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Trial registered on ANZCTR
Registration number
ACTRN12612001108808
Ethics application status
Approved
Date submitted
12/10/2012
Date registered
17/10/2012
Date last updated
5/11/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
The administration of vitamin B12 to people with type 2 diabetes (T2DM) on long term metformin therapy
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Scientific title
The effect of oral vitamin B12 supplementation vs intramuscular injection on serum vitamin B12 level in people with type 2 diabetes on metformin therapy
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Secondary ID [1]
281384
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nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Type 2 diabetes
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Vitamin B12 deficiency
287617
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Condition category
Condition code
Metabolic and Endocrine
287946
287946
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0
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Diabetes
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Diet and Nutrition
287982
287982
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0
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Other diet and nutrition disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Methylcobalamin 1000mcg tablets 3 month course of 1 x 1000mcg tablet per day. Rescreen at 3 months, if levels not above 220 mmol/l then re-treat with the same treatment.
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Intervention code [1]
285859
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Treatment: Other
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Comparator / control treatment
1 x 1000mcg methylcobalamin intramuscular injection - current standard treatment. Rescreen at 3 months, if levels not above 220 mmol/l then re-treat with the same treatment.
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Control group
Active
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Outcomes
Primary outcome [1]
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serum vitamin B12 level
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Assessment method [1]
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Timepoint [1]
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3 and 6 months
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Secondary outcome [1]
299523
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neuropathy screening using Michigan neuropathy screening questionnaire
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Assessment method [1]
299523
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Timepoint [1]
299523
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6 months
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Eligibility
Key inclusion criteria
Type 2 diabetes
Metformin therapy
vitamin b12 levels below 220mmol/l
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Minimum age
18
Years
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Maximum age
75
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Pregnant or breastfeeding
Existing treated megaloblastic anaemia
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Participants will be stratified by B12 level to ensure an even number of those with low and deficient status in each group, then randomised by sealed envelope.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Randomisation numbers will be computer generated by a random numbers progamme and placed in sealed envelopes. The next envelope on the pile will be given sequentially to participants.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
20/01/2013
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Actual
15/02/2013
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Date of last participant enrolment
Anticipated
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Actual
4/02/2014
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
140
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Accrual to date
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Final
34
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Recruitment outside Australia
Country [1]
4597
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New Zealand
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State/province [1]
4597
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Wellington
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Funding & Sponsors
Funding source category [1]
286136
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University
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Name [1]
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University of Otago
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Address [1]
286136
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PO Box 7343
Wellington 6021
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Country [1]
286136
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New Zealand
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Primary sponsor type
Hospital
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Name
Capital and Coast Health
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Address
Private bag 7902
Wellington 6021
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Country
New Zealand
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Secondary sponsor category [1]
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None
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Name [1]
284947
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Address [1]
284947
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Country [1]
284947
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
288188
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Health and Disability Ethics Committee Central
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Ethics committee address [1]
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Ministry of Health No 1 The Terrace PO Box 5013 Wellington 6021
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Ethics committee country [1]
288188
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Date submitted for ethics approval [1]
288188
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13/11/2012
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Approval date [1]
288188
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18/01/2013
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Ethics approval number [1]
288188
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12/CEN/65
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Summary
Brief summary
Metformin, the most common hypoglycaemic agent used in type 2 diabetes, is associated with reduced vitamin B12 status. This study will determine the prevalence of B12 deficiency (<150pmol/l) and low B12 status (150-220 pmol/l) in a NZ population with Type 2 Diabetes taking metformin. We will then assess the best replacement regimen in this group. Those with low or deficient B12 status will be randomised to either intra-muscular injection OR over the counter oral B12 tablets. B12 status will be assessed at 3 and 6 months, with a second treatment administered if levels have not returned to normal after the 3 month check.
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Trial website
none
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Trial related presentations / publications
Haeusler S, Parry-Strong A, Krebs JD. The prevalence of low vitamin B12 status in people with type 2 diabetes receiving metformin therapy in New Zealand—a clinical audit. 2014; 127 (1404) ISSN 1175-8716
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Public notes
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Contacts
Principal investigator
Name
34822
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Dr Jeremy Krebs
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Address
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Capital and Coast Health Diabetes Research Private Bag 7902 Wellington 6021
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Country
34822
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New Zealand
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Phone
34822
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+6448062458
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Fax
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Email
34822
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[email protected]
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Contact person for public queries
Name
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Amber Parry Strong
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Address
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Capital and Coast Health
Diabetes Research
Private Bag 7902
Wellington 6021
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Country
18069
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New Zealand
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Phone
18069
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+6448062458
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Fax
18069
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Email
18069
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[email protected]
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Contact person for scientific queries
Name
8997
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Amber Parry Strong
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Address
8997
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Capital and Coast Health
Diabetes Research
Private Bag 7902
Wellington 6021
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Country
8997
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New Zealand
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Phone
8997
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+6448062458
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Fax
8997
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Email
8997
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Sublingual vitamin B12 compared to intramuscular injection in patients with type 2 diabetes treated with metformin: A randomised trial.
2016
N.B. These documents automatically identified may not have been verified by the study sponsor.
Download to PDF