Effects of α lipoic acid combined with olmesartan medoxomil on blood glucose and oxidation indicators in patients with diabetic nephropathy: A protocol for a parallel, randomized, double-blind, controlled clinical trial

Medicine (Baltimore). 2022 Apr 29;101(17):e29080. doi: 10.1097/MD.0000000000029080.

Abstract

Background: Diabetic nephropathy (DN) is a common microvascular complication of diabetes, which poses a serious threat to the health and life of patients. There is evidence that both α lipoic acid and olmesartan medoxomil have positive effects in the treatment of DN, but whether the 2 have synergistic effects and the effects on blood glucose and oxidation indicators are controversial.

Methods: This is a prospective parallel, randomized, double-blind, placebo-controlled trial to study the effects of α lipoic acid in combination with olmesartan medoxomil on blood glucose and oxidation indicators in patients with DN. Participants will be randomly assigned to a treatment group, which will receive α lipoic acid dispersive tablets combined with olmesartan medoxomil tablets, or a control group, which will receive olmesartan medoxomil tablets combined with placebo for 4 weeks, followed up for 12 weeks. Observation indicators include: glycemic indicators [fasting blood glucose, 2 hours postprandial blood glucose and glycosylated hemoglobin], the oxidation indicators [serum glutathione, superoxide dismutase, malondialdehyde, 8-hydroxydeox-yguanosine], and adverse reactions. Finally, SPASS 22.0 software will be used for statistical analysis of the data.

Discussion: This study will evaluate the effects of α lipoic acid combined with olmesartan medoxomil on blood glucose and oxidation indicators in patients with DN. The results of this study will provide a reference for the clinical use of α lipoic acid combined with olmesartan medoxomil in the treatment of DN.

Trial registration: OSF Registration number: DOI 10.17605/OSF.IO/VJWXS.

Publication types

  • Clinical Trial Protocol

MeSH terms

  • Angiotensin II Type 1 Receptor Blockers / therapeutic use
  • Antihypertensive Agents / therapeutic use
  • Blood Glucose
  • Blood Pressure
  • Diabetes Mellitus* / drug therapy
  • Diabetic Nephropathies* / drug therapy
  • Double-Blind Method
  • Female
  • Humans
  • Hypertension* / drug therapy
  • Imidazoles
  • Male
  • Olmesartan Medoxomil / adverse effects
  • Prospective Studies
  • Randomized Controlled Trials as Topic
  • Tetrazoles / therapeutic use
  • Thioctic Acid* / therapeutic use

Substances

  • Angiotensin II Type 1 Receptor Blockers
  • Antihypertensive Agents
  • Blood Glucose
  • Imidazoles
  • Tetrazoles
  • Olmesartan Medoxomil
  • Thioctic Acid