Omega-3 Fatty Acids Supplementation Improves Early-stage Diabetic Nephropathy and Subclinical Atherosclerosis in Pediatric Patients With Type 1 Diabetes
1 other identifier
interventional
70
1 country
1
Brief Summary
The investigators conducted this randomized-controlled trial to assess the effect of oral omega-3 supplementation on glycemic control, lipid profile, albuminuria level, kidney injury molecule-1 (KIM-1) and carotid intima media thickness (CIMT) to participants who were pediatric patients with T1DM and diabetic nephropathy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jan 2022
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 10, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 17, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
January 14, 2023
CompletedFirst Submitted
Initial submission to the registry
July 28, 2023
CompletedFirst Posted
Study publicly available on registry
August 7, 2023
CompletedAugust 7, 2023
August 1, 2023
11 months
July 28, 2023
August 4, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
change in UACR (mg/g creatinine) level
Urinary albumin excretion rate(mg/g creatinine)
6 months
Secondary Outcomes (2)
change in KIM-1 level (ng/mL)
6 months
change in HbA1c(%)
6 months
Study Arms (2)
oral omega-3 fatty acids supplementation
ACTIVE COMPARATORIntervention group included pediatric patients with diabetic nephropathy receiving oral omega-3 fatty acids supplementation on a daily basis.
Placebo comparator
PLACEBO COMPARATORPlacebo group or control patients received placebo that were similar in appearance to omega 3 fatty acids and the administered dose was as the same schedule as omega 3 fatty acids.
Interventions
oral omega-3 fatty acids supplementation
Patients in placebo group received placebo that were similar in appearance to omega 3 fatty acids and the administered dose was as the same schedule as omega 3 fatty acids.
Eligibility Criteria
You may qualify if:
- patients with T1DM on regular insulin therapy.
- age from 12 to 18 years.
- disease duration at least 5 years.
- having diabetic nephropathy in the form of microalbuminuria (urinary albumin excretion \[UAE\] 30-299 mg/g creatinine).
- hemoglobin A1c (HbA1c) ≤8.5% (69 mmol/mol).
- persistent microalbuminuria was confirmed by abnormal two or three urine samples over a 3- to 6-months period prior to the study despite angiotensin converting enzyme inhibitors (ACE-Is)
You may not qualify if:
- patients with any clinical evidence of infection.
- patients with renal impairment due to causes other than diabetes.
- other diabetic complications than nephropathy.
- elevated liver enzymes.
- hyper- or hypo-thyroidism.
- intake of any vitamins or food supplements one month before study.
- participation in a previous investigational drug study within the three months preceding screening.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Nancy Elbarbary
Cairo, 11361, Egypt
Related Publications (1)
Elbarbary NS, Ismail EAR, Mohamed SA. Omega-3 fatty acids supplementation improves early-stage diabetic nephropathy and subclinical atherosclerosis in pediatric patients with type 1 diabetes: A randomized controlled trial. Clin Nutr. 2023 Dec;42(12):2372-2380. doi: 10.1016/j.clnu.2023.10.007. Epub 2023 Oct 13.
PMID: 37862823DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Prof. of Pediatrics
Study Record Dates
First Submitted
July 28, 2023
First Posted
August 7, 2023
Study Start
January 10, 2022
Primary Completion
December 17, 2022
Study Completion
January 14, 2023
Last Updated
August 7, 2023
Record last verified: 2023-08