Page last updated: 2024-10-28

hydroxychloroquine and Insulin Resistance

hydroxychloroquine has been researched along with Insulin Resistance in 10 studies

Hydroxychloroquine: A chemotherapeutic agent that acts against erythrocytic forms of malarial parasites. Hydroxychloroquine appears to concentrate in food vacuoles of affected protozoa. It inhibits plasmodial heme polymerase. (From Gilman et al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 9th ed, p970)
hydroxychloroquine : An aminoquinoline that is chloroquine in which one of the N-ethyl groups is hydroxylated at position 2. An antimalarial with properties similar to chloroquine that acts against erythrocytic forms of malarial parasites, it is mainly used as the sulfate salt for the treatment of lupus erythematosus, rheumatoid arthritis, and light-sensitive skin eruptions.

Insulin Resistance: Diminished effectiveness of INSULIN in lowering blood sugar levels: requiring the use of 200 units or more of insulin per day to prevent HYPERGLYCEMIA or KETOSIS.

Research Excerpts

ExcerptRelevanceReference
"To determine the effect of hydroxychloroquine (HCQ) on skeletal muscle and liver insulin sensitivity, insulin clearance, inflammation and adipokines."9.41The effects of hydroxychloroquine on insulin sensitivity, insulin clearance and inflammation in insulin-resistant adults: A randomized trial. ( DeLany, JP; Helbling, NL; Miller, RG; Toledo, FGS; Zhang, Y, 2021)
"Observational studies suggest that hydroxychloroquine (HCQ) may reduce the risk of developing diabetes mellitus in patients with rheumatoid arthritis (RA)."9.19Effect of hydroxychloroquine on insulin sensitivity and lipid parameters in rheumatoid arthritis patients without diabetes mellitus: a randomized, blinded crossover trial. ( Garg, R; Lu, B; Massarotti, E; Mercer, E; Norton, T; Solomon, DH; Todd, DJ, 2014)
" Hydroxychloroquine, an original antimalarial drug, prevents inflammation caused by lupus erythematosus and rheumatoid arthritis."7.83Hydroxychloroquine, a promising choice for coronary artery disease? ( Bai, X; Li, R; Liu, J; Liu, M; Ma, Q; Sun, L; Wei, Y; Wu, Y; Yang, Y; Yuan, Z; Zhang, L; Zhao, Q; Zhou, J, 2016)
"Hydroxychloroquine (HCQ) is a common disease modifying therapy for the treatment of rheumatoid arthritis (RA)."6.77Hydroxychloroquine improves insulin sensitivity in obese non-diabetic individuals. ( Garg, R; Lu, B; Massarotti, EM; Mercer, E; Rekedal, L; Solomon, DH, 2012)
"Hydroxychloroquine (HCQ) has been demonstrated to reduce the risk to develop diabetes mellitus (DM)."5.43Favorable outcomes of hydroxychloroquine in insulin resistance may be accomplished by adjustment of the endothelial dysfunction as well as the skewed balance of adipokines. ( Abdel-Hamid, AAM; Firgany, AEL, 2016)
"To determine the effect of hydroxychloroquine (HCQ) on skeletal muscle and liver insulin sensitivity, insulin clearance, inflammation and adipokines."5.41The effects of hydroxychloroquine on insulin sensitivity, insulin clearance and inflammation in insulin-resistant adults: A randomized trial. ( DeLany, JP; Helbling, NL; Miller, RG; Toledo, FGS; Zhang, Y, 2021)
"Observational studies suggest that hydroxychloroquine (HCQ) may reduce the risk of developing diabetes mellitus in patients with rheumatoid arthritis (RA)."5.19Effect of hydroxychloroquine on insulin sensitivity and lipid parameters in rheumatoid arthritis patients without diabetes mellitus: a randomized, blinded crossover trial. ( Garg, R; Lu, B; Massarotti, E; Mercer, E; Norton, T; Solomon, DH; Todd, DJ, 2014)
" Hydroxychloroquine, an original antimalarial drug, prevents inflammation caused by lupus erythematosus and rheumatoid arthritis."3.83Hydroxychloroquine, a promising choice for coronary artery disease? ( Bai, X; Li, R; Liu, J; Liu, M; Ma, Q; Sun, L; Wei, Y; Wu, Y; Yang, Y; Yuan, Z; Zhang, L; Zhao, Q; Zhou, J, 2016)
"Among patients with RA or psoriasis, the adjusted risk of DM was lower for individuals starting a TNF inhibitor or hydroxychloroquine compared with initiation of other nonbiologic DMARDs."3.77Association between disease-modifying antirheumatic drugs and diabetes risk in patients with rheumatoid arthritis and psoriasis. ( Canning, C; Garg, R; Liu, J; Massarotti, E; Schneeweiss, S; Solomon, DH, 2011)
"Hydroxychloroquine (HCQ) is a widely used antimalarial and anti-inflammatory drug and its hyperglycemia-controlling effect in diabetic patients is also under investigation."3.01Treating diabetes with combination of phosphodiesterase 5 inhibitors and hydroxychloroquine-a possible prevention strategy for COVID-19? ( Das, A; Koka, S; Kukreja, RC; Samidurai, A; Wang, R; Xi, L, 2023)
"Hydroxychloroquine (HCQ) is a common disease modifying therapy for the treatment of rheumatoid arthritis (RA)."2.77Hydroxychloroquine improves insulin sensitivity in obese non-diabetic individuals. ( Garg, R; Lu, B; Massarotti, EM; Mercer, E; Rekedal, L; Solomon, DH, 2012)
"Hydroxychloroquine (HCQ) has been demonstrated to reduce the risk to develop diabetes mellitus (DM)."1.43Favorable outcomes of hydroxychloroquine in insulin resistance may be accomplished by adjustment of the endothelial dysfunction as well as the skewed balance of adipokines. ( Abdel-Hamid, AAM; Firgany, AEL, 2016)

