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Effects of a combination supplement containing Lysine, Vitamin C and Zinc on oxidative stress, glycaemic control and formation of Advanced Glycosylation End Products (AGEs) in patients with type 2 diabetes mellitus: A randomized double-blind, placebo-controlled clinical trial

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SLCTR Registration Number

SLCTR/2020/020


Date of Registration

08 Oct 2020

The date of last modification

Oct 08, 2020



Application Summary


Scientific Title of Trial

Effects of a combination supplement containing Lysine, Vitamin C and Zinc on oxidative stress, glycaemic control and formation of Advanced Glycosylation End Products (AGEs) in patients with type 2 diabetes mellitus: A randomized double-blind, placebo-controlled clinical trial


Public Title of Trial

Effects of a combination supplement containing Lysine, Vitamin C and Zinc on oxidative stress, glycaemic control and formation of Advanced Glycosylation End Products (AGEs) in patients with type 2 diabetes mellitus: A randomized double-blind, placebo-controlled clinical trial


Disease or Health Condition(s) Studied

Diabetes


Scientific Acronym

None


Public Acronym

None


Brief title

None


Universal Trial Number

U1111-1257-8350


Any other number(s) assigned to the trial and issuing authority

EC-20-035: ERC Colombo


Trial Details


What is the research question being addressed?

Does a combination supplement with Lysine, Vitamin C and Zinc improve oxidative stress, glycaemic control and formation of Advanced Glycosylation End Products (AGEs) in patients with type 2 diabetes mellitus?


Type of study

Interventional


Study design

Allocation

Randomized controlled trial


Masking

Double blinded : Participants, Investigators, Healthcare providers, Outcome assessors


Control

Placebo


Assignment

Parallel


Purpose

Treatment


Study Phase

Phase 2-3


Intervention(s) planned

The study will be carried out at Nawaloka Hospital Research and Education Foundation (NHHEF), Nawaloka Hospitals PLC, Colombo, Sri Lanka.

Consenting participants meeting inclusion/exclusion criteria will be randomized into 2 arms using stratified block randomization.

Arm 1 (intervention arm) will receive a capsule containing Lysine (Amino acid) 500mg, Zinc 5mg and Vitamin C 50mg as active ingredients, to be taken two capsules at a time, three times daily for six months

Arm 2 (control arm) will receive an identical matching placebo at the same frequency for the same duration of six months. The placebo will be manufactured to have a similar appearance, shape, weight, and color as the intervention capsule. Placebo capsule will contain magnesium stearate, microcrystalline cellulose and silicone.

The investigators, health care providers, patients and data collectors would be blinded to the treatment allocations.

Participants in both groups will receive uniform advice about diet and physical activity.


Inclusion criteria

a) Age between 20-70 years

b) Both male and female

c) Currently on metformin or sulphonyluria or both (less than or equal to two oral hypoglcaemic agents) for the last 3 months

d) HbA1c > 7.5%


Exclusion criteria

a) Patients with allergy to any ingredients of the supplement.

b) Alcohol consumption >20g/day.

c) Patients with diagnosed Alcoholic Liver Disease, cirrhosis or abnormal baseline liver function tests.

d) Patients on insulin therapy.

e) Patients with raised baseline serum creatinine level (>1.5mg/dl in males or >1.2 mg/dl in females).

f) Lactation, pregnancy or unwillingness to use an effective form of birth control for women of childbearing years.

g) Patients with any malignancy.

h) Patients with any other unrelated chronic illness.

i) Patients with cardiac, liver or respiratory failure.

j) Patients on any other vitamin/mineral supplementations or any other weight loss medication.

k) Any condition in the opinion of the primary investigator that would contraindicate the patient's participation.



Primary outcome(s)

1.

Change in HbA1c from baseline in treatment and placebo arms

[

At baseline End of 3 months End of study (at 6 months)

]
2.

Change in Fasting Blood Glucose (FBG) from baseline in treatment and placebo arms

[

At baseline End of 3 months End of study (at 6 months)

]
3.

Change in formation of Advanced Glycosylation End Products (AGEs) from baseline in treatment and placebo arms

[

At baseline End of 3 months End of study (at 6 months)

]
4.

Change in Oxidative Stress from baseline in treatment and placebo arms

[

At baseline End of 3 months End of study (at 6 months)

]

Secondary outcome(s)

1.

Percentage of patients with HbA1c <7.0% in treatment and placebo arms

[

At baseline End of study (at 6 months)

]
2.

Percentage of patients with Fasting Blood Glucose (FBG) level < 126 mg/dl in treatment and placebo arms

[

At baseline End of study (at 6 months)

]
3.

Change in insulin resistance and Beta-cell function in treatment and placebo arms measured by Homeostatic model assessment

[

At baseline End of study (at 6 months)

]
4.

Change in Body Mass Index and other anthropometric parameters (waist circumference, hip circumference, waist-to-hip ratio) in treatment and placebo arms

[

At baseline End of study (at 6 months)

]
5.

Change in Blood Pressure (systolic and diastolic) in treatment and placebo arms

[

At baseline End of study (at 6 months)

]
6.

Change in the Lipid Profile (Total cholesterol, LDL cholesterol, HDL cholesterol and Triglycerides) in treatment and placebo arms

[

At baseline End of study (at 6 months)

]

Target number/sample size

40 (20 in one arm)


Countries of recruitment

Sri Lanka


Anticipated start date

2020-10-15


Anticipated end date

2021-12-31


Date of first enrollment


Date of study completion


Recruitment status

Pending


Funding source

Lysulin Inc, USA


Regulatory approvals

Applied



State of Ethics Review Approval


Status

Approved


Date of Approval

2020-08-20


Approval number

EC-20-035


Details of Ethics Review Committee

Name: Ethics Review Committee, Faculty of Medicine, University of Colombo
Institutional Address:No. 25, Kynsey Road, Colombo 00800 Sri Lanka
Telephone:+94-11-2695300 (Extension: 240)
Email: ethicscommitteemfc@gmail.com

Contact & Sponsor Information


Contact person for Scientific Queries/Principal Investigator

Dr. Ranil Jayawardena
Senior Lecturer
Department of Physiology, Faculty of Medicine, University of Colombo, No 25, Kynsey Road, Colombo 08, Sri Lanka
0112695300
0718323332

ranil7@gmail.com
http://med.cmb.ac.lk/index.php/department-of-physiology-staff?id=234

Contact Person for Public Queries

Priyanga Ranasinghe
Senior Lecturer
Department of Pharmacology, Faculty of Medicine, University of Colombo, No 25, Kynsey Road, Colombo 08, Sri Lanka
0112695300
0772770202

priyanga.ranasinghe@gmail.com
http://med.cmb.ac.lk/index.php/department-of-parmacol-staff?id=269


Primary study sponsor/organization

Dr. Jhon Burd
Chief Executive Officer
4940, Bradshaw Court, San Diego, California, USA
619-992-2871

info@lysulin.com
https://lysulin.com/

Secondary study sponsor (If any)







Trial Completion details


Do the investigators plan to share identified individual clinical trial participant-level data (IPD)?

No


IPD sharing plan description


Study protocol available

No


Protocol version and date

Not Available


Protocol URL

Not Available


Results summary available

No


Date of posting results


Date of study completion


Final sample size


Date of first publication


Link to results


Brief summary of results