Oral Sucrosomial® Vitamin B12 in the Management of B12 Deficiency Among Metformin-Treated Type 2 Diabetes Patients

NCT ID: NCT06983223

Last Updated: 2025-12-10

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-08-15

Study Completion Date

2025-12-03

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

This randomized, double-blind, placebo-controlled clinical trial aims to evaluate the effectiveness of Sucrosomial® Vitamin B12 supplementation in the management of vitamin B12 deficiency among metformin-treated Type 2 Diabetes Mellitus (T2DM) patients. The study will compare the impact of daily Sucrosomial® B12 (1,000 mcg) versus placebo on serum vitamin B12 levels, Holo-Transcobalamin II (HoloTCII), and Transcobalamin I (TCI) levels over a 4-week period. Secondary outcomes include assessment of safety, tolerability, and glycemic control (HbA1c). Fifty participants will be randomly assigned to either the Sucrosomial® B12 or placebo group.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Vitamin B12 deficiency is a common concern in Type 2 Diabetes Mellitus (T2DM) patients, especially those treated with metformin, which is known to interfere with B12 absorption. Early identification and effective management of B12 deficiency are critical to prevent neurological and hematological complications.

This study is designed as a randomized, double-blind, placebo-controlled clinical trial to assess the efficacy of Sucrosomial® Vitamin B12 (1,000 mcg daily) compared to placebo in improving vitamin B12 status among metformin-treated T2DM patients. The study will enroll 50 participants (25 in each group) who will receive either Sucrosomial® B12 or placebo for 4 weeks.

Primary Outcome:

Change in serum vitamin B12 levels from baseline to 3 weeks.

Secondary Outcomes:

Change in Holo-Transcobalamin II (HoloTCII) levels from baseline to 3 weeks.

Change in Transcobalamin I (TCI) levels from baseline to 3 weeks.

Safety and tolerability, assessed through adverse event monitoring.

Change in glycemic control (HbA1c) from baseline to 3 weeks.

The study will include assessments at Baseline, 24 hours, 7 days, 14 days, and 21 days. Blood samples will be collected at each time point to measure vitamin B12, HoloTCII, TCI, CBC, LFTs, and RFTs. The safety profile will be monitored throughout the study.

This study will provide essential data on the effectiveness of Sucrosomial® B12 in improving vitamin B12 status among metformin-treated T2DM patients, offering a potential non-invasive intervention for managing B12 deficiency in this population.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Vitamin B 12 Deficiency Type 2 Diabetes Mellitus (T2DM)

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This is a randomized, double-blind, placebo-controlled clinical trial. Participants will be randomly assigned in a 1:1 ratio to receive either Sucrosomial® B12 (1,000 mcg) or placebo once daily for 4 weeks.
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
The study will be double-blind, meaning neither the participants, care providers, investigators, nor outcomes assessors will know the treatment allocation.

Sucrosomial® B12 and placebo will be identical in appearance, packaging, and labeling to maintain blinding.

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Placebo Group

Participants in this group will receive a matching placebo (identical in appearance, packaging, and taste), administered as an orally dissolving powder, once daily for 3 weeks.

Dosage Form: Orally dissolving powder (sachet)

Administration Route: Oral

Frequency: Once daily

Duration: 3 weeks (21 days)

Group Type PLACEBO_COMPARATOR

Placebo (Oral)

Intervention Type OTHER

Participants in the placebo group will receive an identical powder that matches the Sucrosomial® B12 in appearance, packaging, and administration. The placebo will be administered once daily for 3 weeks.

Sucrosomial® B12 Group

Participants in this group will receive Sucrosomial® Vitamin B12 (1,000 mcg), administered as an orally dissolving powder, once daily for 3 weeks.

Dosage Form: Orally dissolving powder (sachet) Administration Route: Oral

Frequency: Once daily

Duration: 3 weeks (21 days)

Group Type EXPERIMENTAL

Sucrosomial® Vitamin B12

Intervention Type DIETARY_SUPPLEMENT

Sucrosomial® B12 is an advanced oral vitamin B12 supplement formulated with Sucrosomial® technology to enhance absorption. Participants in this group will receive 1,000 mcg of Sucrosomial® B12 (single sachet of orally dissolving powder) once daily for 3 weeks.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Sucrosomial® Vitamin B12

Sucrosomial® B12 is an advanced oral vitamin B12 supplement formulated with Sucrosomial® technology to enhance absorption. Participants in this group will receive 1,000 mcg of Sucrosomial® B12 (single sachet of orally dissolving powder) once daily for 3 weeks.

