Page last updated: 2024-10-26

valproic acid and Diabetes Mellitus

valproic acid has been researched along with Diabetes Mellitus in 11 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.

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

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)
"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)
"Treatment with valproate and antipsychotics-but not with lithium and lamotrigine-was associated with increased risk of DM in a real-world cohort of patients with bipolar disorder."4.31Pharmacological treatment of bipolar disorder and risk of diabetes mellitus: A nationwide study of 30,451 patients. ( Köhler-Forsberg, O; Nierenberg, AA; Rohde, C; Østergaard, SD, 2023)
"Free carnitine excretion was reduced."1.28Differential excretion of xenobiotic acyl-esters of carnitine due to administration of pivampicillin and valproate. ( Bieber, LL; Jaszai, V; Kerner, J; Melegh, B, 1990)

Research

Studies (11)

TimeframeStudies, this research(%)All Research%
pre-19901 (9.09)18.7374
1990's3 (27.27)18.2507
2000's4 (36.36)29.6817
2010's0 (0.00)24.3611
2020's3 (27.27)2.80

Authors

AuthorsStudies
Morton, A1
Rohde, C1
Köhler-Forsberg, O1
Nierenberg, AA1
Østergaard, SD1
Oakley, GP1
Saito, E1
Kafantaris, V1
Tavakoli, SA1
Arguisola, MS1
Hoare, P1
Mann, H1
Henderson, DC1
Cagliero, E1
Gray, C1
Nasrallah, RA1
Hayden, DL1
Schoenfeld, DA1
Goff, DC1
Meyer, JM1
Poser, W1
Poser, S1
Ritter, G1
Shihabi, ZK1
Oles, KS1
McCormick, CP1
Penry, JK1
Melegh, B1
Kerner, J1
Jaszai, V1
Bieber, LL1

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

Trials

1 trial available for valproic acid and Diabetes Mellitus

ArticleYear
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

ArticleYear
Diabetic ketoacidosis with severe hypokalaemia and valproate-associated Fanconi syndrome.
    Internal medicine journal, 2023, Volume: 53, Issue:1

    Topics: Diabetes Mellitus; Diabetic Ketoacidosis; Fanconi Syndrome; Humans; Hypokalemia; Valproic Acid

2023
Pharmacological treatment of bipolar disorder and risk of diabetes mellitus: A nationwide study of 30,451 patients.
    Bipolar disorders, 2023, Volume: 25, Issue:4

    Topics: Anticonvulsants; Antimanic Agents; Antipsychotic Agents; Bipolar Disorder; Diabetes Mellitus; Humans

2023
Classifying by cause and preventing the many causes of spina bifida and anencephaly.
    Pediatric research, 2020, Volume: 87, Issue:2

    Topics: Anencephaly; Anticonvulsants; Diabetes Mellitus; Female; Folic Acid; Folic Acid Deficiency; Food, Fo

2020
Can diabetes mellitus be induced by medication?
    Journal of child and adolescent psychopharmacology, 2002,Fall, Volume: 12, Issue:3

    Topics: Adolescent; Antipsychotic Agents; Diabetes Mellitus; Drug Therapy, Combination; Female; Humans; Male

2002
Diabetic ketoacidosis in a patient treated with olanzapine, valproic acid, and venlafaxine.
    Southern medical journal, 2003, Volume: 96, Issue:7

    Topics: Adult; Anticonvulsants; Antidepressive Agents, Second-Generation; Antipsychotic Agents; Benzodiazepi

2003
Self-esteem and behavioural adjustment in children with epilepsy and children with diabetes.
    Journal of psychosomatic research, 1994, Volume: 38, Issue:8

    Topics: Adolescent; Carbamazepine; Child; Child Behavior Disorders; Cross-Sectional Studies; Diabetes Mellit

1994
A retrospective comparison of weight, lipid, and glucose changes between risperidone- and olanzapine-treated inpatients: metabolic outcomes after 1 year.
    The Journal of clinical psychiatry, 2002, Volume: 63, Issue:5

    Topics: Adult; Aged; Anticonvulsants; Antipsychotic Agents; Benzodiazepines; Blood Glucose; Body Weight; Dia

2002
[Drug therapy of epilepsy].
    Der Internist, 1977, Volume: 18, Issue:2

    Topics: Age Factors; Anticonvulsants; Barbiturates; Benzodiazepines; Bromides; Carbamazepine; Chlormethiazol

1977
Serum and tissue carnitine assay based on dialysis.
    Clinical chemistry, 1992, Volume: 38, Issue:8 Pt 1

    Topics: Carnitine; Carnitine O-Acetyltransferase; Diabetes Mellitus; Dialysis; Dithionitrobenzoic Acid; Huma

1992
Differential excretion of xenobiotic acyl-esters of carnitine due to administration of pivampicillin and valproate.
    Biochemical medicine and metabolic biology, 1990, Volume: 43, Issue:1

    Topics: Adolescent; Adult; Ampicillin; Carnitine; Child; Cholesterol; Chromatography, Gas; Diabetes Mellitus

1990