Research

Studies (10)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's7 (70.00)24.3611
2020's3 (30.00)2.80

Authors

AuthorsStudies
Kukreja, RC1
Wang, R1
Koka, S1
Das, A1
Samidurai, A1
Xi, L1
Chee, YJ1
Tan, SK1
Yeoh, E1
Toledo, FGS1
Miller, RG1
Helbling, NL1
Zhang, Y1
DeLany, JP1
Araiza-Casillas, R1
Díaz-Molina, R1
González-Ortiz, M1
Robinson-Navarro, OM1
Solomon, DH3
Garg, R3
Lu, B2
Todd, DJ1
Mercer, E2
Norton, T1
Massarotti, E2
Wasko, MC1
McClure, CK1
Kelsey, SF1
Huber, K1
Orchard, T1
Toledo, FG1
Abdel-Hamid, AAM1
Firgany, AEL1
Sun, L1
Liu, M1
Li, R1
Zhao, Q1
Liu, J2
Yang, Y1
Zhang, L1
Bai, X1
Wei, Y1
Ma, Q1
Zhou, J1
Yuan, Z1
Wu, Y1
Canning, C1
Schneeweiss, S1
Rekedal, L1
Massarotti, EM1

Clinical Trials (5)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Hydroxychloroquine Assessment of Management Study in Coronary Artery Disease After Angiography.[NCT02874287]Phase 435 participants (Actual)Interventional2017-10-08Completed
Hydroxychloroquine to Improve Insulin Sensitivity in Rheumatoid Arthritis[NCT01132118]Phase 330 participants (Actual)Interventional2010-06-30Completed
Mechanisms of Action of Hydroxychloroquine in Reducing Risk of Type 2 Diabetes[NCT01326533]Phase 432 participants (Actual)Interventional2011-03-31Completed
Impact of Rheumatoid Arthritis on Type 2 Diabetes Mellitus[NCT02639988]1,000 participants (Anticipated)Observational2016-04-13Suspended
Assessing the Efficacy and Safety of Metformin in Treatment of Moderate Psoriasis: A Prospective Randomized Double Blind Controlled Study[NCT02644954]Phase 340 participants (Anticipated)Interventional2016-01-31Not yet recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

HDL Cholesterol

mg/dL (NCT01132118)
Timeframe: Baseline and Week 8

,
Interventionmg/dL (Mean)
BaselinePeriodChange
Hydroxychloroquine58.159.41.3
Placebo58.160.32.2

HOMA-B

HOMA-B = (360 x Insulin)/(Glucose - 63) (NCT01132118)
Timeframe: Baseline and Week 8

