pyridoxal phosphate has been researched along with Asymmetric Diabetic Proximal Motor Neuropathy in 8 studies
Pyridoxal Phosphate: This is the active form of VITAMIN B 6 serving as a coenzyme for synthesis of amino acids, neurotransmitters (serotonin, norepinephrine), sphingolipids, aminolevulinic acid. During transamination of amino acids, pyridoxal phosphate is transiently converted into pyridoxamine phosphate (PYRIDOXAMINE).
pyridoxal 5'-phosphate : The monophosphate ester obtained by condensation of phosphoric acid with the primary hydroxy group of pyridoxal.
Excerpt | Relevance | Reference |
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"Gabapentin (GBP) is an FDA-approved drug for the treatment of partial and secondary generalized seizures, apart from being used for diabetic neuropathic pain." | 1.62 | In-Silico Validation and Fabrication of Matrix Diffusion-Based Polymeric Transdermal Patches for Repurposing Gabapentin Hydrochloride in Neuropathic Pain. ( Agarwal, S; Agarwal, V; Kaur, H; Kaur, R; Pancham, P; Singh, M, 2021) |
"Painful diabetic neuropathy causes hyperalgesia and does not respond to commonly used analgesics such as non-steroidal anti-inflammatory drugs or opioids at doses below those producing disruptive side effects." | 1.35 | Modulation of P2X receptors in dorsal root ganglion neurons of streptozotocin-induced diabetic neuropathy. ( Honda, K; Katsuragi, T; Koguchi, M; Migita, K; Moriyama, T; Takano, Y; Ueno, S, 2009) |
Timeframe | Studies, this research(%) | All Research% |
---|---|---|
pre-1990 | 0 (0.00) | 18.7374 |
1990's | 0 (0.00) | 18.2507 |
2000's | 2 (25.00) | 29.6817 |
2010's | 5 (62.50) | 24.3611 |
2020's | 1 (12.50) | 2.80 |
Authors | Studies |
---|---|
Singh, M | 1 |
Agarwal, S | 1 |
Pancham, P | 1 |
Agarwal, V | 1 |
Kaur, H | 1 |
Kaur, R | 1 |
Trippe, BS | 1 |
Barrentine, LW | 1 |
Curole, MV | 1 |
Tipa, E | 1 |
Migita, K | 1 |
Moriyama, T | 1 |
Koguchi, M | 1 |
Honda, K | 1 |
Katsuragi, T | 1 |
Takano, Y | 1 |
Ueno, S | 1 |
Walker, MJ | 1 |
Morris, LM | 1 |
Cheng, D | 1 |
Shevalye, H | 1 |
Watcho, P | 1 |
Stavniichuk, R | 1 |
Dyukova, E | 1 |
Lupachyk, S | 1 |
Obrosova, IG | 1 |
Fonseca, VA | 1 |
Lavery, LA | 1 |
Thethi, TK | 1 |
Daoud, Y | 1 |
DeSouza, C | 1 |
Ovalle, F | 1 |
Denham, DS | 1 |
Bottiglieri, T | 1 |
Sheehan, P | 1 |
Rosenstock, J | 1 |
Vinik, AI | 1 |
Okada, H | 1 |
Moriwaki, K | 1 |
Kanno, Y | 1 |
Sugahara, S | 1 |
Nakamoto, H | 1 |
Yoshizawa, M | 1 |
Suzuki, H | 1 |
Trial | Phase | Enrollment | Study Type | Start Date | Status | ||
---|---|---|---|---|---|---|---|
A 24 Week, Double-blind, Placebo-controlled, Multisite Study of Metanx® in Subjects With Type 2 Diabetic Peripheral Neuropathy (DPN)[NCT00726713] | Phase 4 | 214 participants (Actual) | Interventional | 2008-06-30 | Completed | ||
Assessment of Designer Functional Foods on Parameters of Metabolic and Vascular Status in Individuals With Prediabetes.[NCT02400450] | 0 participants (Actual) | Interventional | 2016-09-30 | Withdrawn | |||
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
(Exploratory) To determine if Metanx® affects a subject's plasma oxidative stress and inflammatory markers levels including hs-CRP (NCT00726713)
Timeframe: Analyte levels were taken at 0 (Baseline) and 24 weeks
Intervention | mg/L (Mean) | |
---|---|---|
hs-CRP (mg/L), Baseline | hs-CRP, Change from BL, Week 24 | |
Metanx | 6.46 | -0.71 |
Placebo | 7.44 | 0.13 |
(Exploratory) To determine if Metanx® affects a subject's plasma oxidative stress and inflammatory marker levels, including IL-6 and TNF-α (NCT00726713)
Timeframe: Analyte levels were taken at 0 (Baseline) and 24 weeks
Intervention | pg/mL (Mean) | |||
---|---|---|---|---|
IL-6 (pg/mL), Baseline | IL-6, Change from BL, Week 24 | TNF-a (pg/mL), Baseline | TNF-a, Change from BL, Week 24 | |
Metanx | 3.66 | -0.25 | 1.69 | 0.03 |
Placebo | 3.68 | 0.07 | 2.01 | -0.04 |
(Exploratory) To determine if Metanx® affects a subject's plasma oxidative stress and inflammatory markers levels including Potential Antioxidant (PAO) (NCT00726713)
