Page last updated: 2024-10-31

metronidazole and Diabetes Mellitus

metronidazole has been researched along with Diabetes Mellitus in 14 studies

Metronidazole: A nitroimidazole used to treat AMEBIASIS; VAGINITIS; TRICHOMONAS INFECTIONS; GIARDIASIS; ANAEROBIC BACTERIA; and TREPONEMAL INFECTIONS.
metronidazole : A member of the class of imidazoles substituted at C-1, -2 and -5 with 2-hydroxyethyl, nitro and methyl groups respectively. It has activity against anaerobic bacteria and protozoa, and has a radiosensitising effect on hypoxic tumour cells. It may be given by mouth in tablets, or as the benzoate in an oral suspension. The hydrochloride salt can be used in intravenous infusions. Metronidazole is a prodrug and is selective for anaerobic bacteria due to their ability to intracellularly reduce the nitro group of metronidazole to give nitroso-containing intermediates. These can covalently bind to DNA, disrupting its helical structure, inducing DNA strand breaks and inhibiting bacterial nucleic acid synthesis, ultimately resulting in bacterial cell death.

Diabetes Mellitus: A heterogeneous group of disorders characterized by HYPERGLYCEMIA and GLUCOSE INTOLERANCE.

Research Excerpts

ExcerptRelevanceReference
"The aim of this study was to perform a 5-year follow-up analysis of a previously-published randomized trial (RCT) evaluating the 2-years effects of metronidazole (MTZ) plus amoxicillin (AMX) as adjuncts to scaling and root planing (SRP) in the treatment of periodontitis in type 2 diabetic patients."9.41Metronidazole and amoxicillin for patients with periodontitis and diabetes mellitus: 5-year secondary analysis of a randomized controlled trial. ( Cruz, DFD; da Silva, HDP; Duarte, PM; Feres, M; Figueiredo, LC; Miranda, TS; Retamal-Valdes, B, 2021)
"The aim of this study was to perform a 5-year follow-up analysis of a previously-published randomized trial (RCT) evaluating the 2-years effects of metronidazole (MTZ) plus amoxicillin (AMX) as adjuncts to scaling and root planing (SRP) in the treatment of periodontitis in type 2 diabetic patients."5.41Metronidazole and amoxicillin for patients with periodontitis and diabetes mellitus: 5-year secondary analysis of a randomized controlled trial. ( Cruz, DFD; da Silva, HDP; Duarte, PM; Feres, M; Figueiredo, LC; Miranda, TS; Retamal-Valdes, B, 2021)
" Ceftolozane/tazobactam is an antibacterial with potent activity against Gram-negative pathogens and is approved for the treatment of cIAI (with metronidazole) and cUTI (including pyelonephritis)."5.24Analysis of patients with diabetes and complicated intra-abdominal infection or complicated urinary tract infection in phase 3 trials of ceftolozane/tazobactam. ( Huntington, JA; Long, J; Popejoy, MW, 2017)
" The knowledge of adverse effects of antibiotics was greatest for tooth discoloration which is related to tetracycline."3.80Antibiotics prescription in Nigerian dental healthcare services. ( Azodo, CC; Ojehanon, PI, 2014)

Research

Studies (14)

TimeframeStudies, this research(%)All Research%
pre-19902 (14.29)18.7374
1990's2 (14.29)18.2507
2000's1 (7.14)29.6817
2010's6 (42.86)24.3611
2020's3 (21.43)2.80

Authors

AuthorsStudies
Tucker, TR1
Knitter, CA1
Khoury, DM1
Eshghi, S1
Tran, S1
Sharrock, AV1
Wiles, TJ1
Ackerley, DF1
Mumm, JS1
Parsons, MJ1
Schattner, A1
Uliel, L1
Finn, T1
Dubin, I1
Cruz, DFD1
Duarte, PM1
Figueiredo, LC1
da Silva, HDP1
Retamal-Valdes, B1
Feres, M1
Miranda, TS1
Popejoy, MW1
Long, J1
Huntington, JA1
Souto, MLS1
Rovai, ES1
Ganhito, JA1
Holzhausen, M1
Chambrone, L1
Pannuti, CM1
Chen, HL1
Bair, MJ1
Lin, IT1
Wu, CH1
Lee, YK1
Tormo-Badia, N1
Håkansson, Å1
Vasudevan, K1
Molin, G1
Ahrné, S1
Cilio, CM1
Azodo, CC1
Ojehanon, PI1
Lee, SU1
Jung, IE1
Kim, HJ1
Kim, JS1
TAYLOR, JA1
PHILIPP, EE1
Khalifa, M1
Slim, I1
Kaabia, N1
Bahri, F1
Trabelsi, A1
Letaief, AO1
Garavelli, PL1
Sheehan, JP1
Ulchaker, MM1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Multicenter, Double-Blind, Randomized, Phase 3 Study to Compare the Efficacy and Safety of Intravenous CXA-201 With That of Meropenem in Complicated Intraabdominal Infections[NCT01445678]Phase 3494 participants (Actual)Interventional2011-12-23Completed
A Multicenter, Double-Blind, Randomized, Phase 3 Study to Compare the Safety and Efficacy of Intravenous CXA-201 and Intravenous Levofloxacin in Complicated Urinary Tract Infection, Including Pyelonephritis[NCT01345929]Phase 3558 participants (Actual)Interventional2011-06-20Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

