Diabetes Mellitus, Type 2Phase 2/3NCT02786823
Effect of Folic Acid and Vitamin B12 Supplementation in Subjects With Type 2 Diabetes
A Phase 2/3 study testing Folic acid, Vitamin B12 and Oral hypoglycemic agents [Metformin +/- Sulfonylurea] in people with Diabetes Mellitus, Type 2, run by All India Institute of Medical Sciences, Bhubaneswar at 1 site in India.
Trial summary
This study aims to evaluate the effect of Folic acid and Vitamin B12 supplementation on Biochemical parameters in subjects with type-2 Diabetes. 80 selected subjects will be divided into 4 groups of 20 each. Read more about this study
- Who is it for?
- Ages 30 to 65 years
- Conditions the study is for
- Diabetes Mellitus, Type 2
- What is being tested?
- Folic acid, Vitamin B12 and Oral hypoglycemic agents [Metformin +/- Sulfonylurea]
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 80 participants
- Where
- 1 siteIndia
- Study dates
- 1 May 2017to 15 Sep 2017
- Phase
- Phase 2/3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 30 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Type 2 Diabetic patients within age group 30-65 years, on stable dose of anti-diabetic with/without anti-hypertensive drugs will be included in this study
Who cannot join
- Subjects on non-allopathic forms of treatment for diabetic control.
- Subjects with Chronic Renal disease and Liver disease.
- Subjects with malabsorption.
- Subjects with Thyroid function abnormalities.
- HbA1c levels more than 10 %
- Smoking
Show all 11Show fewer
- Alcoholism
- Pregnant subjects
- Subjects with vitamin B12 deficiency
- Subjects already on Folate or Vitamin B12 supplementation due to some other medical condition
- The detailed drug history of the subjects will be taken prior to including them in the study. Antibiotics like Fluoroquinolones; anti-seizure drugs like phenytoin; Corticosteroids and Hormonal Contraceptives; Hypolipidemic drugs like statins are known to affect Glucose metabolism and subjects on these medications will not be included in the study.
Trial locations and contacts
1 site in 1 country.
India1 site
All India Institute of Medical Sciences, Bhubaneswar
Bhubaneswar, Odisha, 751019
About this study
Official title: Effect of Folic Acid and Vitamin B12 Supplementation on Biochemical Parameters in Subjects With Type-2 Diabetes
This study aims to evaluate the effect of Folic acid and Vitamin B12 supplementation on Biochemical parameters in subjects with type-2 Diabetes. 80 selected subjects will be divided into 4 groups of 20 each.
- Group A: to receive Folic acid 5 mg once daily for 8 weeks along with standard oral anti-diabetic drugs;
- Group B: to receive Vitamin B12 500 mcg once daily for 8 weeks along with standard oral anti-diabetic drugs;
- Group C: to receive both Folic acid 5 mg once daily and Vitamin B12 500 mcg once daily for 8 weeks along with standard oral anti-diabetic drugs;
- Group D: to receive no additional intervention apart from standard oral anti-diabetic drugs.
The biochemical parameters will be evaluated before and after the intervention.
Read the detailed description
This is a randomized, parallel group, open label study to evaluate the effect of Folic acid and Vitamin B12 supplementation on Biochemical parameters in subjects with type-2 Diabetes.
80 selected subjects will be randomly assigned to 4 groups of 20 each as follows:
- Group A: to receive Folic acid 5 mg once daily for 8 weeks along with standard oral anti-diabetic drugs;
- Group B: to receive Vitamin B12 500 mcg once daily for 8 weeks along with standard oral anti-diabetic drugs;
- Group C: to receive both Folic acid 5 mg once daily and Vitamin B12 500 mcg once daily for 8 weeks along with standard oral anti-diabetic drugs;
- Group D: to receive no additional intervention apart from standard oral anti-diabetic drugs.
The subjects will also be advised to be on a normal routine diet, not to skip any meal and not to change their exercise pattern (if any) during the study period.The compliance of the intervention will be monitored by instructing the patients to return all unused tablets at the end of the 8 weeks period of study.
