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CompletedNCT02062034Updated Feb 13, 2014

Efficacy of Ubiquinone and Combined Antioxidant Therapy in Non-proliferative Diabetic Retinopathy

A Phase 2 interventional study of Ubiquinone and Combined antioxidant therapy in Non-proliferative Diabetic Retinopathy and Diabetes Mellitus Type 2, sponsored by University of Guadalajara. Completed at 1 site in Mexico. Open to participants aged 30 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2014-02-13.

Sponsored by University of Guadalajara · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
61
Allocation
Randomized
Ages
30 Years to 75 Years
Sex
All
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Study summary

The purpose of this study is to evaluate the efficacy of ubiquinone and combined antioxidant therapy on progression, clinical regression, oxidative stress markers and mitochondrial dysfunction in non-proliferative diabetic retinopathy.

Read the detailed description

The investigators are interested in demonstrating the efficacy of Ubiquinone and combined antioxidant therapy in the pharmacological management of diabetic retinopathy since early stages.

02

Conditions studied

  • Non-proliferative Diabetic Retinopathy
  • Diabetes Mellitus Type 2

Keywords

  • Oxidative stress
  • Mitochondrial dysfunction
  • Ubiquinone
  • Antioxidant combined therapy
  • Diabetic retinopathy
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In context

Retinal Diseases

815 studies on the registry are indexed under Retinal Diseases; 105 are open to participants now.

This study's enrollment of 61 is close to the median of 60 across 500 interventional studies indexed under Retinal Diseases.

Browse Retinal Diseases studies →

Lead sponsor

University of Guadalajara is the lead sponsor of 94 studies on the registry; 18 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
30 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Patients with type 2 diabetes mellitus
  • Patients with non proliferative diabetic retinopathy
  • Glycated hemoglobin \< 12.0%
  • Signing of informed consent

Exclusion criteria

Exclusion Criteria:

  • Patients with clinically significant macular edema
  • Patients with diabetic retinopathy advanced lesions that have required or require specific treatment (laser, vitrectomy)
  • Pretreatment with argon laser or excimer laser Ophthalmology surgery
  • Any other associated ocular pathology (glaucoma, cataracts, changing cornea dystrophy, macular degeneration)
  • Pregnancy, lactation, inadequate use of contraception
  • Antioxidant drug and/or supplements six months previous to enrollment
  • Renal and/or hepatic failure
  • Age under 30 or over 75 years
  • Severe cardiovascular disease (myocardial infarction, stroke, severe peripheral vasculopathy)
  • Blood dyscrasias
  • Have or have had cancer or other serious illness
  • Neurodegenerative process
  • Allergy to vitamins
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
61 participants (actual)

Study arms

  • Experimental
    Ubiquinone

    400mg daily of oral ubiquinone for 24 weeks

    Drug: Ubiquinone

  • Experimental
    Combined antioxidant therapy

    (1mg copper + 20mg zinc + 180mg vitamin C + 30mg vitamin E + 1mg zeaxanthin + 4mg astaxanthin + 10mg lutein) daily of oral antioxidant combined therapy for 24 weeks

    Drug: Combined antioxidant therapy

  • Placebo comparator
    Placebo

    Placebo. 100mg daily oral intake for 24 weeks

    Drug: Placebo

Interventions

  • DrugUbiquinone

    400mg daily of oral ubiquinone for 24 weeks

    Also known as: coenzyme Q10

  • DrugCombined antioxidant therapy

    (1 mg copper, 20 mg zinc, 180 mg vitamin C, 30 mg vitamin E, 1 mg zeaxanthin, 4 mg astaxanthin, 10 mg lutein) daily of oral, all of them in one Tablet for 24 weeks

    Also known as: lutein, zeaxanthin, astaxanthin, vitamin C, vitamin E, zinc, copper

  • DrugPlacebo

    100 mg of oral placebo with identical appearance, form, size than ubiquinone and antioxidant combined therapy for 24 weeks

