About this trial
Primary outcome: To evaluate the efficacy of L-Carnitine supplementation on length and depth ulcer size
Secondary outcome: To investigate the effect of L-Carnitine supplements on:
1. Vascular endothelial growth factor (VEGF) 2. Inflammatory markers TNF-a (Tumor necrosis factor alpha). 3. Hemoglobin A1C (HbA1c) And Lipid profile (cholesterol, triglycerides, high-density Lipoprotein (HDL) and low-density lipoprotein (LDL)). 4. To assess the type and likelihood of any adverse drug reaction that can be related to L-Carnitine supplementation. 5. QOL (DIABETES 39)
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adult Male or Female patients with diabetic neuropathy mean age (30-75) years old.
Having Diabetic neuropathy and Diabetic foot ulcer grade 1-2 (mild- moderate) according to Wagner classification.
Uncontrolled diabetic patients (HbA1c). < 9 duration of diabetic (5 - 10) years.
All patient treated with stable dose of anti-diabetic medication priors and during the period of the study.
Disqualifiers
Patients with other causes of ulcers.
Patient taking any antioxidant supplements including vitamin E, ascorbic acid, omega 3 fatty acid, Coenzyme Q10 within three months prior to enrollment in the study.
Patient with autoimmune disease.
Patient with liver disease or kidney disease.
Trial design
Parallel
Treatments tested in this trial
L- carnitine
Drugoral L-carnitine
Treatment groups
Trial outcomes
Primary outcomes
Change in Diabetic Foot Ulcer area
Diabetic Foot Ulcer area will be measured at baseline and after 12 weeks using the ulcer length and width measurements. The change in ulcer area from baseline to 12 weeks will be assessed between the treatment (L-carnitine) and control groups. Unit of measure: cm2
Change in Diabetic Foot Ulcer depth
Diabetic Foot Ulcer depth will be measured at baseline and after 12 weeks. The change in ulcer depth from baseline to 12 weeks will be assessed between the treatment (L-carnitine) and control groups. unit of measure: cm
Secondary outcomes
Change in Vascular endothelial growth factor (VEGF) level
Serum Vascular endothelial growth factor (VEGF) level measured at baseline and after 12 weeks of treatment. The change from baseline to 12 weeks will be assessed.
Change in Tumor Necrosis Factor-alpha (TNF-a) level
Serum TNF-a level measured at baseline and after 12 weeks of treatment. The change from baseline to 12 weeks will be assessed.
Change in Hemoglobin A1c (HbA1c) level
HbA1c level measured at baseline and after 12 weeks of treatment. The change from baseline to 12 weeks will be assessed.
Change in Lipid profile level
The lipid parameters will be measured at baseline and after 12 weeks of treatment. The change from baseline to 12 weeks will be assessed.
Sponsors and contacts
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