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Docosahexaenoic acid and cobalamin in diabetic neuropathy

Efficacy and safety of the daily oral supplementation of fish oil with high-dose docosahexaenoic acid content and cobalamin in patients with painful diabetic neuropathy

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
IRCT
Registry ID
IRCT20161022030424N9
Enrollment
86
Registered
2023-10-15
Start date
2023-11-22
Completion date
Unknown
Last updated
2023-11-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Diabetic Neuropathy. Polyneuropathy in diseases classified elsewhere

Interventions

Intervention 1: Intervention group: Doxahexaenoic acid oral supplement containing 1000 mg of fish oil (500 mg of docosahexaenoic acid and 150 mg of eicosapentaenoic acid) manufactured by Karen Pharmac

Sponsors

Tabriz University of Medical Sciences
Lead Sponsor

Eligibility

Sex/Gender
All
Age
45 Years to No maximum

Inclusion criteria

Inclusion criteria: Age of 45 and above Having diabetes based on WHO criteria (random plasma glucose =11·1 mmol/L, fasting plasma glucose =7·0 mmol/L, or 2-hour plasma glucose =11·1 mmol/L with oral glucose tolerance test) and based on the patient's record that has been in STABLE condition for at least three months (STABLE hypoglycemic drugs without insulin change +_20% and glycosylated hemoglobin [HbA1c] <9% at screening) Regular attendance at the hospital's outpatient clinic to ensure monitoring of blood sugar control and diabetes complications Documented clinical diagnosis of distal neuropathic pain based on pre-established criteria for peripheral neuropathy, neurological examination and EMG/NCV confirmed Experiencing neuropathic pain by scoring more than four in the Pain Diagnostic Questionnaire (DN4) or scoring more than 12 in the Self-reported Leeds Assessment of Neuropathic Symptoms and Signs (S -LANSS) for at least three months

Exclusion criteria

Exclusion criteria: Clinical evidence of severe or acute cardiovascular disease (heart attack or stroke in the past year) Atrial fibrillation or other cardiac arrhythmias Renal disease Cerebrovascular disease and any other systemic disease Allergy to omega-3 supplements or fish

Design outcomes

Primary

MeasureTime frame
Pain intensity. Timepoint: Pain intensity measurement at baseline (before intervention) and 12 weeks after intervention. Method of measurement: Visual Analogue Scale.;Functional status. Timepoint: Functional status measurement at baseline (before intervention) and 12 weeks after intervention. Method of measurement: Sheehan Disability Scale.;Serum nerve growth factor. Timepoint: Serum nerve growth factor measurement at baseline (before intervention) and 12 weeks after intervention. Method of measurement: Biochemical methods.;Serum uric Acid. Timepoint: Serum uric acid measurement at baseline (before intervention) and 12 weeks after intervention. Method of measurement: Biochemical methods.;Serum interleukin 6. Timepoint: Serum interleukin 6 measurement at baseline (before intervention) and 12 weeks after intervention. Method of measurement: Biochemical methods.;Serum interleukin 10. Timepoint: Serum interleukin 10 measurement at baseline (before intervention) and 12 weeks after intervention. Method of measurement: Biochemical methods.

Secondary

MeasureTime frame
Quality of life. Timepoint: Quality of life measurement at the beginning of the study (before the start of the intervention) and 12 weeks after the start of the intervention. Method of measurement: 36-item quality of life short form (sf-36).

Countries

Iran (Islamic Republic of)

Contacts

Public ContactSeyed Kazem Shakouri

Tabriz University of Medical Sciences

skshakouri@gmail.com+98 41 3336 1928

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026