ClinicalTrials.gg
Not yet recruitingNCT07934225ALA/DAPAUpdated Nov 12, 2026

Alpha-Lipoic Acid Added to Dapagliflozin and Insulin Resistance in Type 2 Diabetes

A Phase 3 interventional study of Alpha-Lipoic Acid (ALA) and Placebo in Diabetes Mellitus, Type 2 and Insulin Resistance Syndrome, sponsored by Fayoum University. Not yet recruiting at 1 site in Egypt. Open to participants aged 30 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-11-12.

Sponsored by Fayoum University · Phase 3, Interventional, and Treatment

Updated Nov 12, 2026Newly registeredGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
70
Allocation
Randomized
Ages
30 Years to 70 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 130 studies in Diabetes Mellitus, Type 2 with a site in Egypt — 18 open to participants now, 21 under way, 5 of them phase 3. Diabetes Mellitus, Type 2 · Egypt.

Planned enrollment
53rd of 98
70 · median 80
Started
2026
with 8 others
Phase 3
15 of 130
2 open now
Primary completion
2027-08
later than 15 of 20 live
Registered
130th of 130
by date

Among the 130 studies in Diabetes Mellitus, Type 2 with a site in Egypt, this one is the 53rd largest by planned enrollment of the 98 interventional ones that give a count, is one of 9 that started in 2026, is one of 15 in phase 3, reaches primary completion later than 15 of the 20 other live ones, and was the 130th registered.

Diabetes Mellitus, Type 2

10,371 studies on the registry are indexed under Diabetes Mellitus, Type 2; 1,406 are open to participants now.

Browse Diabetes Mellitus, Type 2 studies →

Open to participants now

18 of the 130 studies in Diabetes Mellitus, Type 2 with a site in Egypt are open now. Recruiting first, the newest first:

12 more — sign in →

All 18 open studies →

A study can be open while its sites in Egypt have not opened yet or have stopped. Only those recruiting at a site in Egypt →

Who these studies take

Of the 883 Diabetes Mellitus, Type 2 studies recruiting now, 373 (42%) set no upper age limit and 384 (43%) stop at 75 or younger; 52 take children under 18; 203 take healthy volunteers.

This study: 30 Years to 70 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 130 studies in Diabetes Mellitus, Type 2 with a site in Egypt, or all of them as a file.
02

Study summary

The goal of this clinical trial is to test whether adding alpha-lipoic acid (ALA) to usual treatment with metformin and dapagliflozin improves insulin resistance in adults with type 2 diabetes mellitus. The main questions it aims to answer are:

  • Does ALA 600 mg once daily for 12 weeks lower insulin resistance, measured by the Homeostatic Model Assessment of Insulin Resistance (HOMA-IR), more than a placebo?
  • Does ALA also improve blood sugar control, body weight and waist size, blood pressure, and blood fats, and is it safe and well tolerated?

Participants will:

  • Keep taking their usual metformin and dapagliflozin 10 mg daily without any change.
  • Take one capsule every day for 12 weeks, either ALA 600 mg or a matching placebo (a capsule with no active ingredient), assigned by chance.
  • Visit the clinic at the start, at week 6, and at week 12 for blood tests, body measurements, and safety checks.

Researchers will compare the ALA group with the placebo group to see if ALA lowers HOMA-IR more than placebo.

Read the detailed description

Type 2 diabetes mellitus is characterized by insulin resistance. No randomized trial has yet evaluated ALA added to dapagliflozin with HOMA-IR as the primary endpoint, which is the gap this study addresses.

The study is a single-center, parallel-group trial conducted at the Diabetes and Endocrinology Outpatient Clinic of Fayoum University Hospital, Egypt.

Randomization is 1:1 using a computer-generated. Allocation is concealed with sequentially numbered, opaque, sealed envelopes. Capsules are identical in appearance, so participants, treating clinicians, outcome assessors, and the statistician remain blinded until database lock.

Visits take place at baseline, Week 6, and Week 12. Fasting blood samples (glucose, insulin, HbA1c, lipid profile), weight, height, waist circumference, and blood pressure are collected at baseline and Week 12. Week 6 includes anthropometrics, blood pressure, adherence by pill count, and adverse event review. HOMA-IR is calculated as fasting insulin (microunits/mL) multiplied by fasting glucose (mg/dL), divided by 405.

Analysis follows the intention-to-treat principle. Between-group differences are tested with analysis of covariance (ANCOVA) using the baseline value as covariate, with a two-sided significance level of 0.05. The sample size was calculated for a standardized effect size of 0.75 (80% power, alpha 0.05), giving 28 participants per group, increased to allow for 15% dropout and an additional safety margin.

