Page last updated: 2024-10-26

valproic acid and Diabetes Mellitus, Adult-Onset

valproic acid has been researched along with Diabetes Mellitus, Adult-Onset in 14 studies

Valproic Acid: A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS.
valproic acid : A branched-chain saturated fatty acid that comprises of a propyl substituent on a pentanoic acid stem.

Research Excerpts

ExcerptRelevanceReference
"The goal of this 5-year naturalistic study of patients treated with clozapine was to examine the incidence of treatment-emergent diabetes mellitus in relation to other factors, including weight gain, lipid abnormalities, age, clozapine dose, and treatment with valproate."9.09Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study. ( Cagliero, E; Goff, DC; Gray, C; Hayden, DL; Henderson, DC; Nasrallah, RA; Schoenfeld, DA, 2000)
"Valproic acid (VPA), as one of the most widely prescribed antiepileptic drugs (AED) for many types of epilepsy in adults and children, is associated with weight gain, alteration of adipocytokine homeostasis, insulin resistance and Non-Alcoholic Fatty Liver Disease (NAFLD)."7.79The novel insulin resistance parameters RBP4 and GLP-1 in patients treated with valproic acid: just a sidestep? ( Ebenbichler, CF; Laimer, M; Luef, G; Rauchenzauner, M; Salzmann, K; Sandhofer, A; Sturm, W; Tschoner, A; Walser, G; Wiedmann, M, 2013)
"The goal of this 5-year naturalistic study of patients treated with clozapine was to examine the incidence of treatment-emergent diabetes mellitus in relation to other factors, including weight gain, lipid abnormalities, age, clozapine dose, and treatment with valproate."5.09Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study. ( Cagliero, E; Goff, DC; Gray, C; Hayden, DL; Henderson, DC; Nasrallah, RA; Schoenfeld, DA, 2000)
" We included patients who had a diagnosis of bipolar disorder and were prescribed lithium (n = 2148), valproate (n = 1670), olanzapine (n = 1477), or quetiapine (n = 1376) as maintenance mood stabilizer treatment."3.83Adverse Renal, Endocrine, Hepatic, and Metabolic Events during Maintenance Mood Stabilizer Treatment for Bipolar Disorder: A Population-Based Cohort Study. ( Geddes, JR; Hayes, JF; King, M; Marston, L; Osborn, DP; Walters, K, 2016)
"Valproic acid (VPA), as one of the most widely prescribed antiepileptic drugs (AED) for many types of epilepsy in adults and children, is associated with weight gain, alteration of adipocytokine homeostasis, insulin resistance and Non-Alcoholic Fatty Liver Disease (NAFLD)."3.79The novel insulin resistance parameters RBP4 and GLP-1 in patients treated with valproic acid: just a sidestep? ( Ebenbichler, CF; Laimer, M; Luef, G; Rauchenzauner, M; Salzmann, K; Sandhofer, A; Sturm, W; Tschoner, A; Walser, G; Wiedmann, M, 2013)
"He was diagnosed with type 2 diabetes mellitus, started treatment with empagliflozin, and his body weight decreased gradually."1.56Valproate intoxication in a patient with bipolar I disorder due to SGLT2 inhibitor-induced weight reduction. ( Miyauchi, T, 2020)

Research

Studies (14)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's5 (35.71)29.6817
2010's7 (50.00)24.3611
2020's2 (14.29)2.80