All the subjects will be asked to report after an overnight fasting of 12 hours on two occasions i.e. at the start of the study before allocation of group and 8 weeks after allocation. After measurement of body weight, height and blood pressure (by Mercury Sphygmomanometer), 5 milliliter of early morning fasting venous blood sample will be collected under aseptic measures on both the occasions. The samples collected will then be appropriately processed for the analysis of various biochemical parameters.
The results of all the parameters evaluated will be recorded in the subject's Data Collection Form.The data will be analyzed using Statistical Package for the Social Sciences (SPSS) version 21.
- Conditions
- Diabetes Mellitus, Type 2
- Being tested
- Folic acid, Vitamin B12, Oral hypoglycemic agents [Metformin +/- Sulfonylurea]
- Medical subject headings
- Diabetes Mellitus, Type 2
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Folic acidDietary supplement
tab. Folic acid 5 mg
Vitamin B12Dietary supplement
tab. Vitamin B12 500 mcg
Oral hypoglycemic agents [Metformin +/- Sulfonylurea]Drug
Also called Metformin, Sulfonylurea
Patients receiving either of the following oral hypoglycemic agents
- Sulfonylurea
- Metformin
- Metformin plus Sulfonylurea
| Study group | Role | What they receive |
|---|---|---|
| Folic acid | Experimental | Twenty type-2 diabetes patients with standard Oral hypoglycemic agents [Metformin +/- Sulfonylurea] will be recruited and additionally receive tab. Folic acid 5 mg once daily for 8 weeks Receives: Dietary Supplement: Folic acid; Drug: Oral hypoglycemic agents [Metformin +/- Sulfonylurea] |
| Vitamin B12 | Experimental | Twenty type-2 diabetes patients with standard Oral hypoglycemic agents [Metformin +/- Sulfonylurea] will be recruited and additionally receive tab. Vitamin B12 500 mcg once daily for 8 weeks Receives: Dietary Supplement: Vitamin B12; Drug: Oral hypoglycemic agents [Metformin +/- Sulfonylurea] |
| "Folic acid" and "Vitamin B12" | Experimental | Twenty type-2 diabetes patients with standard Oral hypoglycemic agents [Metformin +/- Sulfonylurea] will be recruited and additionally receive both tab. Folic acid 5 mg once daily and tab. Vitamin B12 500 mcg once daily for 8 weeks Receives: Dietary Supplement: Folic acid; Dietary Supplement: Vitamin B12; Drug: Oral hypoglycemic agents [Metformin +/- Sulfonylurea] |
| Control | Active comparator | Twenty type-2 diabetes patients with standard Oral hypoglycemic agents [Metformin +/- Sulfonylurea] will be recruited and receive no additional supplementation Receives: Drug: Oral hypoglycemic agents [Metformin +/- Sulfonylurea] |
What is being measured
The primary outcome is the main question the study is designed to answer.
