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niacinamide and Diabetic Neuropathies

niacinamide has been researched along with Diabetic Neuropathies in 11 studies

nicotinamide : A pyridinecarboxamide that is pyridine in which the hydrogen at position 3 is replaced by a carboxamide group.

Diabetic Neuropathies: Peripheral, autonomic, and cranial nerve disorders that are associated with DIABETES MELLITUS. These conditions usually result from diabetic microvascular injury involving small blood vessels that supply nerves (VASA NERVORUM). Relatively common conditions which may be associated with diabetic neuropathy include third nerve palsy (see OCULOMOTOR NERVE DISEASES); MONONEUROPATHY; mononeuropathy multiplex; diabetic amyotrophy; a painful POLYNEUROPATHY; autonomic neuropathy; and thoracoabdominal neuropathy. (From Adams et al., Principles of Neurology, 6th ed, p1325)

Research Excerpts

ExcerptRelevanceReference
"Loganin is an iridoid glycoside with antioxidant, anti-inflammatory, glucose-lowering activities which may address the pathological mechanisms of painful diabetic neuropathy (PDN) related to inflammation, oxidative stress, and hyperglycemia."8.02Loganin Ameliorates Painful Diabetic Neuropathy by Modulating Oxidative Stress, Inflammation and Insulin Sensitivity in Streptozotocin-Nicotinamide-Induced Diabetic Rats. ( Cheng, YC; Chiu, YM; Dai, ZK; Wu, BN, 2021)
"Treatment with liraglutide-restored animals' body weight, normalized blood glucose, decreased glycated hemoglobin, and increased insulin levels."5.48Liraglutide ameliorated peripheral neuropathy in diabetic rats: Involvement of oxidative stress, inflammation and extracellular matrix remodeling. ( Abdelkader, NF; El Awdan, SA; El-Shabrawy, OA; Moustafa, PE; Zaki, HF, 2018)
"Loganin is an iridoid glycoside with antioxidant, anti-inflammatory, glucose-lowering activities which may address the pathological mechanisms of painful diabetic neuropathy (PDN) related to inflammation, oxidative stress, and hyperglycemia."4.02Loganin Ameliorates Painful Diabetic Neuropathy by Modulating Oxidative Stress, Inflammation and Insulin Sensitivity in Streptozotocin-Nicotinamide-Induced Diabetic Rats. ( Cheng, YC; Chiu, YM; Dai, ZK; Wu, BN, 2021)
"In this cohort of type 1 diabetes patients with mild-to-moderate CAN, a combination antioxidant treatment regimen did not prevent progression of CAN, had no beneficial effects on myocardial perfusion or DPN, and may have been detrimental."2.78Effects of triple antioxidant therapy on measures of cardiovascular autonomic neuropathy and on myocardial blood flow in type 1 diabetes: a randomised controlled trial. ( Brown, MB; Feldman, EL; Mehta, M; Plunkett, CD; Pop-Busui, R; Raffel, DM; Stevens, MJ; White, EA, 2013)
"Treatment with liraglutide-restored animals' body weight, normalized blood glucose, decreased glycated hemoglobin, and increased insulin levels."1.48Liraglutide ameliorated peripheral neuropathy in diabetic rats: Involvement of oxidative stress, inflammation and extracellular matrix remodeling. ( Abdelkader, NF; El Awdan, SA; El-Shabrawy, OA; Moustafa, PE; Zaki, HF, 2018)

Research

Studies (11)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's1 (9.09)29.6817
2010's5 (45.45)24.3611
2020's5 (45.45)2.80