Authors

AuthorsStudies
Sun, JW1
Young, JG1
Sarvet, AL1
Bailey, LC1
Heerman, WJ1
Janicke, DM1
Lin, PD1
Toh, S1
Block, JP1
Miyauchi, T1
Axelsson, AS1
Mahdi, T1
Nenonen, HA1
Singh, T1
Hänzelmann, S1
Wendt, A1
Bagge, A1
Reinbothe, TM1
Millstein, J1
Yang, X1
Zhang, B1
Gusmao, EG1
Shu, L1
Szabat, M1
Tang, Y1
Wang, J1
Salö, S1
Eliasson, L1
Artner, I1
Fex, M1
Johnson, JD1
Wollheim, CB1
Derry, JMJ1
Mecham, B1
Spégel, P1
Mulder, H1
Costa, IG1
Zhang, E1
Rosengren, AH1
Patel, MM1
Patel, BM2
Raghunathan, S1
Porwal, U1
Huang, S1
Zhu, M1
Wu, W1
Rashid, A1
Liang, Y1
Hou, L1
Ning, Q1
Luo, X1
Khan, S1
Kumar, S1
Jena, G1
Hayes, JF1
Marston, L1
Walters, K1
Geddes, JR1
King, M1
Osborn, DP1
Agrawal, RP1
Goswami, J1
Jain, S1
Kochar, DK2
Noh, H1
Oh, EY1
Seo, JY1
Yu, MR1
Kim, YO1
Ha, H1
Lee, HB1
Hansen, N1
Beck, M1
Leykamm, S1
Kleinschnitz, C1
Rauchenzauner, M1
Laimer, M1
Wiedmann, M1
Tschoner, A1
Salzmann, K1
Sturm, W1
Sandhofer, A1
Walser, G1
Luef, G1
Ebenbichler, CF1
Jain, N1
Agarwal, RP1
Srivastava, T1
Agarwal, P1
Gupta, S1
Henderson, DC1
Cagliero, E1
Gray, C1
Nasrallah, RA1
Hayden, DL1
Schoenfeld, DA1
Goff, DC1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
1/2-MC4R Genotype and Pediatric Antipsychotic Drug- Induced Weight Gain[NCT01844700]Phase 414 participants (Actual)Interventional2013-07-31Terminated (stopped due to very slow recruitment, no sufficient results)
A Double-Blind, Placebo-Controlled Trial of Rosiglitazone for Clozapine Induced Glucose Metabolism Impairment: Bergman's Minimal Model Analysis[NCT00337350]Phase 420 participants (Actual)Interventional2003-09-30Completed
An Open Label Trial of Ziprasidone as an Adjuvant for Clozapine- or Olanzapine-Associated Diabetes Mellitus or Impaired Fasting Glucose in Chronic Schizophrenia[NCT00351000]Phase 424 participants (Actual)Interventional2005-01-31Completed
Aripiprazole for Clozapine Associated Medical Morbidity[NCT00345033]Phase 438 participants (Actual)Interventional2005-03-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Percent Weight Change Compared to Baseline Weight

(NCT01844700)
Timeframe: baseline to week 12

Interventionpercentage of weight change (Mean)
Ziprasidone11.58
Aripiprazole, Quetiapine, Risperidone5.66

BMI Percentile

(NCT01844700)
Timeframe: baseline to week 12

,
InterventionBMI percentile (Mean)
baselineweek 12 (n=1, n=2)
Aripiprazole, Quetiapine, Risperidone37.6762.5
Ziprasidone3259

BMI Z-scores

(NCT01844700)
Timeframe: baseline to week 12

,
InterventionBMI z-score (Mean)
baselineweek 12 (n=1, n=2)
Aripiprazole, Quetiapine, Risperidone-0.370.38
Ziprasidone-0.510.22

Weight Change

(NCT01844700)
Timeframe: baseline to week 12

,
Interventionlbs (Mean)
baselineweek 12 (n=1,2)
Aripiprazole, Quetiapine, Risperidone118.5141
Ziprasidone120.5151

Change From Baseline in Acute Insulin Response to Glucose (AIRG)

Acute insulin response to glucose (AIRG) was assessed using a Frequently Sampled Intravenous Glucose Tolerance Test (FSIVGTT), performed at Baseline and at week 8 (study endpoint). Subjects in the Rosiglitazone treatment arm were compared to subjects in the placebo treatment arm on their change in SG between Baseline and week 8. AIRG was calculated from plasma glucose and serum insulin values using the MINMOD Millennium computer program. AIRG measures the acute(0-10 min) beta cell response to a glucose load calculated by the areas under the curve higher than basal insulin values. The AIRG was assessed as the incremental area under the curve (calculated by the trapezoid rule) from 0 to 10 min of the FSIVGTT. (NCT00337350)
Timeframe: baseline, week 8

InterventionUnits/mL per 10 minutes (Mean)
Rosiglitazone-151
Placebo19

Change From Baseline in Insulin Sensitivity

Insulin Sensitivity (IS) was assessed using a Frequently Sampled Intravenous Glucose Tolerance Test (FSIVGTT), performed at Baseline and at week 8 (study endpoint). Subjects in the Rosiglitazone treatment arm were compared to subjects in the placebo treatment arm on their change in IS between Baseline and week 8. SI was calculated from plasma glucose and serum insulin values using the MINMOD Millennium computer program. SI represents the increase in net fractional glucose clearance rate per unit change in serum insulin concentration after the intravenous glucose load (microUnits/mL). (NCT00337350)
Timeframe: baseline, week 8

