Protocol summary

Study aim
Investigating the effect of oral magnesium on Neuropathy Disability Score in patients with peripheral polyneuropathy of type 2 diabetes
Design
Clinical trial with control group, single blind, randomized, phase 3 is conducted on 60 patients. By choosing a confidence level of 95%, a power of 80% for the two-domain test and an effect size of 0.8 and using G*power 3.1.9.2, the number of samples in each group 26 people were calculated, and considering the possibility of dropout, 30 people are expected in each group. Creating a random sequence of Random Sequence Generation will be done in the form of simple randomization and through the preparation and shuffling of cards.
Settings and conduct
After obtaining informed consent, people referring to Loghman Hakim Hospital are randomly assigned to control or intervention group. patients are treated with magnesium or a placebo. After 2 months, the symptoms related to peripheral neuropathy will be compared with the time of the initial visit, and the effect of the intervention will be determined.
Participants/Inclusion and exclusion criteria
Inclusion criteria: men and women between the ages of 20 and 85 years old - type 2 diabetes- symptoms of distal neuropathy. Exclusion criteria: other neuropathies, neuromuscular diseases, magnesium level > 2.1, magnesium consumption in the last 3 months, persistent diarrhea and vomiting, diuretic use, thyroid problems or levothyroxine use, chronic kidney disease, use of antidepressants or anticonvulsants or analgesics, pregnancy and breastfeeding, malignancy, amputation or active diabetic foot ulcer.
Intervention groups
The intervention group is treated with 300 mg of oral magnesium and the control group is treated with placebo daily for 2 months.
Main outcome variables
Vibration and temperature sensation, pin-prick test, knee reflex and Neuropathy Disability Score: both in the first visit and in the second visit.

General information

Reason for update
Acronym
NDS (Neuropathy Disability Score)
IRCT registration information
IRCT registration number: IRCT20230522058258N1
Registration date: 2024-08-04, 1403/05/14
Registration timing: registered_while_recruiting

Last update: 2024-08-04, 1403/05/14
Update count: 0
Registration date
2024-08-04, 1403/05/14
Registrant information
Name
Arezoo Ranjbar Arani
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 21 4427 0497
Email address
arezoo.ranjbar@sbmu.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2024-07-29, 1403/05/08
Expected recruitment end date
2024-09-20, 1403/06/30
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Analyzing the effect of oral magnesium on (NDS)Neuropathy Disability Score of peripheral neuropathy in type 2 diabetes patients among subjects of Loghman Hakim Hospital clinic in Tehran
Public title
Effect of oral Magnesium in diabetic neuropathy
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Men and women between the ages of 20 and 85 Having type 2 diabetes (whose type 2 diabetes has already been proven by tests of FBS > 126 and HbA1c > 6.5 and they are being treated with oral antidiabetic drugs or insulin) Having the symptoms of distal peripheral polyneuropathy: feeling pain and excessive sensitivity or reduced sensation or feeling of burning, tingling and murmur in the hands or feet of the patient
Exclusion criteria:
Suffering from other neuropathies other than diabetic neuropathy Neuromuscular diseases (such as myasthenia gravis) Magnesium level above 2.1 History of magnesium consumption in the last 3 months A history of persistent diarrhea and vomiting History of diuretic use with a dose of more than 40 mg History of thyroid diseases or levothyroxine use History of heart block or use of calcium channel blockers Having chronic kidney disease (GFR<60) Taking antidepressants, anticonvulsants, or analgesics Pregnancy and breastfeeding History of any malignancy History of amputation or active diabetic foot ulcer
Age
From 20 years old to 85 years old
Gender
Both
Phase
3
Groups that have been masked
  • Participant
Sample size
Target sample size: 60
Randomization (investigator's opinion)
Randomized
Randomization description
The steps of random assignment of patients to two experimental and control groups will be as follows: 1- Creating a random sequence of Random Sequence Generation will be done in the form of simple randomization and through the preparation and shuffling of cards. So that a number of cards will be prepared as the first group and the same number of cards will be prepared for the next groups. Then, by removing them, a card is taken out and its assignment is registered, and that card is returned to the other cards. Then the cards are dealt again and another card is drawn. This process will continue until reaching a random sequence according to the sample size. 2- Random allocation concealment will be done by placing the aforementioned cards inside Sequentially Numbered Sealed Opaque Envelopes (SNOSE). 3- People from the research team who are responsible for the above steps will not enter the other steps of the research, especially the examination of people in terms of the dependent variable.
Blinding (investigator's opinion)
Single blinded
Blinding description
The patients are unaware of the allocation of the study groups and receive the intervention (drug or placebo).
Placebo
Used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Research Ethics Committee of Medicine - Shahid Beheshti University of Medical Sciences
Street address
Loqman Hakim hospital - special St. - Lashgar intersection - Tehran
City
Tehran
Province
Tehran
Postal code
1333635445
Approval date
2023-06-27, 1402/04/06
Ethics committee reference number
IR.SBMU.MSP.REC.1402.125

Health conditions studied

1

Description of health condition studied
Peripheral polyneuropathy in type 2 diabetes
ICD-10 code
E11.42
ICD-10 code description
Type 2 diabetes mellitus with diabetic polyneuropathy

Primary outcomes

1

Description
Vibration sensation
Timepoint
Before the intervention and 1 and 2 months after the intervention
Method of measurement
Duration of perception of vibration sensation in the big toe of both feet after the 128 Hz diapason is placed on the big toe of both feet of the patient.