HbA1c
Measured: 8 weeks
Secondary outcomes (13)
Fasting plasma glucose
Measured: 8 weeks
Fasting plasma insulin
Measured: 8 weeks
Insulin Resistance
Using Homeostatic model assessment (HOMA2 calculator which uses fasting plasma glucose and plasma insulin values to calculate insulin resistance)
Measured: 8 weeks
Serum total cholesterol
Measured: 8 weeks
Serum triacylglycerol
Measured: 8 weeks
Serum Low-density lipoprotein (LDL)
Measured: 8 weeks
Serum High-density lipoprotein (HDL)
Measured: 8 weeks
Serum Very Low-density lipoprotein (VLDL)
Measured: 8 weeks
Serum Homocysteine
Measured: 8 weeks
Serum Adiponectin
Measured: 8 weeks
Serum Tumor Necrosis Factor (TNF)
Measured: 8 weeks
Serum Interleukin-6 (IL-6)
Measured: 8 weeks
Serum C reactive protein (CRP)
Measured: 8 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Jun 2016 (estimated)
- Study start1 May 2017
- Primary completion15 Aug 2017
- Study completion15 Sep 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Diabetes Mellitus, Type 2Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2/3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Factorial
- Masking
- Double blind
- Who is masked
- Care provider, Outcomes assessor
- Enrolment
- 80 participants (actual)
Sponsor and investigators
- Lead sponsor
- All India Institute of Medical Sciences, Bhubaneswar
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Dr. Debapriya Bandyopadhyay, All India Institute of Medical Sciences, Bhubaneswar
- Investigators
- Debapriya Bandyopadhyay, M.D., Principal investigator, All India Institute of Medical Sciences, Bhubaneswar
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02786823
- Sponsor's protocol ID
- T/lM-F/Biochem/15/22
- Status last verified
- Sep 2017
- First submitted
- 25 May 2016
- Last updated
- 19 Sep 2017
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 19 Sep 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of Folic Acid and Vitamin B12 Supplementation on Biochemical Parameters in Subjects With Type-2 Diabetes
- ClinicalTrials.gov ID
- NCT02786823
- Acronym / sponsor ID
- T/lM-F/Biochem/15/22
- Conditions
- Diabetes Mellitus, Type 2
- Phase
- Phase 2/3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 80 participants (actual)
- Lead sponsor
- All India Institute of Medical Sciences, BhubaneswarUniversity, hospital or other
- Study start
- 1 May 2017 (actual)
- Primary completion
- 15 Aug 2017 (actual)
- Study completion
- 15 Sep 2017 (actual)
- First posted
- 1 Jun 2016 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study aims to evaluate the effect of Folic acid and Vitamin B12 supplementation on Biochemical parameters in subjects with type-2 Diabetes. 80 selected subjects will be divided into 4 groups of 20 each.
- Group A: to receive Folic acid 5 mg once daily for 8 weeks along with standard oral anti-diabetic drugs;
- Group B: to receive Vitamin B12 500 mcg once daily for 8 weeks along with standard oral anti-diabetic drugs;
- Group C: to receive both Folic acid 5 mg once daily and Vitamin B12 500 mcg once daily for 8 weeks along with standard oral anti-diabetic drugs;
- Group D: to receive no additional intervention apart from standard oral anti-diabetic drugs.
The biochemical parameters will be evaluated before and after the intervention.
Detailed description
This is a randomized, parallel group, open label study to evaluate the effect of Folic acid and Vitamin B12 supplementation on Biochemical parameters in subjects with type-2 Diabetes.
80 selected subjects will be randomly assigned to 4 groups of 20 each as follows:
- Group A: to receive Folic acid 5 mg once daily for 8 weeks along with standard oral anti-diabetic drugs;
- Group B: to receive Vitamin B12 500 mcg once daily for 8 weeks along with standard oral anti-diabetic drugs;
- Group C: to receive both Folic acid 5 mg once daily and Vitamin B12 500 mcg once daily for 8 weeks along with standard oral anti-diabetic drugs;
- Group D: to receive no additional intervention apart from standard oral anti-diabetic drugs.
The subjects will also be advised to be on a normal routine diet, not to skip any meal and not to change their exercise pattern (if any) during the study period.The compliance of the intervention will be monitored by instructing the patients to return all unused tablets at the end of the 8 weeks period of study.
All the subjects will be asked to report after an overnight fasting of 12 hours on two occasions i.e. at the start of the study before allocation of group and 8 weeks after allocation. After measurement of body weight, height and blood pressure (by Mercury Sphygmomanometer), 5 milliliter of early morning fasting venous blood sample will be collected under aseptic measures on both the occasions. The samples collected will then be appropriately processed for the analysis of various biochemical parameters.