03

Conditions studied

  • Diabetes Mellitus, Type 2
  • Insulin Resistance Syndrome

Keywords

  • Alpha-lipoic acid
  • Dapagliflozin
  • SGLT2 inhibitor
  • HOMA-IR
  • Glycemic control
04

Who can participate

Ages eligible
30 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Adults aged 30 to 70 years, either sex
  • Established diagnosis of type 2 diabetes mellitus
  • between 7.0% and 10.0% at screening
  • On stable metformin plus dapagliflozin 10 mg daily for at least 3 months
  • Able and willing to give written

Exclusion criteria

Exclusion Criteria:

  • Type 1 diabetes or secondary forms of diabetes
  • Pregnancy, lactation, or planned pregnancy
  • below 45 mL/min/1.73 m2
  • Severe liver disease ( B or C)
  • Acute coronary syndrome, stroke, or hospitalization for decompensated heart failure within the past 3 months
  • Current or recent (within 4 weeks) use of alpha-lipoic acid, other high-dose antioxidant supplements, or insulin
  • Known to alpha-lipoic acid or placebo
  • Active or any condition that would prevent completing 12 weeks of follow-up
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Child-Pugh class

A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
70 participants (estimated)

Study arms

  • Active comparator
    ALA + Metformin/Dapagliflozin

    Alpha-lipoic acid 600 mg capsule taken orally once daily for 12 weeks, in addition to the participant's usual metformin and dapagliflozin 10 mg daily, which continue unchanged.

    Drug: Alpha-Lipoic Acid (ALA)

  • Placebo comparator
    Placebo + Metformin/Dapagliflozin

    Matching placebo capsule taken orally once daily for 12 weeks, in addition to the participant's usual metformin and dapagliflozin 10 mg daily, which continue unchanged.

    Drug: Placebo

Interventions

  • DrugAlpha-Lipoic Acid (ALA)

    Oral capsules dispensed at study visits. Unused capsules are returned and counted at Week 6 and Week 12 to measure adherence.

  • DrugPlacebo

    Capsule with no active ingredient, dispensed and counted on the same schedule as the ALA capsule.

06

What researchers measure

Primary outcomes

  1. Change in Homeostatic Model Assessment of Insulin Resistance (HOMA-IR)

    HOMA-IR = fasting insulin (microunits/mL) x fasting glucose (mg/dL) / 405, calculated from fasting blood samples. Change = Week 12 value minus baseline value.

    Time frame: Baseline to Week 12

Secondary outcomes

  1. Change in glycated hemoglobin (HbA1c)

    Percentage points, measured by high-performance liquid chromatography. Change = Week 12 minus baseline.

    Time frame: Baseline to Week 12

  2. Change in fasting plasma glucose

    Measured in mg/dL after 10 to 12 hours of fasting. Change = Week 12 minus baseline.

    Time frame: Baseline to Week 12

  3. Change in systolic and diastolic blood pressure

    Measured in mmHg. Change = Week 12 minus baseline.

    Time frame: Baseline to Week 12

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Dec 2026; primary completion for Aug 2027, 8 months later.

Of 87 non-industry phase 3 interventional studies under Diabetes Mellitus, Type 2, half reached primary completion within 31 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 47. This study's planned 8 months is below that.

Counting every sponsor, half of 525 studies reached it within 20 months; a quarter within 14 and three quarters within 30.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 7, 2026
First posted
Nov 12, 2026
StartEst.
Dec 1, 2026
Primary completionEst.
Aug 1, 2027
CompletionEst.
Sep 1, 2027
Last update
Nov 12, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Nov 12, 2026
Show all 1 update
  1. Nov 12, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07934225
Lead sponsor
Fayoum University
Responsible party
Sherif Thabet Ahmed Hussien (Teaching Assistant, Fayoum University) — Principal investigator
First posted
Nov 12, 2026
Start date
Dec 1, 2026 (estimated)
Primary completion
Aug 1, 2027 (estimated)
Completion
Sep 1, 2027 (estimated)
Last update
Nov 12, 2026

Study contacts

Sherif T Ahmed, teachig assistant
Contact
Sta11@fayoum.edu.eg
01012661535
Huda M Rabie, professor
Contact
hoda.ahmed@pharm.bus.edu.eg
01144073236
Sherif T Ahmed, teaching assistant
principal investigator · Fayoum University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

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