Authors

AuthorsStudies
Cheng, YC1
Chiu, YM1
Dai, ZK1
Wu, BN1
Abdelkader, NF2
Ibrahim, SM1
Moustafa, PE2
Elbaset, MA1
Kharitonova, T1
Shvarts, YG1
Verbovoy, AF1
Orlova, NS1
Puzyreva, VP1
Strokov, IA2
Costa, CJ1
Cohen, MW1
Goldberg, DC1
Mellado, W1
Willis, DE1
Trakhtenberg, YA1
Kovalenko, AL1
El Awdan, SA1
El-Shabrawy, OA1
Zaki, HF1
Pop-Busui, R1
Stevens, MJ2
Raffel, DM1
White, EA1
Mehta, M1
Plunkett, CD1
Brown, MB1
Feldman, EL1
Ovalle-Magallanes, B1
Déciga-Campos, M1
Mata, R1
Trammell, SA1
Weidemann, BJ1
Chadda, A1
Yorek, MS1
Holmes, A1
Coppey, LJ1
Obrosov, A1
Kardon, RH1
Yorek, MA1
Brenner, C1
Negi, G1
Kumar, A1
Kaundal, RK1
Gulati, A1
Sharma, SS1
Li, F1
Drel, VR1
Abatan, OI1
Kim, H1
Burnett, D1
Larkin, D1
Obrosova, IG1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Multicenter, Double-blind, Placebo-controlled Randomized Clinical Trial of Efficacy and Safety of the Drug Cytoflavin®, Administered Intravenously Followed by Oral Intake, in Patients With Diabetic Polyneuropathy[NCT04649203]Phase 3216 participants (Actual)Interventional2020-11-25Completed
Oxidative Stress and Cardiovascular Denervation in Diabetes: An Interventional Trial[NCT00116207]Phase 344 participants (Actual)Interventional2000-01-31Completed
Vitamin B3 as a Novel Mitochondrial Therapy for Obesity[NCT03951285]56 participants (Actual)Interventional2016-05-25Completed
Nicotinamide Riboside (NR) in Paclitaxel-induced Peripheral Neuropathy[NCT03642990]Phase 25 participants (Actual)Interventional2019-11-08Terminated (stopped due to Enrollment challenges)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Inflammation

High Sensitivity CRP (nmol/L) (NCT00116207)
Timeframe: 24 months

Interventionnmol/L (Mean)
ORAL ANTIOXIDANT17.51
Placebo16.95

Systemic Oxidative Stress

ng of 8-epi prostaglandin F2alpha /G creatinine assessed in 24 hour urine collection (NCT00116207)
Timeframe: 24 months

Interventionng/G creatinine (Mean)
ORAL ANTIOXIDANT2.92
Placebo2.09

Global [11C]HED Retention Index (RI)

"Distal defects in [11C]meta-hydroxyephedrine ([11C]HED) retention involving at least 10 % of the left ventricle was used to define Cardiac Autonomic Neuropathy (CAN). The retention index (RI) is the unit of measure and is expressed as [11C]HEDblood min -1[ml tissue]-1~PET Data of Randomized Subjects at Baseline and 24-Months~The primary outcome was the change in the global [11C]HED RI = measure of cardiac innervation at 24 months in participants taking the active drug compared with those on placebo." (NCT00116207)
Timeframe: Baseline, 24 months

,
InterventionRetention index (Mean)
BASELINE24 MONTHS
ORAL ANTIOXIDANT0.0810.070
Placebo0.0730.074

Global Coronary Flow Reserve as a Measure of Endothelial Function

global myocardial blood flow reserve as a measure of endothelial function. Measured by PET using [13N]ammonia at rest and during adenosine stimulated coronary vasodilation. (NCT00116207)
Timeframe: Baseline, 24 months

,
Interventionratio (rest:stress) (Mean)
BASELINE24 MONTH
ORAL ANTIOXIDANT2.953.02
Placebo2.943.22

Difference in Score Between Baseline and End of Treatment for the FACT&GOG-NTX Subscale .