2

Description
Temperature sensation
Timepoint
Before the intervention and 1 and 2 months after the intervention
Method of measurement
Placing a cold fork on the patient's cheek and comparing the perception of the same cold temperature on the big toe of both feet

3

Description
Pin-prick sensation
Timepoint
Before the intervention and 1 and 2 months after the intervention
Method of measurement
Assess whether the patient can differentiate between the sharp and neutral ends of the appropriate pin on the dorsum of the toe and whether they can anatomically grasp a cotton swab in the same location.

4

Description
Ankle reflex
Timepoint
Before the intervention and 1 and 2 months after the intervention
Method of measurement
Impacting below the knee in a sitting position by reflex hammer and evaluating reflex and response of quadriceps muscle

5

Description
NDS score (Neuropathy Disability Score)
Timepoint
Before the intervention and 1 and 2 months after the intervention
Method of measurement
Collecting the patient's points in vibration, pin-prick, temperature, and ankle reflex tests for both lower limbs, which can be a number between 0 and 10.

Secondary outcomes

empty

Intervention groups

1

Description
Intervention group: They are treated with 300 mg of oral magnesium daily for 2 months
Category
Treatment - Drugs

2

Description
Control group: they are treated with a placebo for 2 months.
Category
Placebo

Recruitment centers

1

Recruitment center
Name of recruitment center
Loghman Hakim Hospital
Full name of responsible person
Arezoo Ranjbar Arani
Street address
Loghman Hakim Hospital, Kamali St., South Kargar Ave.
City
Tehran
Province
Tehran
Postal code
1333625445
Phone
+98 21 5541 7243
Fax
+98 21 5541 8914
Email
arezoo.ranjbar@sbmu.ac.ir
Web page address
https://lhmc.sbmu.ac.ir

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Shahid Beheshti University of Medical Sciences
Full name of responsible person
Afshin Zarghi
Street address
Yaman St, Velenjak St, Shahid Chamran Highway
City
Tehran
Province
Tehran
Postal code
1985717443
Phone
+98 21 2243 9770
Email
info@sbmu.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Shahid Beheshti University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Shahid Beheshti University of Medical Sciences
Full name of responsible person
Arezoo Ranjbar Arani
Position
Associate Professor
Latest degree
Specialist
Other areas of specialty/work
Internal Medicine
Street address
Loghman Hakim Hospital, Kamali St., South Kargar Ave.
City
Tehran
Province
Tehran
Postal code
1333625445
Phone
+98 21 5541 7243
Email
arezoo.ranjbar@sbmu.ac.ir

Person responsible for scientific inquiries

Contact
Name of organization / entity
Shahid Beheshti University of Medical Sciences
Full name of responsible person
Arezoo Ranjbar Arani
Position
Associate Professor
Latest degree
Specialist
Other areas of specialty/work
Internal Medicine
Street address
Loghman Hakim Hospital, Kamali St., South Kargar Ave.
City
Tehran
Province
Tehran
Postal code
1333625445
Phone
+98 21 5541 7243
Email
arezoo.ranjbar@sbmu.ac.ir

Person responsible for updating data

Contact
Name of organization / entity
Shahid Beheshti University of Medical Sciences
Full name of responsible person
Arezoo Ranjbar Arani
Position
Associate Professor
Latest degree
Specialist
Other areas of specialty/work
Internal Medicine
Street address
Loghman Hakim Hospital, Kamali St., South Kargar Ave.
City
Tehran
Province
Tehran
Postal code
1333625445
Phone
+98 21 5541 7243
Email
arezoo.ranjbar@sbmu.ac.ir

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available
Title and more details about the data/document
All variables and information about participants can be shared after de-identifying people
When the data will become available and for how long
َAt the time of publication
To whom data/document is available
All treatment staff, researchers and people who intend to verify the data will be able to access the data
Under which criteria data/document could be used
If the source is mentioned, the data will be made available to the requesters
From where data/document is obtainable
Refer to the organizers of the plan or to Loghman Hakim Hospital in Tehran
What processes are involved for a request to access data/document
The request is made by email or phone and the information will be sent in the form of e-mail
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