vitamin B12 deficiency
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Provision of written informed consent to participate in the study (according to AMG §40 (1)3b). Female and male patients aged =18. Diagnosis of vitamin B12 deficiency, defined as serum vitamin B12 =65 years) yes F.1.3.1 Number of subjects for this age range 30
Exclusion criteria
Exclusion criteria: Active or recent vitamin B12 intake (the subject must not receive vitamin B12 drugs or food supplements for at least 6 months). Participation in a previous clinical study with vitamin B12 within the 6 months prior to screening. Any contraindication to one of the study drugs. Pregnant or nursing (lactating) women. Donation or loss of 400 mL or more of blood within 8 weeks prior to first dosing, or longer if required by local regulation. Subjects with anemia (haemoglobin < 10 mg/dL) or neurological symptoms due to vitamin B12 deficiency. Any diseases that prevent intrinsic-factor independent passive diffusion in the small intestine (e.g. ileum resection) Current drug addiction and/or alcohol abuse as evidenced by patient history and/or as determined by the investigator at V-1. Cognitive or behavioral abnormalities that could impair the capacity to give informed consent or carry out protocol-specified procedures. Inability to take oral medication
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Serum holotranscobalamin Serum homocysteine Serum methylmalonic acid Combined vitamin B12 markers (cB12) Serum folic acid Serum vitamin B6 Serum S-adenosylmethione (SAM) Serum S-adenosylhomocysteine (SAH) SAM/SAH ratio WHO-5 Well-Being Index. Adverse events (AEs) Serious adverse events (SAEs) and suspected unexpected serious adverse drug reactions (SUSARs) Vital signs (body weight, blood pressure and pulse rate) Clinical laboratory tests;Timepoint(s) of evaluation of this end point: changes from baseline to week 4 | — |
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To investigate the effects of a parenterally vitamin B12 combination treatment versus an oral vitamin B12 mono therapy on the vitamin B12 status in female and male patients as determined by the change from baseline in serum vitamin B12 concentration after 4 weeks (28 days) of treatment.;Secondary Objective: Serum holotranscobalamin Serum homocysteine Serum methylmalonic acid Combined vitamin B12 markers (cB12) Serum folic acid Serum vitamin B6 Serum S-adenosylmethione (SAM) Serum S-adenosylhomocysteine (SAH) SAM/SAH ratio WHO-5 Well-Being Index.;Primary end point(s): serum vitamin B12 concentration (pmol/L).;Timepoint(s) of evaluation of this end point: change from baseline to week 4 (28 days) in | — |
Countries
Germany
Contacts
Bundesinstitut für Arzneimittel und Medizinprodukte