,
Intervention(mIU x dL)/(L x mg) (Mean)
BaselinePeriodChange
Hydroxychloroquine116.5110.8-5.8
Placebo116.5109.7-6.8

HOMA-IR

"We will examine the effect of HCQ on HOMA-IR during the active treatment phase compared with placebo phase.~HOMA-IR = (Glucose x insulin)/405" (NCT01132118)
Timeframe: Baseline and Week 8

,
Intervention(mg x mIU)/(dL*L) (Mean)
BaselinePeriodChange
Hydroxychloroquine2.01.7-0.3
Placebo2.01.6-0.42

Insulin Sensitivity Index

"We will examine the effect of HCQ on the Matsuda Insulin Sensitivity Index (ISI) during the active treatment phase compared with placebo phase.~ISI is based on insulin and glucose levels in a fasting state during an oral glucose tolerance test (OGTT) and is calculated as follows:~ISI (Matsuda) = 10000/√ G0 X I0 X Gmean X Imean~G0 - fasting plasma glucose (mg/dL) I0 - fasting plasma insulin (mIU/L) Gmean - mean plasma glucose during OGTT (mg/dL) Imean - mean plasma insulin during OGTT (mIU/L)" (NCT01132118)
Timeframe: Baseline and Week 8

,
Intervention(dL x L)/(mg x mIU) (Mean)
BaselinePeriod ValueChange
Hydroxychloroquine7.78.10.4
Placebo7.77.80.14

LDL Cholesterol

mg/dL (NCT01132118)
Timeframe: Baseline and Week 8

,
Interventionmg/dL (Mean)
BaselinePeriodChange
Hydroxychloroquine114.1101.7-12.4
Placebo114.1109.9-4.2

Total Cholesterol

mg/dL (NCT01132118)
Timeframe: Baseline and Week 8

,
Interventionmg/dL (Mean)
BaselinePeriodChange
Hydroxychloroquine192.4179.7-12.7
Placebo192.4189.4-3.0

Triglycerides

mg/dL (NCT01132118)
Timeframe: Baseline and Week 8

,
Interventionmg/dL (Mean)
BaselinePeriodChange
Hydroxychloroquine100.692.4-8.2
Placebo100.695.6-5.0

Beta Cell Function

Change from baseline in the disposition index (DI) (NCT01326533)
Timeframe: 13 weeks after baseline measurement

Interventionarbitrary units (Mean)
Hydroxychloroquine352
Placebo-218

Insulin Sensitivity

Change from baseline in the insulin sensitivity index (Si) (NCT01326533)
Timeframe: 13 weeks after baseline measurement

Intervention10^-4/pmol*l/min (Mean)
Hydroxychloroquine0.08
Placebo-0.11

Reviews

2 reviews available for hydroxychloroquine and Insulin Resistance

ArticleYear
Treating diabetes with combination of phosphodiesterase 5 inhibitors and hydroxychloroquine-a possible prevention strategy for COVID-19?
    Molecular and cellular biochemistry, 2023, Volume: 478, Issue:3

    Topics: Animals; COVID-19; COVID-19 Drug Treatment; Diabetes Mellitus, Experimental; Diabetes Mellitus, Type

2023
Dissecting the interaction between COVID-19 and diabetes mellitus.
    Journal of diabetes investigation, 2020, Volume: 11, Issue:5

    Topics: Antibodies, Monoclonal, Humanized; Antiviral Agents; Blood Glucose; Chloroquine; Comorbidity; COVID-

2020

Trials

5 trials available for hydroxychloroquine and Insulin Resistance

ArticleYear
The effects of hydroxychloroquine on insulin sensitivity, insulin clearance and inflammation in insulin-resistant adults: A randomized trial.
    Diabetes, obesity & metabolism, 2021, Volume: 23, Issue:6

    Topics: Adult; Diabetes Mellitus, Type 2; Humans; Hydroxychloroquine; Inflammation; Insulin; Insulin Resista

2021
[Effects of hydroxychloroquine on insulin sensitivity and lipid profile in patients with rheumatoid arthritis].
    Revista medica de Chile, 2013, Volume: 141, Issue:8

    Topics: Adult; Antirheumatic Agents; Arthritis, Rheumatoid; Blood Glucose; Body Mass Index; Cholesterol; Fem