The results of all the parameters evaluated will be recorded in the subject's Data Collection Form.The data will be analyzed using Statistical Package for the Social Sciences (SPSS) version 21.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Factorial
- Masking
- Double blind (care provider, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Folic acid | Experimental | Dietary Supplement: Folic acid, Drug: Oral hypoglycemic agents [Metformin +/- Sulfonylurea]Twenty type-2 diabetes patients with standard Oral hypoglycemic agents [Metformin +/- Sulfonylurea] will be recruited and additionally receive tab. Folic acid 5 mg once daily for 8 weeks |
| Vitamin B12 | Experimental | Dietary Supplement: Vitamin B12, Drug: Oral hypoglycemic agents [Metformin +/- Sulfonylurea]Twenty type-2 diabetes patients with standard Oral hypoglycemic agents [Metformin +/- Sulfonylurea] will be recruited and additionally receive tab. Vitamin B12 500 mcg once daily for 8 weeks |
| "Folic acid" and "Vitamin B12" | Experimental | Dietary Supplement: Folic acid, Dietary Supplement: Vitamin B12, Drug: Oral hypoglycemic agents [Metformin +/- Sulfonylurea]Twenty type-2 diabetes patients with standard Oral hypoglycemic agents [Metformin +/- Sulfonylurea] will be recruited and additionally receive both tab. Folic acid 5 mg once daily and tab. Vitamin B12 500 mcg once daily for 8 weeks |
| Control | Active comparator | Drug: Oral hypoglycemic agents [Metformin +/- Sulfonylurea]Twenty type-2 diabetes patients with standard Oral hypoglycemic agents [Metformin +/- Sulfonylurea] will be recruited and receive no additional supplementation |
Who may qualify
- Ages
- 30 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- Type 2 Diabetic patients within age group 30-65 years, on stable dose of anti-diabetic with/without anti-hypertensive drugs will be included in this study
Key exclusion criteria (11 listed)
- Subjects on non-allopathic forms of treatment for diabetic control.
- Subjects with Chronic Renal disease and Liver disease.
- Subjects with malabsorption.
- Subjects with Thyroid function abnormalities.
- HbA1c levels more than 10 %
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Folic acidtab. Folic acid 5 mg | Dietary supplement | "Folic acid" and "Vitamin B12", Folic acid |
| Vitamin B12tab. Vitamin B12 500 mcg | Dietary supplement | "Folic acid" and "Vitamin B12", Vitamin B12 |
| Oral hypoglycemic agents [Metformin +/- Sulfonylurea]Also: Metformin, SulfonylureaPatients receiving either of the following oral hypoglycemic agents 1. Sulfonylurea 2. Metformin 3. Metformin plus Sulfonylurea | Drug | "Folic acid" and "Vitamin B12", Control, Folic acid, Vitamin B12 |
Primary outcome
HbA1c
Time frame: 8 weeks
13 secondary outcomes
Fasting plasma glucose
Time frame: 8 weeks
Fasting plasma insulin
Time frame: 8 weeks
Insulin Resistance
Time frame: 8 weeks
Serum total cholesterol
Time frame: 8 weeks
Serum triacylglycerol
Time frame: 8 weeks
Serum Low-density lipoprotein (LDL)
Time frame: 8 weeks
Serum High-density lipoprotein (HDL)
Time frame: 8 weeks
Serum Very Low-density lipoprotein (VLDL)
Time frame: 8 weeks
Serum Homocysteine
Time frame: 8 weeks
Serum Adiponectin
Time frame: 8 weeks
Serum Tumor Necrosis Factor (TNF)
Time frame: 8 weeks
Serum Interleukin-6 (IL-6)
Time frame: 8 weeks
Serum C reactive protein (CRP)
Time frame: 8 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Sep 2017.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Debapriya Bandyopadhyay, M.D. principal investigator
All India Institute of Medical Sciences, Bhubaneswar
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2/3 study testing Folic acid, Vitamin B12 and Oral hypoglycemic agents [Metformin +/- Sulfonylurea] in people with Diabetes Mellitus, Type 2, run by All India Institute of Medical Sciences, Bhubaneswar at 1 site in India.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 19 Sep 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in India. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
HbA1c (time frame: 8 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Sep 2017.