The Percentage of Subjects With Clinical Outcome of Cure at the Test of Cure (TOC) Visit in the Microbiological Intent to Treat (MITT) Population

Clinical cure is complete resolution or significant improvement in signs and symptoms of the index infection, such that no additional antibacterial therapy or surgical or drainage procedure was required for the index infection. (NCT01445678)
Timeframe: TOC; 26-30 days after start of study drug administration

Interventionpercentage of subjects (Number)
CXA-201 and Metronidazole as Treatment for cIAI83.0
Meropenem as Treatment for cIAI87.3

The Percentage of Subjects With Clinical Response at End of Therapy (EOT) Visit in the MITT Population

Clinical response is complete resolution or significant improvement in signs and symptoms of the index infection, such that no additional antibacterial therapy or surgical or drainage procedure was required for the index infection. (NCT01445678)
Timeframe: EOT; Within 24 hours of last study drug administration

Interventionpercentage of subjects (Number)
CXA-201 and Metronidazole as Treatment for cIAI89.2
Meropenem as Treatment for cIAI92.3

The Percentage of Subjects With Clinical Response at End of Therapy in the ME Population

Clinical response is complete resolution or significant improvement in signs and symptoms of the index infection, such that no additional antibacterial therapy or surgical or drainage procedure was required for the index infection. (NCT01445678)
Timeframe: EOT; Within 24 hours of last study drug administration

Interventionpercentage of subjects (Number)
CXA-201 and Metronidazole as Treatment for cIAI97.1
Meropenem as Treatment for cIAI97.5

The Percentage of Subjects With Clinical Response at LFU Visit in the ME Population

Clinical response is clinical cure at TOC and no signs and symptoms recur or worsen since the TOC visit (NCT01445678)
Timeframe: LFU; 38 to 45 days after first study drug administration

Interventionpercentage of subjects (Number)
CXA-201 and Metronidazole as Treatment for cIAI100
Meropenem as Treatment for cIAI99.3

The Percentage of Subjects With Clinical Response at Long Term Follow-Up (LFU) in the MITT Population

Clinical response is clinical cure at TOC and no signs and symptoms recur or worsen since the TOC visit. (NCT01445678)
Timeframe: LFU; 38 to 45 days after first study drug administration

Interventionpercentage of subjects (Number)
CXA-201 and Metronidazole as Treatment for cIAI82.5
Meropenem as Treatment for cIAI86.6

The Percentage of Subjects With Microbiological Outcome of Success at the TOC Visit in the Microbiologically Evaluable (ME) Population

Success is eradication (absence of the baseline pathogen in a specimen appropriately obtained from the original site of infection) or presumed eradication (absence of material to culture in a subject who was assessed as a clinical cure) for each baseline pathogen (NCT01445678)
Timeframe: TOC; 26-30 days after start of study drug administration

Interventionpercentage of subjects (Number)
CXA-201 and Metronidazole as Treatment for cIAI94.2
Meropenem as Treatment for cIAI94.7

The Percentage of Subjects Who Have Both a Per-subject Microbiological Outcome of Eradication and a Clinical Outcome of Cure at the Test of Cure (TOC) Visit in the Microbiological Modified ITT (mMITT) Population

(NCT01345929)
Timeframe: Test of Cure Visit (7 Days [± 2 days] after completion of study drug administration)

Interventionpercentage of subjects (Number)
CXA-201 as Treatment for cUTI76.9
Levofloxacin as Treatment for cUTI68.4

The Percentage of Subjects Who Have Both a Per-subject Microbiological Outcome of Eradication and a Clinical Outcome of Cure at the TOC Visit in the Microbiologically Evaluable (ME) Population.

(NCT01345929)
Timeframe: Test of Cure Visit (7 Days [± 2 days] after completion of study drug administration)

Interventionpercentage of subjects (Number)
CXA-201 as Treatment for cUTI83.3
Levofloxacin as Treatment for cUTI75.4

Reviews

1 review available for metronidazole and Diabetes Mellitus

ArticleYear
Efficacy of systemic antibiotics in nonsurgical periodontal therapy for diabetic subjects: a systematic review and meta-analysis.
    International dental journal, 2018, Volume: 68, Issue:4

    Topics: Amoxicillin; Anti-Bacterial Agents; Dental Scaling; Diabetes Mellitus; Doxycycline; Drug Therapy, Co

2018

Trials

2 trials available for metronidazole and Diabetes Mellitus

ArticleYear
Metronidazole and amoxicillin for patients with periodontitis and diabetes mellitus: 5-year secondary analysis of a randomized controlled trial.
    Journal of periodontology, 2021, Volume: 92, Issue:4

    Topics: Amoxicillin; Anti-Bacterial Agents; Dental Scaling; Diabetes Mellitus; Humans; Metronidazole; Period