    Also known as: Inactive drug

06

What researchers measure

Primary outcomes

  1. Oxidative Stress markers

    In this study the oxidative stress markers are composed of lipid peroxidation, nitric oxide, erythrocyte glutathion peroxidase activity, erythrocyte catalase activity, total antioxidant capacity and erythrocyte membrane fluidity. * Lipid peroxidation (baseline and final values) given as malondialdehyde (MDA) and 4-hydroxyalkenals (4HDA) expressed in μmol/L * Nitric oxide (NO) Levels of the NO catabolites nitrites/nitrates expressed in pmol/mL (baseline and final values) * Erythrocyte glutathion peroxidase activity measured in U/min/mg protein (baseline and final values) * Erythrocyte catalase activity expressed in U/mg protein (baseline and final values) * Total antioxidant capacity measured in milliequivalent/mL (baseline and final values) * Erythrocyte membrane fluidity, calculated using the fluorescence ratio of the excimer (Ie) to monomer (Im). The Ie/Im ratio.

    Time frame: 24 weeks

Secondary outcomes

  1. Mitochondrial dysfunction markers

    In this study the mitochondrial dysfunction markers are composed of hydrolysis of adenosine triphosphate and membrane fluidity in submitochondrial particles of platelets. * Hydrolysis of adenosine triphosphate: The hydrolytic activity of mitochondrial F0/F1-ATPase (F0/F1-adenosine triphosphatase) was measured as the liberation of inorganic phosphate from platelet mitochondria. Expressed in nmol of phosphate. Baseline and final values. * Membrane fluidity in submitochondrial particles of platelets. Calculated usig the fluorescence ratio of the excimer (Ie) to monomer (Im). The Ie/Im ratio. (Baseline and final values)

    Time frame: 24 weeks

  2. Progression and regression of non-proliferative diabetic retinopathy

    Evaluated with International clinical diabetic retinopathy disease severity scale, fluorescein angiography and color fundus photographs. Baseline and final stage.

    Time frame: 24 weeks

Other outcomes

  1. Security profile

    In this study the security profile markers are composed of intraocular pressure, visual acuity, renal function, and liver profile. Intraocular pressure. expressed in mmHg (baseline and final values) Visual acuity measured in decimal scale (baseline and final values) Renal function: serum urea (mg/dL), serum creatinine (mg/dL). (Baseline and final values) Liver profile: total serum bilirubin (mg/dL), indirect bilirubin (mg/dL), direct bilirubin (mg/dL) (Baseline and final values).

    Time frame: 24 weeks

07

Study locations

1 site
  • Cardiovascular Research Unit, University of Guadalajara
    Guadalajara, Jalisco 44340, Mexico
08

References and documents

Publications

  • Hernandez-Ojeda J, Cardona-Munoz EG, Roman-Pintos LM, Troyo-Sanroman R, Ortiz-Lazareno PC, Cardenas-Meza MA, Pascoe-Gonzalez S, Miranda-Diaz AG. The effect of ubiquinone in diabetic polyneuropathy: a randomized double-blind placebo-controlled study. J Diabetes Complications. 2012 Jul-Aug;26(4):352-8. doi: 10.1016/j.jdiacomp.2012.04.004. Epub 2012 May 16. PubMed 22595020 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 13, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02062034
Lead sponsor
University of Guadalajara
Collaborators
Instituto Mexicano del Seguro Social
Responsible party
Alejandra Guillermina Miranda Diaz (PhD, University of Guadalajara) — Principal investigator
First posted
Feb 13, 2014
Start date
Feb 2011
Primary completion
Nov 2013
Completion
Jan 2014
Last update
Feb 13, 2014

Study contacts

Alejandra G. Miranda-Díaz, PhD
study director · University of Guadalajara
José A. Castellanos-González, M.Sc.
study chair · University of Guadalajara
Adolfo D. Rodriguez-Carrizalez, M.Sc.
study chair · University of Guadalajara

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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