Evidence map›Paper›PMID 42741235›Full record

ArticleiScience2026

Effects of Pep19 on adipose tissue distribution and metabolic parameters in adults with obesity: A randomized, double-blind, placebo-controlled trial.

Davi Vantini, João Roberto de Sá, Roseli O S Sarni, Sonia Hix, Fabio L Filho, Raphael Ruiz, Ricardo A Remer, Arnon Krongrad, Luiz Felipe Martucci, Emer S Ferro and 2 more

Abstract read
In one paragraph

Article in iScience, 2026. 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

12 authors.

Davi VantiniDepartment of Pathology, Discipline of Clinical Analysis Centro Universitário FMABC (FMABC University Center), Santo André, Brazil.
João Roberto de SáDepartment of Medicine, Discipline of Endocrinology, Centro Universitário FMABC (FMABC University Center), Santo André, Brazil.
Roseli O S SarniDepartment of Pediatrics, Centro Universitário FMABC (FMABC University Center), Santo André, Brazil.
Sonia HixDiscipline of Clinical Biochemistry, Centro Universitário FMABC (FMABC University Center), Santo André, Brazil.
Fabio L FilhoDepartment of Pathology, Discipline of Clinical Analysis Centro Universitário FMABC (FMABC University Center), Santo André, Brazil.
Raphael RuizDepartment of Pathology, Discipline of Clinical Analysis Centro Universitário FMABC (FMABC University Center), Santo André, Brazil.
Ricardo A RemerProteimax Biotechnology Israel, 7-1 Pinchas Street, Pardes Hanna-Karkur, Israel.
Arnon KrongradProteimax Biotechnology Israel, 7-1 Pinchas Street, Pardes Hanna-Karkur, Israel.
Luiz Felipe MartucciProteimax Biotechnology Israel, 7-1 Pinchas Street, Pardes Hanna-Karkur, Israel.
Emer S FerroProteimax Biotechnology Israel, 7-1 Pinchas Street, Pardes Hanna-Karkur, Israel.
Andrea S HeimannProteimax Biotechnology Israel, 7-1 Pinchas Street, Pardes Hanna-Karkur, Israel.
Fernando L A FonsecaDepartment of Pathology, Discipline of Clinical Analysis Centro Universitário FMABC (FMABC University Center), Santo André, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Whether modulation of adipose tissue distribution alone can improve insulin sensitivity independently of weight loss remains unclear. In this randomized, double-blind, placebo-controlled 90-day trial, we investigated whether adults with obesity could achieve metabolic improvement through modulation of adipose tissue distribution independent of weight loss. Fifty-six participants received oral placebo or Pep19 (5 or 10 mg daily). Regional fat distribution and metabolic parameters were assessed longitudinally. Pep19 at 10 mg reduced central adiposity, as demonstrated by a reduced android-to-gynoid fat ratio and decreased abdominal skinfold thickness, without affecting body weight, caloric intake, or physical activity. Glycated hemoglobin (HbA1c) and HOMA-IR were significantly reduced, despite unchanged fasting glucose, indicating improved insulin sensitivity. These findings suggest that Pep19 promotes favorable changes in adipose tissue distribution accompanied by improvements in insulin sensitivity independent of significant weight loss, supporting further evaluation in larger and longer-term clinical studies.

Indexed as

cardiometabolic healthcentral adipositydiabetesHbA1cinsulin resistanceintracellular peptidesobesityrandomized trial

Identifiers

PMID42741235
PMCPMC13572999

What OpenQuestion holds

Textmetadata
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.