Timeframe: Analyte levels were taken at 0 (Baseline) and 24 weeks
Intervention | µmol/L (Mean) | |
---|---|---|
PAO (µmol/L), Baseline | PAO, Change from BL, Week 24 | |
Metanx | 1094.52 | 7.95 |
Placebo | 1102.15 | 5.29 |
The Hospital Anxiety and Depression Scale (HADS) consists of a 14-item questionnaire that provides a measurement of depression. Each item is rated on a 4-point scale, giving a maximum scores of 21 for the most severe depression. Depression was evaluated using the Hospital Anxiety and Depression Scale (HADS) question inventory at Baseline, and 24-week evaluation visits (NCT00726713)
Timeframe: HADS Scores scores were taken at 0 (Baseline) and 24 weeks
Intervention | units on a scale (0-21) (Mean) | |
---|---|---|
HADS Depression, Baseline | HADS Depression, Change from BL, Week 24 | |
Metanx | 4.16 | -1.03 |
Placebo | 4.42 | -0.45 |
"To determine if Metanx® (compared to placebo) affects a subject's lower extremity pain level using a 10-point Visual Analog Scale at Baseline and 24-week evaluation visits.~The Visual Analog Scale (VAS) measures a patients sensation of pain. A 10-cm visual analog scale is used. A measurement on the 10 cm analog scale is used to quantify the level of pain indicated with 0 cm indicating no pain and 10 cm indicating the worst pain imaginable." (NCT00726713)
Timeframe: VAS scores were taken at 0 (Baseline) and 24 weeks
Intervention | units on a scale (0-10) (Mean) | |
---|---|---|
VAS Baseline | VAS, Change from BL, Week 24 | |
Metanx | 3.26 | -0.27 |
Placebo | 3.25 | -0.03 |
"This outcome was taken to determine if Metanx® (compared to placebo) has an effect on clinical examination as determined by the Neuropathy Disability Score (NDS)~The Neuropathy Disability Score (NDS) evaluates the severity of individual symptoms of neuropathy. A simple visual numeric distress scale is used that ranges from 0 to 10. The most favorable score is 0, which indicates an absence of symptoms. The most severe symptoms possible would be recorded as a score of 10." (NCT00726713)
Timeframe: NDS scores were taken at 0 (Baseline), 16, and 24 weeks
Intervention | units on a scale (0-10) (Mean) | ||
---|---|---|---|
Baseline | Change from Baseline Week 16 | Change from Baseline Week 24 | |
Metanx | 7.51 | -0.78 | -0.47 |
Placebo | 7.47 | -0.18 | -0.36 |
"This measure was taken to determine if Metanx® (compared to placebo) changes neuropathic symptoms as evaluated by the Neuropathy Total Symptom Score-6 (NTSS-6)~The Neuropathy Total Symptom Score-6 Scale (NTSS-6) is a validated scale that evaluates individual neuropathy sensory symptoms in patients with diabetes mellitus (DM) and diabetic peripheral neuropathy (DPN). This scale was a modified 6 item scale that consists of yes or no questions. Scores range between 0 and 21.96, a higher score indicates greater severity of symptoms. After adjusting for baseline measurements scores are reflected as negative numbers. Negative numbers indicate improvement in symptoms. ie. a change from baseline after 24 weeks of -2 would be a greater improvement than a change in baseline of -1 after 24 weeks." (NCT00726713)
Timeframe: NTSS-6 scores were taken at 0 (Baseline), 16, and 24 weeks
Intervention | units on a scale (0-6) (Mean) | ||
---|---|---|---|
Baseline | Change from Baseline Week 16 | Change from Baseline Week 24 | |
Metanx | 3.73 | -0.09 | -0.96 |
Placebo | 3.45 | -0.40 | -0.53 |
To determine if Metanx® (compared to placebo) affects a change in subject's total folate and total methyl malonic acid (MMA) at week 16 and 24 (NCT00726713)
Timeframe: Change from Baseline in Plasma Marker Levels at 0 (Baseline), 16, and 24 weeks
Intervention | nmol/L (Mean) | |||||
---|---|---|---|---|---|---|
Total Folate (nmol/L) at Baseline | Total Folate, Change from BL Week 16 | Total Folate, Change from BL Week 24 | Total methyl malonic acid (MMA) (nmol/L) at BL | Total MMA, Change from BL Week 16 | Total MMA, Change from BL Week 24 | |
Metanx | 42.19 | 7.25 | 7.53 | 186.16 | -56.38 | -63.29 |
