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Vitamin C Supplementation as a Preventive Treatment of Diabetic Peripheral Neuropathy

Primary Purpose

Diabetic Neuropathies

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Vitamin C
Placebo
Sponsored by
Washington State University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Diabetic Neuropathies focused on measuring Vitamin C, Ascorbic Acid, Diabetic Neuropathies

Eligibility Criteria

50 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • type 2 diabetes mellitus
  • diabetic peripheral neuropathy
  • A1C of 6.0-10.0%

Exclusion Criteria:

  • Terminal diagnosis
  • Dementia
  • Anemia
  • Significant renal dysfunction
  • History of B-12 deficiency
  • Peripheral vascular disease
  • Current smoker
  • History of kidney stones
  • Current ascorbic acid use
  • Presence or foot infection and/or ulcer

Sites / Locations

  • Washington State University, College of Pharmacy, Department of Pharmacotherapy

Arms of the Study

Arm 1

Arm 2

Arm Type

Placebo Comparator

Experimental

Arm Label

2

1

Arm Description

1000mg Placebo capsules orally twice daily for 90 days

1000mg Vitamin C capsules orally twice daily for 90 days

Outcomes

Primary Outcome Measures

Changes in intracellular erythrocyte sorbitol levels
Changes in aldose reductase enzyme activity
Changes in aldose reductase enzyme levels

Secondary Outcome Measures

Changes in Neuropathic Pain Scale (NPS) measurement and quantitative sensory testing in the lower extremities via touch discrimination with Semmes-Weinstein monofilaments and vibratory sensation testing

Full Information

First Posted
March 5, 2008
Last Updated
April 25, 2023
Sponsor
Washington State University
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1. Study Identification

Unique Protocol Identification Number
NCT00634998
Brief Title
Vitamin C Supplementation as a Preventive Treatment of Diabetic Peripheral Neuropathy
Official Title
Vitamin C Supplementation as a Preventive Treatment of Diabetic Peripheral Neuropathy
Study Type
Interventional

2. Study Status

Record Verification Date
April 2023
Overall Recruitment Status
Completed
Study Start Date
November 2007 (undefined)
Primary Completion Date
August 2008 (Actual)
Study Completion Date
August 2008 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Washington State University

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this pilot study is to determine whether vitamin C supplementation is beneficial in treating and/or preventing diabetic peripheral neuropathy in people with type 2 diabetes.
Detailed Description
Painful diabetic peripheral neuropathy (DPN), a condition characterized by pain affecting the feet, legs and hands that is often characterized as burning or a "pins and needles" sensation, is estimated to affect up to 66% of the U.S. diabetic population. This pilot study will examine the effect of a daily dose of ascorbic acid, a known aldose reductase inhibitor, versus placebo, and the effect that it can have on intracellular erythrocyte (red blood cell) sorbitol levels, aldose reductase activity and aldose reductase enzyme levels utilizing benchtop methods, and effects on clinical DPN-associated pain reporting and changes in quantitative sensory testing in the lower extremities via touch discrimination and vibratory sensory testing in patients with Type 2 Diabetes Mellitus (T2DM) over the course of 90 days of treatment.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diabetic Neuropathies
Keywords
Vitamin C, Ascorbic Acid, Diabetic Neuropathies

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
10 (Actual)

8. Arms, Groups, and Interventions

Arm Title
2
Arm Type
Placebo Comparator
Arm Description
1000mg Placebo capsules orally twice daily for 90 days
Arm Title
1
Arm Type
Experimental
Arm Description
1000mg Vitamin C capsules orally twice daily for 90 days
Intervention Type
Dietary Supplement
Intervention Name(s)
Vitamin C
Intervention Description
1000mg Vitamin C capsules orally twice daily
Intervention Type
Dietary Supplement
Intervention Name(s)
Placebo
Intervention Description
1000mg Placebo capsules orally twice daily for 90 days
Primary Outcome Measure Information:
Title
Changes in intracellular erythrocyte sorbitol levels
Time Frame
Changes at 90 days compared to baseline
Title
Changes in aldose reductase enzyme activity
Time Frame
Activity at 90 days compared to baseline
Title
Changes in aldose reductase enzyme levels
Time Frame
Levels at 90 days compared to baseline
Secondary Outcome Measure Information:
Title
Changes in Neuropathic Pain Scale (NPS) measurement and quantitative sensory testing in the lower extremities via touch discrimination with Semmes-Weinstein monofilaments and vibratory sensation testing
Time Frame
Changes at 90 days compared to baseline

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: type 2 diabetes mellitus diabetic peripheral neuropathy A1C of 6.0-10.0% Exclusion Criteria: Terminal diagnosis Dementia Anemia Significant renal dysfunction History of B-12 deficiency Peripheral vascular disease Current smoker History of kidney stones Current ascorbic acid use Presence or foot infection and/or ulcer
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Joshua J Neumiller, PharmD
Organizational Affiliation
Washington State University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Washington State University, College of Pharmacy, Department of Pharmacotherapy
City
Spokane
State/Province
Washington
ZIP/Postal Code
99210-1495
Country
United States

12. IPD Sharing Statement

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Vitamin C Supplementation as a Preventive Treatment of Diabetic Peripheral Neuropathy

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