Volume 12, Issue 1 pp. 91-94
RESEARCH LETTER

Randomized controlled trial comparing hydroxychloroquine with pioglitazone as third-line agents in type 2 diabetic patients failing metformin plus a sulfonylurea: A pilot study

二甲双胍联合磺脲类药物治疗失败的2型糖尿病患者中比较羟氯喹或者吡格列酮作为三线治疗药物的随机对照试验:一项初步研究

Stanley H. Hsia

Corresponding Author

Stanley H. Hsia

Division of Endocrinology, Metabolism & Molecular Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, California

Correspondence

Stanley H. Hsia, Division of Endocrinology, Metabolism & Molecular Medicine, Charles R. Drew University of Medicine and Science, 1731 East 120th Street, Los Angeles, CA 90059.

Email: [email protected]

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Petra Duran

Petra Duran

Division of Endocrinology, Metabolism & Molecular Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, California

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Martin L. Lee

Martin L. Lee

Division of Endocrinology, Metabolism & Molecular Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, California

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Mayer B. Davidson

Mayer B. Davidson

Division of Endocrinology, Metabolism & Molecular Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, California

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First published: 01 October 2019
Citations: 17
Funding information National Center for Advancing Translational Sciences, Grant/Award Number: UCLA CTSI UL1TR000124; National Institute of General Medical Sciences, Grant/Award Number: SC3GM113767; National Institute on Minority Health and Health Disparities, Grant/Award Number: U54 MD007598

Abstract

Highlights

  • The anti-inflammatory agent, hydroxychloroquine, improved glycemic control in type 2 diabetes patients when used as a third-line agent added to metformin and a sulfonylurea.
  • In comparison to pioglitazone, hydroxychloroquine lowered hemoglobin A1c levels less effectively and did not improve insulin sensitivity, but also did not cause any weight gain, hypoglycemia, or pedal edema.
  • In this small, proof-of-concept study, hydroxychloroquine was well tolerated and may be an alternative treatment choice in combination with other agents.

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