Placebo | 43.04 | -1.07 | -2.75 | 195.72 | 13.89 | -15.42 |
"To determine if Metanx® (compared to placebo) affects a subject's quality of life as determined by the SF-36 questionnaire~The Short Form- 36 Mental Component Summary (SF-36 MCS) and SF-36 Physical Component Summary (SF-36 PCS) both measure health related quality of life, the MCS quantifying mental health and the PCS quantifying physical function. They are both scored on 100 point scales with 0 representing the worst possible outcome and 100 representing the most optimal possible scoring" (NCT00726713)
Timeframe: SF-36 MCS and SF-36 PCS scores were measured at 0 (Baseline) and 24 weeks
Intervention | units on a scale (0-100) (Mean) | |||
---|---|---|---|---|
SF-36 PCS, Baseline | SF-36 PCS, Change from BL, Week 24 | SF-36 MCS, Baseline | SF-36 MCS, Change from BL, Week 24 | |
Metanx | 40.74 | 0.03 | 50.96 | 1.99 |
Placebo | 39.03 | 0.87 | 52.66 | -0.29 |
To determine if Metanx® (compared to placebo) affects change in subjects total homocysteine levels (NCT00726713)
Timeframe: Change from Baseline in Plasma Marker Levels at 0 (Baseline), 16, and 24 weeks
Intervention | µmol/L (Mean) | ||
---|---|---|---|
Total homocysteine (µmol/L) at Baseline | Total homocysteine, Change from BL Week 16 | Total homocysteine, Change from BL Week 24 | |
Metanx | 9.71 | -2.70 | -2.68 |
Placebo | 9.47 | 0.58 | 0.48 |
Vibration Perception Threshold (VPT) 25-45 volts at hallux on either leg as measured by VPT meter on the great toe of each foot. Mean VPT averaged across both toes. (NCT00726713)
Timeframe: VPT was measured a 0 (baseline), and 24 weeks
Intervention | volts (Mean) | |
---|---|---|
Baseline | Change from Baseline Week 24 | |
Metanx | 32.16 | -1.96 |
Placebo | 33.88 | -3.27 |
2 trials available for pyridoxal phosphate and Asymmetric Diabetic Proximal Motor Neuropathy
Article | Year |
---|---|
Metanx in type 2 diabetes with peripheral neuropathy: a randomized trial.
Topics: Adult; Aged; Aged, 80 and over; Diabetes Mellitus, Type 2; Diabetic Neuropathies; Double-Blind Metho | 2013 |
Vitamin B6 supplementation can improve peripheral polyneuropathy in patients with chronic renal failure on high-flux haemodialysis and human recombinant erythropoietin.
Topics: Chronic Disease; Diabetic Neuropathies; Erythropoietin; Female; Glomerulonephritis; Humans; Kidney F | 2000 |
6 other studies available for pyridoxal phosphate and Asymmetric Diabetic Proximal Motor Neuropathy
Article | Year |
---|---|
In-Silico Validation and Fabrication of Matrix Diffusion-Based Polymeric Transdermal Patches for Repurposing Gabapentin Hydrochloride in Neuropathic Pain.
Topics: Analgesics; Computer Simulation; Diabetic Neuropathies; Drug Repositioning; Gabapentin; Humans; Mole | 2021 |
Nutritional management of patients with diabetic peripheral neuropathy with L-methylfolate-methylcobalamin-pyridoxal-5-phosphate: results of a real-world patient experience trial.
Topics: Adult; Aged; Diabetic Neuropathies; Female; Humans; Male; Middle Aged; Pain; Pyridoxal Phosphate; Qu | 2016 |
Modulation of P2X receptors in dorsal root ganglion neurons of streptozotocin-induced diabetic neuropathy.
Topics: Adenosine Triphosphate; Animals; Diabetes Mellitus, Experimental; Diabetic Neuropathies; Disease Mod | 2009 |
Improvement of cutaneous sensitivity in diabetic peripheral neuropathy with combination L-methylfolate, methylcobalamin, and pyridoxal 5'-phosphate.
Topics: Diabetes Mellitus, Type 2; Diabetic Neuropathies; Drug Therapy, Combination; Follow-Up Studies; Huma | 2010 |
Metanx alleviates multiple manifestations of peripheral neuropathy and increases intraepidermal nerve fiber density in Zucker diabetic fatty rats.
Topics: Animals; Diabetes Mellitus, Type 2; Diabetic Neuropathies; Disease Models, Animal; Folic Acid; Hyper | 2012 |
A medicinal food provides food for thought in managing diabetic neuropathy.
Topics: Diabetes Mellitus, Type 2; Diabetic Neuropathies; Female; Folic Acid; Humans; Male; Pyridoxal Phosph | 2013 |