Alpha-lipoic Acid in Diabetic Nephropathy

NCT ID: NCT06253429

Last Updated: 2024-02-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-01-01

Study Completion Date

2024-02-01

Brief Summary

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Endothelial dysfunction in diabetes is a central event in the pathogenesis of different microangioapthic changes. Nephropathy in patients with type 1 diabetes is a severe microvascular complication.

Detailed Description

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Better understanding of the pathogenesis of microvascular complications in type 1 diabetes have paved the way for novel therapeutic targets and possible adjuvant therapeutic modalities. Oxidative stress is considered a common and important factor that links hyperglycemia with the vascular complications in diabetes, including of diabetic nephropathy (DN).

Alpha lipoic acid (ALA), or thioctacid, is an antioxidant compound which serve as a cofactor for mitochondrial respiratory enzymes. ALA can scavenge free radicals, activate antioxidant systems, and also affect inflammatory markers. It also has unique characteristic. ALA can play as a reduction for oxidized forms of components with antioxidant properties and neutralize reactive oxygen species. Thus, it called as antioxidant of antioxidants

Conditions

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Type 1 Diabetes

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Participants

Study Groups

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Interventional arm

including pediatric patients with diabetic nephropathy receiving oral alpha-lipoic acid daily.

The capsule of ALA ( Thiotex 300 mg capsule) contains 300 mg of thioctic acid, manufactured bt Marcyrl Pharmaceutical Industries - Egypt.) The patient will receive 1 capsule twice daily for 3 months. Patients' compliance to therapy will be checked by counting pills.

oral angiotensin-converting enzyme inhibitors (ACE-Is) captopril 25 mg tablet provided their blood pressure will be maintained within normal range for age

Group Type ACTIVE_COMPARATOR

Thioctic Acid 333 MG Oral Capsule

Intervention Type DRUG

Antioxidant compound which serve as a cofactor for mitochondrial respiratory enzymes

Captopril 25Mg Tab

Intervention Type DRUG

Oral angiotensin-converting enzyme inhibitors

Control Arm

including pediatric patients with diabetic nephropathy receiving placebo that is similar in appearance to the oral alpha-lipoic acid (Thiotex 300 mg capsule) and oral angiotensin-converting enzyme inhibitors (ACE-Is)(Captopril 25 mg tablet) provided their blood pressure will be maintained within normal range for age

Group Type PLACEBO_COMPARATOR

Captopril 25Mg Tab

Intervention Type DRUG

Oral angiotensin-converting enzyme inhibitors

Interventions

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Thioctic Acid 333 MG Oral Capsule

Antioxidant compound which serve as a cofactor for mitochondrial respiratory enzymes

Intervention Type DRUG

Captopril 25Mg Tab

Oral angiotensin-converting enzyme inhibitors

Intervention Type DRUG

Other Intervention Names

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Alpha lipoic acid 300 mg tablet Capoten 25 mg tab

Eligibility Criteria

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Inclusion Criteria

* Children and adolescents with type 1 diabetes
* The presence of diabetic nephropathy

Exclusion Criteria

* Renal impairment due to causes other than diabetes
* Other diabetic complications than nephropathy
* Elevated liver enzymes
* Hypersensitivity to lipoic acid
* Participation in a previous investigational drug study within the 30 days preceding screening
Minimum Eligible Age

6 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ain Shams University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Yasmine I Elhenawy

Role: PRINCIPAL_INVESTIGATOR

Ain Shams University

Locations

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Pediatrics and Adolescents Diabetes Unit (PADU), Pediatrics Hospital, Faculty of Medicine, Ain Shams University

Cairo, , Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Yasmine I Elhenawy

Role: CONTACT

01006714334

Shymaa El-Morsy

Role: CONTACT

01275207244

Facility Contacts

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Yasmine Ehenawyl

Role: primary

+201006714334

Other Identifiers

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FMASU MS 662/2022

Identifier Type: -

Identifier Source: org_study_id

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