Vitamin B Combination Versus Added Alpha-Lipoic Acid and Vitamin E for Diabetic Nerve Damage
Compares two vitamin treatments for nerve damage in adults with type 2 diabetes.
Plain-language title generated from the registry record
Registry title: Comparative Study of Combination Treatment of Bionerv E+ Versus Vitamin B Complex in Treatment of Diabetic Polyneuropathy in Type 2 Diabetic Patients and Its Effect on Wound Healing
Key facts
- Where
- Cheras, MalaysiaSee the site
Where in Malaysia
- Hospital Canselor Tuanku Muhriz (HCTM) UKMCheras, MalaysiaTaking people
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Trial details
- Who runs it
- BREGO Life Sciences
- Trial code
- NCT07877948
- Record updated
- 16 October 2026
- Original description
Diabetic symmetrical polyneuropathy (DSPN) is a common complication of diabetes that affects the nerves, especially in the legs and feet. It can cause pain, numbness, tingling, weakness, and loss of sensation. These problems can affect daily activities and quality of life. Loss of sensation can also increase the risk of foot wounds and problems with wound healing.Read full original descriptionShow less
Comparative Study of Combination Treatment of Vitamin B Complex, Alpha Lipoic Acid and Vitamin E Versus Vitamin B Complex in Treatment of Diabetic Polyneuropathy in Type 2 Diabetic Patients and Its Effect on Wound Healing
Diabetic symmetrical polyneuropathy (DSPN) is a common complication of diabetes that affects the nerves, especially in the legs and feet. It can cause pain, numbness, tingling, weakness, and loss of sensation. These problems can affect daily activities and quality of life. Loss of sensation can also increase the risk of foot wounds and problems with wound healing.
This study is comparing two treatments in people with type 2 diabetes and DSPN. The main purpose is to find out whether a combination of alpha-lipoic acid, vitamins B1, B6, B12, and vitamin E is providing greater improvement in neuropathy symptoms than vitamins B1, B6, and B12 alone. The study is also examining changes in wound healing.
About 100 participants are taking part at Hospital Canselor Tuanku Muhriz (HCTM). Participants are being randomly assigned to one of two treatment groups. One group is receiving Bionerv E+, which contains alpha-lipoic acid, vitamins B1, B6, B12, and vitamin E. The other group is receiving a vitamin B-complex containing vitamins B1, B6, and B12. Both treatments are being taken daily for 12 weeks in addition to standard treatment for DSPN.
Researchers are assessing participants before and after treatment. These assessments are examining nerve problems in the lower limbs, pain, quality of life, and blood markers related to inflammation. For participants with diabetic foot ulcers, researchers are also assessing changes in the wounds.
Inclusion: Aged 18 years and above; Diagnosed with Type 2 Diabetes Mellitus; HbA1C of <8%; Symptoms of DSPN attributed by diabetes mellitus using Toronto Clinical Neuropathy Scoring (TCNS); No recent changes of medications for DSPN for the last 3 months; Neuropathy Impairment Score (NIS) for lower limbs ≥ 2 points; DFU is classified as Wagner 1 or 2 on the Wagner classification system; Patients with type 1 or type 2 diabetes with a non-healing foot ulcer of at least 4 weeks' duration; If more than one non-healing wound is present, the largest wounds that are classified as a Wagner 1 or 2 will be selected; The index ulcer has to be clinically non-infected; Ankle Brachial Index (ABI) higher than or equal to 0.7; Index foot ulcers that are located on the plantar, medial, or lateral aspect of the foot (including all toe surfaces); Wound area (length X width) measurement between 2 cm2 and 20 cm2; Non-use of drugs that may interfere with wound healing, such as corticosteroids, immunosuppressive, and cytotoxic agents; No smoking, alcohol or drug addiction; Approved, informed, signed consent.
Exclusion: 1. Previous consumption of vitamin E and other antioxidants, taking anti-inflammatory agents for the past 3 months; Presence of other neurological disorders causing neuropathy / myopathy 3. Presence of peripheral vascular disease with ABSI <0.8 4. Use of anti-oxidants or Pentoxyphylline within the last 3 months 5. Use of ALA or ALA-containing substance within the last 3 months 6. End stage renal disease 7. Liver impairment 8. Psychiatry illness 9. Cancer patients 10. History of lower limb amputations (Ray amputation not excluded) 11. Index ulcer has exposed tendons, ligaments, muscle, or bone. 12. Confirmed presence of osteomyelitis, or if osteomyelitis is suspected.