2021
Analysis of patients with diabetes and complicated intra-abdominal infection or complicated urinary tract infection in phase 3 trials of ceftolozane/tazobactam.
    BMC infectious diseases, 2017, 05-02, Volume: 17, Issue:1

    Topics: Adult; Aged; Anti-Bacterial Agents; Bacterial Infections; Cephalosporins; Diabetes Complications; Di

2017
Analysis of patients with diabetes and complicated intra-abdominal infection or complicated urinary tract infection in phase 3 trials of ceftolozane/tazobactam.
    BMC infectious diseases, 2017, 05-02, Volume: 17, Issue:1

    Topics: Adult; Aged; Anti-Bacterial Agents; Bacterial Infections; Cephalosporins; Diabetes Complications; Di

2017
Analysis of patients with diabetes and complicated intra-abdominal infection or complicated urinary tract infection in phase 3 trials of ceftolozane/tazobactam.
    BMC infectious diseases, 2017, 05-02, Volume: 17, Issue:1

    Topics: Adult; Aged; Anti-Bacterial Agents; Bacterial Infections; Cephalosporins; Diabetes Complications; Di

2017
Analysis of patients with diabetes and complicated intra-abdominal infection or complicated urinary tract infection in phase 3 trials of ceftolozane/tazobactam.
    BMC infectious diseases, 2017, 05-02, Volume: 17, Issue:1

    Topics: Adult; Aged; Anti-Bacterial Agents; Bacterial Infections; Cephalosporins; Diabetes Complications; Di

2017

Other Studies

11 other studies available for metronidazole and Diabetes Mellitus

ArticleYear
An inducible model of chronic hyperglycemia.
    Disease models & mechanisms, 2023, 08-01, Volume: 16, Issue:8

    Topics: Animals; Animals, Genetically Modified; Diabetes Mellitus; Hyperglycemia; Metronidazole; Nitroreduct

2023
'Giant' pyogenic liver abscess and
    BMJ case reports, 2020, Mar-30, Volume: 13, Issue:3

    Topics: Alcoholism; Amoxicillin-Potassium Clavulanate Combination; Anti-Bacterial Agents; Ceftriaxone; Diabe

2020
Clinical manifestations and risk factors of amebic liver abscess in Southeast Taiwan compared with other regions of Taiwan.
    The American journal of tropical medicine and hygiene, 2013, Volume: 89, Issue:6

    Topics: Abdominal Pain; Adult; Aged; Aged, 80 and over; Alcoholics; Amebicides; Anti-Bacterial Agents; Diabe

2013
Antibiotic treatment of pregnant non-obese diabetic mice leads to altered gut microbiota and intestinal immunological changes in the offspring.
    Scandinavian journal of immunology, 2014, Volume: 80, Issue:4

    Topics: Animals; Anti-Bacterial Agents; Biodiversity; CD4-Positive T-Lymphocytes; CD8-Positive T-Lymphocytes

2014
Antibiotics prescription in Nigerian dental healthcare services.
    Odonto-stomatologie tropicale = Tropical dental journal, 2014, Volume: 37, Issue:147

    Topics: Acquired Immunodeficiency Syndrome; Amoxicillin; Anaphylaxis; Anti-Bacterial Agents; Antibiotic Prop

2014
Metronidazole-induced combined peripheral and central vestibulopathy.
    Journal of the neurological sciences, 2016, Jun-15, Volume: 365

    Topics: Aged; Anti-Infective Agents; Diabetes Mellitus; Diabetic Foot; Humans; Hypertension; Male; Metronida

2016
METRONIDAZOLE--A NEW AGENT FOR COMBINED SOMATIC AND PSYCHIC THERAPY OF ALCOHOLISM. A CASE STUDY AND PRELIMINARY REPORT.
    Bulletin of the Los Angeles Neurological Society, 1964, Volume: 29

    Topics: Alcoholism; Angina Pectoris; Diabetes Mellitus; Drug Therapy; Female; Hair; Humans; Metronidazole; N

1964
VULVO-VAGINITIS.
    The British journal of clinical practice, 1965, Volume: 19

    Topics: Adolescent; Candidiasis, Vulvovaginal; Child; Diabetes Mellitus; Drug Therapy; Female; Gonorrhea; Hu

1965
Regression of skin lesions of Kyrle's disease with metronidazole in a diabetic patient.
    The Journal of infection, 2007, Volume: 55, Issue:6

    Topics: Adult; Anti-Infective Agents; Diabetes Mellitus; Humans; Keratosis; Male; Metronidazole; Treatment O

2007
The therapy of blastocystosis.
    Journal of chemotherapy (Florence, Italy), 1991, Volume: 3 Suppl 1

    Topics: Acquired Immunodeficiency Syndrome; Adolescent; Adult; Aged; Aged, 80 and over; Animals; Anti-Infect

1991
Blastocystis hominis treatable cause of diabetic diarrhea.
    Diabetes care, 1990, Volume: 13, Issue:8

    Topics: Administration, Oral; Adult; Animals; Diabetes Complications; Diabetes Mellitus; Diagnosis, Differen

1990