Diabetic Macular Edema, Neovascular Age-related Macular Degeneration
Conditions
Keywords
DME, NAMD, Oxidative damage, Nutritional supplements/vitamins, DNA repair, NAMD/wet AMD
Brief summary
Nutritional supplements have an augmentative effect on the outcomes of standard treatment of diabetic macular edema (DME) and Neovascular Age-Related Macular Degeneration (NAMD).
Detailed description
It has been shown that in chronic diseases, oxidative stress results from Nitric acid reacting with oxygen to form toxins that damage both somatic and mitochondrial DNA. The potential for protecting the DNA and promoting repair by using nutritional supplements will be tested by augmenting standard treatments for DME and NAMD with such supplements. The patients will be randomized to treatment group and placebo group and followed up for a year in a double masked fashion. Anatomic and visual outcomes, as well as side effects will be assessed and analyzed. If the results are promising, this pilot study can be used to design alternative (cheaper, better and longer lasting) treatments for DME, NAMD and perhaps other chronic illnesses.
Interventions
Neutral pills with no medicinal effect
Inosine \[SR\] - 1\[500mg\] tablet bid Tocopherols \[200IU\], Tocotrienol \[10mg\], CoQ10 \[50mg\] - combination capsule bid Sustained Release Niacinamide - 1 \[750mg\] tablet bid Vitamin C - 1 \[1000mg\] sustained release tablet bid N-acetyl Cysteine - 1 \[600mg\] sustained release tablet qd Complete Multivitamin with all minerals - 1 tablet (sustained release) bid
Inosine \[SR\] - 1 \[500mg\] tablet bid Tocopherol \[200IU\], Tocotrienol \[10mg\], CoQ10 \[50mg\] combination capsule bid Sustained Release Niacinamide 1 \[750mg\] tablet bid Vitamin C 1 \[1000mg\] sustained release tablet bid N-acetyl Cysteine 1 \[600mg\] sustained release tablet qd Complete Multivitamin with all minerals - 1 tablet (sustained release) bid Minocycline 1 \[50mg\] tablet qd
Sponsors
Study design
Eligibility
Inclusion criteria
* Clinical Diagnosis of NAMD * Clinical Diagnosis of DME
Exclusion criteria
* Pregnant Women * Known allergy to any component used in the treatment combinations
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Degree of regression (Optical Coherence Tomography) | Monthly |
| Duration of regression (Optical Coherence Tomography) | Monthly |
| Visual change (ETDRS) | Monthly |
Secondary
| Measure | Time frame |
|---|---|
| Effect on HbA1C | Monthly |
| Effect on Blood pressure | Monthly |
| Effect on serum uric acid | Monthly |
Countries
United States