Difference in Score on the Functional Assessment of Cancer Therapy/Gynecologic Oncology Group - neurotoxicity questionnaire at the end of treatment; i.e. Score at screening - score at end of treatment. This questionnaire asks 11 questions that are specific to chemotherapy-induced peripheral neuropathies. Maximum score is 44, minimum score is 0. Positive differences indicate a decrease in neuropathy. Negative differences indicate a worsening of neuropathy. Zero means unchanged. (NCT03642990)
Timeframe: 4 weeks

Interventionunits on a scale (Median)
NIAGEN®)7

Difference in Total Neuropathy Score Between Screening and End of Treatment

Exploratory analysis of ability of the clinical version of the Total Neuropathy Score questionnaire to detect changes in CIPN severity over time. Unlike the CTCAE or the FACT&GOG-NTX questionnaires, the TNS is a patient reported outcome measure. HIghest score (worse neuropathy is 24, lowest score is 0. Outcome assessed difference between end of treatment and screening. A positive number indicates improvement in neuropathy (NCT03642990)
Timeframe: 4 weeks

Interventionscore on a scale (Median)
NIAGEN®)2

Number of Dose Reduction Events

Count the number of (i.e. the incidence) of dose reduction events due to neuropathy (each occasion of dose reduction is a separate event); (NCT03642990)
Timeframe: 3 weeks

Interventionevent (Number)
NIAGEN®)0

Number of Participants With No Worsening in the Grade of Peripheral Sensory Neuropathy as Scored by CTCAE

"The primary outcome variable is defined as no worsening of the grade of peripheral sensory neuropathy as scored according to the Common Terminology Criteria for Adverse Events (CTCAE) version 4.03 guidelines. Per the CTCAE a score of 1 would be assigned in the instance of parethesias or a loss of deep tendon reflexes. A score of 2 would be assigned in the instance of moderate symptoms that limit instrumental activities of daily living. A score of 3 would be assigned in the instance of severe symptoms that limit self-care activities of daily living. Because the outcome measure is defined as no worsening of the grade, it was recorded as either yes( i.e. it worsened) or no (i.e. it did not worsen)." (NCT03642990)
Timeframe: approximately 4 weeks

InterventionParticipants (Count of Participants)
NIAGEN®)3

Percentage of Patients in Which Dose of Paclitaxel or Nab-Paclitaxel is Reduced Due to CIPN

Quantitate the percentage of patients that experience a dose reduction of paclitaxel or nab-paclitaxel therapy due to neuropathy. (NCT03642990)
Timeframe: 3 weeks

InterventionParticipants (Count of Participants)
NIAGEN®)0

Plasma Concentration of Paclitaxel After NIAGEN Treatment Began

Paclitaxel levels in plasma were measured ~30 min after each infusion of taxane. This was undertaken to ascertain whether NIAGEN altered plasma levels of paclitaxel because increases or decreases in plasma levels of paclitaxel by itself could lead to an apparent worsening or improvement, respectively, in CIPN and confound interpretation of NIAGEN's effect. (NCT03642990)
Timeframe: up to 3 weeks

Interventionng/ml (Median)
NIAGEN®)810

Total Dose of Paclitaxel Administered

Quantitate the total cumulative dose of paclitaxel administered over the 12 weeks. (NCT03642990)
Timeframe: 3 weeks

Interventionmg/M^2 (Number)
NIAGEN®)200

Trials

3 trials available for niacinamide and Diabetic Neuropathies

ArticleYear
Efficacy and safety of the combined metabolic medication, containing inosine, nicotinamide, riboflavin and succinic acid, for the treatment of diabetic neuropathy: a multicenter randomized, double-blind, placebo-controlled parallel group clinical trial (C
    BMJ open diabetes research & care, 2022, Volume: 10, Issue:3

    Topics: Antioxidants; Diabetes Mellitus, Type 2; Diabetic Neuropathies; Female; Humans; Inosine; Male; Niaci

2022
[Efficacy and safety of Cytoflavin in the treatment of diabetic polyneuropathy: results of a multicenter, double-blind, placebo-controlled, randomized CYLINDER study].
    Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova, 2023, Volume: 123, Issue:5

    Topics: Diabetes Mellitus, Type 2; Diabetic Neuropathies; Humans; Inosine Diphosphate; Niacinamide

2023
Effects of triple antioxidant therapy on measures of cardiovascular autonomic neuropathy and on myocardial blood flow in type 1 diabetes: a randomised controlled trial.
    Diabetologia, 2013, Volume: 56, Issue:8