2013
Effect of hydroxychloroquine on insulin sensitivity and lipid parameters in rheumatoid arthritis patients without diabetes mellitus: a randomized, blinded crossover trial.
    Arthritis care & research, 2014, Volume: 66, Issue:8

    Topics: Aged; Antirheumatic Agents; Arthritis, Rheumatoid; Cross-Over Studies; Diabetes Mellitus, Type 2; Do

2014
Effect of hydroxychloroquine on insulin sensitivity and lipid parameters in rheumatoid arthritis patients without diabetes mellitus: a randomized, blinded crossover trial.
    Arthritis care & research, 2014, Volume: 66, Issue:8

    Topics: Aged; Antirheumatic Agents; Arthritis, Rheumatoid; Cross-Over Studies; Diabetes Mellitus, Type 2; Do

2014
Effect of hydroxychloroquine on insulin sensitivity and lipid parameters in rheumatoid arthritis patients without diabetes mellitus: a randomized, blinded crossover trial.
    Arthritis care & research, 2014, Volume: 66, Issue:8

    Topics: Aged; Antirheumatic Agents; Arthritis, Rheumatoid; Cross-Over Studies; Diabetes Mellitus, Type 2; Do

2014
Effect of hydroxychloroquine on insulin sensitivity and lipid parameters in rheumatoid arthritis patients without diabetes mellitus: a randomized, blinded crossover trial.
    Arthritis care & research, 2014, Volume: 66, Issue:8

    Topics: Aged; Antirheumatic Agents; Arthritis, Rheumatoid; Cross-Over Studies; Diabetes Mellitus, Type 2; Do

2014
Antidiabetogenic effects of hydroxychloroquine on insulin sensitivity and beta cell function: a randomised trial.
    Diabetologia, 2015, Volume: 58, Issue:10

    Topics: Adult; Blood Glucose; Cytokines; Double-Blind Method; Female; Humans; Hydroxychloroquine; Insulin; I

2015
Hydroxychloroquine improves insulin sensitivity in obese non-diabetic individuals.
    Arthritis research & therapy, 2012, Jun-07, Volume: 14, Issue:3

    Topics: Antirheumatic Agents; Body Mass Index; Female; Humans; Hydroxychloroquine; Insulin Resistance; Longi

2012

Other Studies

3 other studies available for hydroxychloroquine and Insulin Resistance

ArticleYear
Favorable outcomes of hydroxychloroquine in insulin resistance may be accomplished by adjustment of the endothelial dysfunction as well as the skewed balance of adipokines.
    Acta histochemica, 2016, Volume: 118, Issue:6

    Topics: Adipokines; Animals; Diet, High-Fat; Endothelial Cells; Hydroxychloroquine; Insulin Resistance; Insu

2016
Hydroxychloroquine, a promising choice for coronary artery disease?
    Medical hypotheses, 2016, Volume: 93

    Topics: Animals; Antimalarials; Arthritis, Rheumatoid; Coronary Artery Disease; Disease Models, Animal; Huma

2016
Association between disease-modifying antirheumatic drugs and diabetes risk in patients with rheumatoid arthritis and psoriasis.
    JAMA, 2011, Jun-22, Volume: 305, Issue:24

    Topics: Aged; Antirheumatic Agents; Arthritis, Rheumatoid; Canada; Cohort Studies; Diabetes Mellitus; Female

2011
Association between disease-modifying antirheumatic drugs and diabetes risk in patients with rheumatoid arthritis and psoriasis.
    JAMA, 2011, Jun-22, Volume: 305, Issue:24

    Topics: Aged; Antirheumatic Agents; Arthritis, Rheumatoid; Canada; Cohort Studies; Diabetes Mellitus; Female

2011
Association between disease-modifying antirheumatic drugs and diabetes risk in patients with rheumatoid arthritis and psoriasis.
    JAMA, 2011, Jun-22, Volume: 305, Issue:24

    Topics: Aged; Antirheumatic Agents; Arthritis, Rheumatoid; Canada; Cohort Studies; Diabetes Mellitus; Female

2011
Association between disease-modifying antirheumatic drugs and diabetes risk in patients with rheumatoid arthritis and psoriasis.
    JAMA, 2011, Jun-22, Volume: 305, Issue:24

    Topics: Aged; Antirheumatic Agents; Arthritis, Rheumatoid; Canada; Cohort Studies; Diabetes Mellitus; Female

2011