InterventionmicroUnits/mL (Mean)
Rosiglitazone3.2
Placebo0.4

Change From Baseline on Glucose Utilization (SG)

Glucose utilization (SG) was assessed using a Frequently Sampled Intravenous Glucose Tolerance Test (FSIVGTT), performed at Baseline and at week 8 (study endpoint). Subjects in the Rosiglitazone treatment arm were compared to subjects in the placebo treatment arm on their change in SG between Baseline and week 8. SG was calculated from plasma glucose and serum insulin values using the MINMOD Millennium computer program. SG represents the net fractional glucose clearance rate because of the increase in glucose independent of any increase in circulating insulin concentrations above baseline. (NCT00337350)
Timeframe: baseline, week 8

Interventionmin^-1 (Mean)
Rosiglitazone.002
Placebo-0.01

Change From Baseline in Fasting Glucose

Subjects on clozapine with adjunctive ziprasidone were compared to subjects on olanzapine with adjunctive ziprasidone on change in fasting glucose levels from baseline to study endpoint (week 6 - baseline) (NCT00351000)
Timeframe: baseline, week 6

Interventionmg/dL (Mean)
Clozapine Treatment With Adjunctive Ziprasidone5
Olanzapine Treatment With Adjunctive Ziprasidone-4.5

Change From Baseline on Fasting Insulin

Subjects on clozapine with adjunctive ziprasidone were compared to subjects on olanzapine with adjunctive ziprasidone on change in fasting insulin levels from baseline to study endpoint (week 6 - baseline) (NCT00351000)
Timeframe: baseline, week 6

InterventionmicroIU/L (Mean)
Clozapine Treatment With Adjunctive Ziprasidone1
Olanzapine Treatment With Adjunctive Ziprasidone-0.9

Change in Body Mass Index (BMI)

A comparison between aripiprazole group and placebo group of change in Body Mass Index (BMI) measured at Baseline and Week 8. (NCT00345033)
Timeframe: Measured at Baseline and Week 8

Interventionkg/m^2 (Mean)
Aripiprazole-0.52
Placebo0.03

Change in Glucose Metabolism

A comparison between the aripiprazole group and placebo group in change in glucose metabolism measured at Baseline and Week 8. (NCT00345033)
Timeframe: Measured at Baseline and Week 8

Interventionmin^-1 (Mean)
Aripiprazole0.003
Placebo-0.005

Change in Insulin Resistance

A comparison between aripiprazole group and placebo group of change in insulin resistance measured at Baseline and Week 8. (NCT00345033)
Timeframe: Measured at Baseline and Week 8

InterventionHOMA score (Mean)
Aripiprazole0.6
Placebo0.65

Change in Total Cholesterol

A comparison of aripiprazole group and placebo group in change in total cholesterol measured at Baseline and Week 8. (NCT00345033)
Timeframe: Measured at Baseline and Week 8

Interventionmg/dL (Mean)
Aripiprazole-15.3
Placebo5.6

Change in Triglycerides

(NCT00345033)
Timeframe: Measured at Baseline and Week 8

Interventionmg/dL (Mean)
Aripiprazole-5.9
Placebo-7.3

Change in Weight

A comparison between aripiprazole group and placebo group in change in weight measured at Baseline and Week 8. (NCT00345033)
Timeframe: Measured at Baseline and Week 8

Interventionkg (Mean)
Aripiprazole-1.5
Placebo0.3

Reviews

1 review available for valproic acid and Diabetes Mellitus, Adult-Onset

ArticleYear
[Arm and blood glucose out of control].
    MMW Fortschritte der Medizin, 2009, Nov-26, Volume: 151, Issue:48

    Topics: Aged; Brain; Diabetes Mellitus, Type 2; Diagnosis, Differential; Dyskinesias; GABA Agents; Humans; H

2009

Trials

3 trials available for valproic acid and Diabetes Mellitus, Adult-Onset

ArticleYear
Management of diabetic neuropathy by sodium valproate and glyceryl trinitrate spray: a prospective double-blind randomized placebo-controlled study.
    Diabetes research and clinical practice, 2009, Volume: 83, Issue:3