    Topics: Adolescent; Adult; Aged; Allopurinol; Antioxidants; Diabetes Mellitus, Type 1; Diabetic Neuropathies

2013

Other Studies

8 other studies available for niacinamide and Diabetic Neuropathies

ArticleYear
Loganin Ameliorates Painful Diabetic Neuropathy by Modulating Oxidative Stress, Inflammation and Insulin Sensitivity in Streptozotocin-Nicotinamide-Induced Diabetic Rats.
    Cells, 2021, 10-08, Volume: 10, Issue:10

    Topics: Animals; Antioxidants; Behavior, Animal; Blood Glucose; Body Weight; Calcitonin Gene-Related Peptide

2021
Inosine mitigated diabetic peripheral neuropathy via modulating GLO1/AGEs/RAGE/NF-κB/Nrf2 and TGF-β/PKC/TRPV1 signaling pathways.
    Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie, 2022, Volume: 145

    Topics: Animals; Caffeine; Diabetes Mellitus, Experimental; Diabetic Neuropathies; Hyperglycemia; Hypoglycem

2022
Nicotinamide Riboside Improves Enteric Neuropathy in Streptozocin-Induced Diabetic Rats Through Myenteric Plexus Neuroprotection.
    Digestive diseases and sciences, 2023, Volume: 68, Issue:7

    Topics: Animals; Diabetes Mellitus, Experimental; Diabetic Neuropathies; Humans; Intestinal Pseudo-Obstructi

2023
Liraglutide ameliorated peripheral neuropathy in diabetic rats: Involvement of oxidative stress, inflammation and extracellular matrix remodeling.
    Journal of neurochemistry, 2018, Volume: 146, Issue:2

    Topics: Animals; Antibiotics, Antineoplastic; Blood Glucose; Body Weight; Diabetic Neuropathies; Disease Mod

2018
Antinociceptive and hypoglycaemic evaluation of Conyza filaginoides (D.C.) Hieron Asteraceae.
    The Journal of pharmacy and pharmacology, 2015, Volume: 67, Issue:12

    Topics: Analgesics; Animals; Behavior, Animal; Biomarkers; Blood Glucose; Conyza; Diabetes Mellitus, Experim

2015
Nicotinamide Riboside Opposes Type 2 Diabetes and Neuropathy in Mice.
    Scientific reports, 2016, 05-27, Volume: 6

    Topics: Animals; Blood Glucose; Cornea; Diabetes Mellitus, Experimental; Diabetic Neuropathies; Diet, High-F

2016
Nicotinamide Riboside Opposes Type 2 Diabetes and Neuropathy in Mice.
    Scientific reports, 2016, 05-27, Volume: 6

    Topics: Animals; Blood Glucose; Cornea; Diabetes Mellitus, Experimental; Diabetic Neuropathies; Diet, High-F

2016
Nicotinamide Riboside Opposes Type 2 Diabetes and Neuropathy in Mice.
    Scientific reports, 2016, 05-27, Volume: 6

    Topics: Animals; Blood Glucose; Cornea; Diabetes Mellitus, Experimental; Diabetic Neuropathies; Diet, High-F

2016
Nicotinamide Riboside Opposes Type 2 Diabetes and Neuropathy in Mice.
    Scientific reports, 2016, 05-27, Volume: 6

    Topics: Animals; Blood Glucose; Cornea; Diabetes Mellitus, Experimental; Diabetic Neuropathies; Diet, High-F

2016
Functional and biochemical evidence indicating beneficial effect of Melatonin and Nicotinamide alone and in combination in experimental diabetic neuropathy.
    Neuropharmacology, 2010, Volume: 58, Issue:3

    Topics: Animals; Antioxidants; Blood Glucose; Body Weight; Diabetic Neuropathies; Disease Models, Animal; Do

2010
Nicotinamide reverses neurological and neurovascular deficits in streptozotocin diabetic rats.
    The Journal of pharmacology and experimental therapeutics, 2007, Volume: 320, Issue:1

    Topics: Animals; Blood Glucose; Body Weight; Diabetes Mellitus, Experimental; Diabetic Neuropathies; Lipid P

2007