Intervention Type DIETARY_SUPPLEMENT

Placebo (Oral)

Participants in the placebo group will receive an identical powder that matches the Sucrosomial® B12 in appearance, packaging, and administration. The placebo will be administered once daily for 3 weeks.

Intervention Type OTHER

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

Oral Sucrosomial® Vitamin B12 Matching Placebo

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Adults aged 18 to 75 years.
* Diagnosed with Type 2 Diabetes Mellitus (T2DM).
* Currently on Metformin therapy for at least one year.
* Serum vitamin B12 levels below the laboratory reference range (indicating deficiency).
* Willing to provide written informed consent.
* Able to comply with study procedures and visit schedule.

Exclusion Criteria

* Current or prior use of vitamin B12 supplements within the past 3 months.
* Diagnosis of pernicious anemia or other causes of vitamin B12 malabsorption (e.g., Crohn's disease, celiac disease).
* History of gastric surgery or small intestine resection.
* Use of medications known to interfere with vitamin B12 absorption (other than Metformin).
* Severe renal impairment (eGFR \< 30 mL/min/1.73 m²) or end-stage renal disease.
* Severe hepatic impairment (ALT/AST \> 3 times the upper limit of normal).
* Pregnant or breastfeeding women.
* Known hypersensitivity to vitamin B12 or any component of the study product.
* Participation in another clinical trial within the last 30 days.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Liaquat University of Medical & Health Sciences

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Dr. Amjad Khan

Professor of Clinical Biochemistry and Experimental medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Liaquat University of Medical & Health Sciences (LUMHS)

Jāmshoro, Sindh, Pakistan

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Pakistan

References

Explore related publications, articles, or registry entries linked to this study.

Memon NM, Conti G, Brilli E, Tarantino G, Chaudhry MNA, Baloch A, Shafiq A, Mumtaz SU, Qaisar W, Iqtadar S, Abrar S, Kanwal A, Akhtar MH, Latif H, Rabbani F, Ujjan ID, Turroni S, Khan A. Comparative bioavailability study of supplemental oral Sucrosomial (R) vs. oral conventional vitamin B12 in enhancing circulatory B12 levels in healthy deficient adults: a multicentre, double-blind randomized clinical trial. Front Nutr. 2024 Nov 8;11:1493593. doi: 10.3389/fnut.2024.1493593. eCollection 2024.

Reference Type BACKGROUND
PMID: 39582666 (View on PubMed)

Alhaji JH. Vitamin B12 Deficiency in Patients with Diabetes on Metformin: Arab Countries. Nutrients. 2022 May 13;14(10):2046. doi: 10.3390/nu14102046.

Reference Type BACKGROUND
PMID: 35631186 (View on PubMed)

Sayedali E, Yalin AE, Yalin S. Association between metformin and vitamin B12 deficiency in patients with type 2 diabetes. World J Diabetes. 2023 May 15;14(5):585-593. doi: 10.4239/wjd.v14.i5.585.

Reference Type BACKGROUND
PMID: 37273250 (View on PubMed)

Bell DSH. Metformin-induced vitamin B12 deficiency can cause or worsen distal symmetrical, autonomic and cardiac neuropathy in the patient with diabetes. Diabetes Obes Metab. 2022 Aug;24(8):1423-1428. doi: 10.1111/dom.14734. Epub 2022 May 20.

Reference Type BACKGROUND
PMID: 35491956 (View on PubMed)

Gupta K, Jain A, Rohatgi A. An observational study of vitamin b12 levels and peripheral neuropathy profile in patients of diabetes mellitus on metformin therapy. Diabetes Metab Syndr. 2018 Jan-Mar;12(1):51-58. doi: 10.1016/j.dsx.2017.08.014. Epub 2017 Aug 25.

Reference Type BACKGROUND
PMID: 28882470 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

LUMHS/REC/-733/09.05.2025

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

Vitamin B12 Supplementation Study
NCT00826657 COMPLETED NA
Quadruple Fortified Salt Trial in India
NCT03853304 ACTIVE_NOT_RECRUITING NA
Vitamin B12 Dose Escalation Trial in Pregnancy
NCT05426395 ACTIVE_NOT_RECRUITING PHASE1