    Topics: Alanine Transaminase; Aspartate Aminotransferases; Diabetes Mellitus, Type 2; Diabetic Neuropathies;

2009
Sodium valproate in the management of painful neuropathy in type 2 diabetes - a randomized placebo controlled study.
    Acta neurologica Scandinavica, 2002, Volume: 106, Issue:5

    Topics: Adult; Aged; Anticonvulsants; Diabetes Mellitus, Type 2; Diabetic Neuropathies; Double-Blind Method;

2002
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000
Clozapine, diabetes mellitus, weight gain, and lipid abnormalities: A five-year naturalistic study.
    The American journal of psychiatry, 2000, Volume: 157, Issue:6

    Topics: Adult; Age Factors; Antipsychotic Agents; Body Mass Index; Body Weight; Cholesterol; Clozapine; Diab

2000

Other Studies

10 other studies available for valproic acid and Diabetes Mellitus, Adult-Onset

ArticleYear
Comparison of Rates of Type 2 Diabetes in Adults and Children Treated With Anticonvulsant Mood Stabilizers.
    JAMA network open, 2022, 04-01, Volume: 5, Issue:4

    Topics: Adolescent; Adult; Aged; Anticonvulsants; Carbamazepine; Child; Cohort Studies; Diabetes Mellitus, T

2022
Valproate intoxication in a patient with bipolar I disorder due to SGLT2 inhibitor-induced weight reduction.
    Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences, 2020, Volume: 28, Issue:1

    Topics: Aged; Antimanic Agents; Benzhydryl Compounds; Bipolar Disorder; Diabetes Mellitus, Type 2; Drug Inte

2020
Sox5 regulates beta-cell phenotype and is reduced in type 2 diabetes.
    Nature communications, 2017, 06-06, Volume: 8

    Topics: Animals; Calcium; Calcium Channels; Chromatin; Diabetes Mellitus, Experimental; Diabetes Mellitus, T

2017
Repurposing of sodium valproate in colon cancer associated with diabetes mellitus: Role of HDAC inhibition.
    European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences, 2018, 08-30, Volume: 121

    Topics: Animals; Anticonvulsants; Blood Glucose; Carcinoembryonic Antigen; Cell Line, Tumor; Colon; Colonic

2018
Cardioprotective effects of magnesium valproate in type 2 diabetes mellitus.
    European journal of pharmacology, 2014, Apr-05, Volume: 728

    Topics: Animals; Animals, Newborn; Cardiotonic Agents; Cardiovascular Diseases; Diabetes Mellitus, Experimen

2014
Valproate pretreatment protects pancreatic β-cells from palmitate-induced ER stress and apoptosis by inhibiting glycogen synthase kinase-3β.
    Journal of biomedical science, 2014, May-04, Volume: 21

    Topics: Activating Transcription Factor 4; Animals; Apoptosis; Cell Survival; Diabetes Mellitus, Type 2; End

2014
Valproic acid reduces insulin-resistance, fat deposition and FOXO1-mediated gluconeogenesis in type-2 diabetic rat.
    Biochimie, 2016, Volume: 125

    Topics: Animals; Diabetes Mellitus, Experimental; Diabetes Mellitus, Type 2; Gluconeogenesis; Insulin Resist

2016
Adverse Renal, Endocrine, Hepatic, and Metabolic Events during Maintenance Mood Stabilizer Treatment for Bipolar Disorder: A Population-Based Cohort Study.
    PLoS medicine, 2016, Volume: 13, Issue:8

    Topics: Adult; Antipsychotic Agents; Benzodiazepines; Bipolar Disorder; Cardiovascular Diseases; Chemical an

2016
Histone deacetylase-2 is a key regulator of diabetes- and transforming growth factor-beta1-induced renal injury.
    American journal of physiology. Renal physiology, 2009, Volume: 297, Issue:3

    Topics: Acetylcysteine; Amides; Animals; Antioxidants; Biphenyl Compounds; Cell Line; Cell Transdifferentiat

2009
The novel insulin resistance parameters RBP4 and GLP-1 in patients treated with valproic acid: just a sidestep?
    Epilepsy research, 2013, Volume: 104, Issue:3

    Topics: Adolescent; Adult; Aged; Anticonvulsants; Child; Diabetes Mellitus, Type 2; Fatty Liver; Female; Glu

2013