NCT02062034

Brief Summary

The purpose of this study is to evaluate the efficacy of ubiquinone and combined antioxidant therapy on progression, clinical regression, oxidative stress markers and mitochondrial dysfunction in non-proliferative diabetic retinopathy.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
61

participants targeted

Target at P50-P75 for phase_2

Timeline
Completed

Started Feb 2011

Typical duration for phase_2

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

February 1, 2011

Completed
2.5 years until next milestone

First Submitted

Initial submission to the registry

July 17, 2013

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2013

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2014

Completed
1 month until next milestone

First Posted

Study publicly available on registry

February 13, 2014

Completed
Last Updated

February 13, 2014

Status Verified

February 1, 2014

Enrollment Period

2.8 years

First QC Date

July 17, 2013

Last Update Submit

February 11, 2014

Conditions

Keywords

Oxidative stressMitochondrial dysfunctionUbiquinoneAntioxidant combined therapyDiabetic retinopathy

Outcome Measures

Primary Outcomes (1)

  • Oxidative Stress markers

    In this study the oxidative stress markers are composed of lipid peroxidation, nitric oxide, erythrocyte glutathion peroxidase activity, erythrocyte catalase activity, total antioxidant capacity and erythrocyte membrane fluidity. * Lipid peroxidation (baseline and final values) given as malondialdehyde (MDA) and 4-hydroxyalkenals (4HDA) expressed in μmol/L * Nitric oxide (NO) Levels of the NO catabolites nitrites/nitrates expressed in pmol/mL (baseline and final values) * Erythrocyte glutathion peroxidase activity measured in U/min/mg protein (baseline and final values) * Erythrocyte catalase activity expressed in U/mg protein (baseline and final values) * Total antioxidant capacity measured in milliequivalent/mL (baseline and final values) * Erythrocyte membrane fluidity, calculated using the fluorescence ratio of the excimer (Ie) to monomer (Im). The Ie/Im ratio.

    24 weeks

Secondary Outcomes (2)

  • Mitochondrial dysfunction markers

    24 weeks

  • Progression and regression of non-proliferative diabetic retinopathy

    24 weeks

Other Outcomes (1)

  • Security profile

    24 weeks

Study Arms (3)

Ubiquinone

EXPERIMENTAL

400mg daily of oral ubiquinone for 24 weeks

Drug: Ubiquinone

Combined antioxidant therapy

EXPERIMENTAL

(1mg copper + 20mg zinc + 180mg vitamin C + 30mg vitamin E + 1mg zeaxanthin + 4mg astaxanthin + 10mg lutein) daily of oral antioxidant combined therapy for 24 weeks

Drug: Combined antioxidant therapy

Placebo

PLACEBO COMPARATOR

Placebo. 100mg daily oral intake for 24 weeks

Drug: Placebo

Interventions

400mg daily of oral ubiquinone for 24 weeks

Also known as: coenzyme Q10
Ubiquinone

(1 mg copper, 20 mg zinc, 180 mg vitamin C, 30 mg vitamin E, 1 mg zeaxanthin, 4 mg astaxanthin, 10 mg lutein) daily of oral, all of them in one Tablet for 24 weeks

Also known as: lutein, zeaxanthin, astaxanthin, vitamin C, vitamin E, zinc, copper
Combined antioxidant therapy

100 mg of oral placebo with identical appearance, form, size than ubiquinone and antioxidant combined therapy for 24 weeks

Also known as: Inactive drug
Placebo

Eligibility Criteria

Age30 Years - 75 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients with type 2 diabetes mellitus
  • Patients with non proliferative diabetic retinopathy
  • Glycated hemoglobin \< 12.0%
  • Signing of informed consent

You may not qualify if:

  • Patients with clinically significant macular edema
  • Patients with diabetic retinopathy advanced lesions that have required or require specific treatment (laser, vitrectomy)
  • Pretreatment with argon laser or excimer laser Ophthalmology surgery
  • Any other associated ocular pathology (glaucoma, cataracts, changing cornea dystrophy, macular degeneration)
  • Pregnancy, lactation, inadequate use of contraception
  • Antioxidant drug and/or supplements six months previous to enrollment
  • Renal and/or hepatic failure
  • Age under 30 or over 75 years
  • Severe cardiovascular disease (myocardial infarction, stroke, severe peripheral vasculopathy)
  • Blood dyscrasias
  • Have or have had cancer or other serious illness
  • Neurodegenerative process
  • Allergy to vitamins

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Cardiovascular Research Unit, University of Guadalajara

Guadalajara, Jalisco, 44340, Mexico

Location

Related Publications (1)

  • Hernandez-Ojeda J, Cardona-Munoz EG, Roman-Pintos LM, Troyo-Sanroman R, Ortiz-Lazareno PC, Cardenas-Meza MA, Pascoe-Gonzalez S, Miranda-Diaz AG. The effect of ubiquinone in diabetic polyneuropathy: a randomized double-blind placebo-controlled study. J Diabetes Complications. 2012 Jul-Aug;26(4):352-8. doi: 10.1016/j.jdiacomp.2012.04.004. Epub 2012 May 16.

Related Links

MeSH Terms

Conditions

Diabetes Mellitus, Type 2Mitochondrial DiseasesDiabetic Retinopathy

Interventions

Ubiquinonecoenzyme Q10LuteinZeaxanthinsastaxanthineAscorbic AcidVitamin EZincCopper

Condition Hierarchy (Ancestors)

Diabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System DiseasesRetinal DiseasesEye DiseasesDiabetic AngiopathiesVascular DiseasesCardiovascular DiseasesDiabetes Complications

Intervention Hierarchy (Ancestors)

BenzoquinonesQuinonesOrganic ChemicalsCoenzymesEnzymes and CoenzymesXanthophyllsCarotenoidsPolyenesAlkenesHydrocarbons, AcyclicHydrocarbonsCyclohexenesCyclohexanesCycloparaffinsHydrocarbons, AlicyclicHydrocarbons, CyclicTerpenesPigments, BiologicalBiological FactorsSugar AcidsAcids, AcyclicCarboxylic AcidsHydroxy AcidsCarbohydratesBenzopyransPyransHeterocyclic Compounds, 1-RingHeterocyclic CompoundsHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingMetals, HeavyElementsInorganic ChemicalsTransition ElementsMetals

Study Officials

  • Alejandra G. Miranda-Díaz, PhD

    University of Guadalajara

    STUDY DIRECTOR
  • José A. Castellanos-González, M.Sc.

    University of Guadalajara

    STUDY CHAIR
  • Adolfo D. Rodriguez-Carrizalez, M.Sc.

    University of Guadalajara

    STUDY CHAIR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
PhD

Study Record Dates

First Submitted

July 17, 2013

First Posted

February 13, 2014

Study Start

February 1, 2011

Primary Completion

November 1, 2013

Study Completion

January 1, 2014

Last Updated

February 13, 2014

Record last verified: 2014-02

Locations