate UC who met the inclusion criteria. The mesalamine group (n = 23) received 1 g of mesalamine three times a day for 6 months. The minocycline group (n = 23) received minocycline 100 mg twice daily and mesalamine 1 g three times a day. Patients were evaluated by a gastroenterologist using the Short Inflammatory Bowel Disease Questionnaire (SIBDQ), Truelove and Witts Severity Index, Brief Pain Inventory (BPI), and the non-invasive Partial Mayo Score (PMS). Before and after 6 months of treatment, each patient's levels of nitric oxide (NO), matrix metalloproteinase-12 (MMP-12), and intracellular adhesion molecule 1 (ICAM-1) were measured. Serum levels of MMP-12, ICAM-1, and NO were statistically lower in the minocycline group than in the mesalamine group. In the minocycline group, the Truelove and Witts Severity Index, PMS, and BPI pain intensity all significantly dropped, whereas SIBDQ was substantially elevated compared to the mesalamine group. Minocycline could serve as a potential adjunctive remedy for enhancing clinical outcomes, improving quality of life, and modulating inflammation in patients with mild to moderate UC.Trial registration: ClinicalTrials.gov ID: NCT06201793. Trial registration date 22-1-2024.

Indexed as

Anti-Inflammatory Agents, Non-SteroidalColitis, UlcerativeDrug RepositioningMesalamineMinocyclineAdultAnti-Bacterial AgentsDrug Therapy, CombinationFemaleHumansMaleMiddle AgedNitric OxidePilot ProjectsQuality of LifeTreatment OutcomeAnti-Bacterial AgentsAnti-Inflammatory Agents, Non-SteroidalMesalamineMinocyclineNitric OxideICAM-1MesalamineMinocyclineMMP-12Ulcerative colitis

Identifiers

PMID41128897
PMCPMC12935796

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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.