Effect of OMEGA3 Supplementation in Diabetic Retinopathy (OMEDIA)
Effet d'Une supplémentation Par OMEGA3 Dans la rétinopathie diabétique
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Diabetic retinopathy (DR) is a leading cause of vision loss worldwide and is a major public health problem.
In Western countries, the prevalence of DR is estimated to be 35% in diabetic patients, while diabetic macular edema (DME) affects 5% of them.
Currently, apart from the balance of diabetes and other cardiovascular risk factors, no specific treatment is given for the minimal and moderate non-proliferative forms.
- DHA concentration in the retina can be modified according to the patient's diet.
- Minimal diabetic retinopathy does not currently benefit from specific treatment outside of diabetic control.
- Omega 3 are already known for their beneficial effects on the retina, brain and cardiovascular system but their effectiveness has not been tested on diabetic retinopathy.
- It is therefore a question of evaluating whether an omega 3 supplementation, at a dosage of 1000mg per day, can treat a minimal or moderate stage of diabetic retinopathy.
A study by Salavila et al. has shown that the intake of LCω3PUFA, via a Mediterranean diet, improved the stage of DR in diabetic patients.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Eric SOUIED, MD PhD
- Phone Number: 01 45 17 50 00
- Email: eric.souied@chicreteil.Fr
Study Contact Backup
- Name: Camille JUNG, MD
- Phone Number: 01 45 17 50 00
- Email: camille.jung@chicreteil.fr
Study Locations
-
-
Creteil
-
Créteil, Creteil, France, 94000
- CHI créteil
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- ≥18 years
- For women of childbearing age, an effective method of contraception is introduced and monitored throughout their participation in the study.
- Diabetic microangiopathy: minimal to moderate nonproliferative diabetic retinopathy according to the ETDRS (EarlyTreatment of DiabeticRetinopathyStudy) classification.
- AV > 6/10
- One eye included. If both are affected, the eye with the poorer perfusion should be included.
- Affiliated to a social security scheme
Exclusion Criteria:
- < 18 years old.
- Pregnant or breastfeeding woman
- Other retinal pathologies that may interfere with the results (Patients previously treated with anti-VEGF, aflibercept or intra-vitreal corticosteroids, history of glaucoma, vitrectomy, retinal laser, epiretinal membrane), choroidal neo-vascularization, uveitis, retinal vascular occlusion, significant macular edema, macular thickness > 280 µm, Eyes with spherical equivalent greater than 8 Diopters, OCTA images not interpretable with many artifacts.)
- Hypersensitivity to any of the components of Nutrof or Meralut
- Taking the antivitamin k
- Known deficit in G6PD-
- History of renal lithiasis
- Kidney failure
- Immunosuppression
- Chronic Ethylism
- History of hepatopathy
- Intracranial tumor, intracranial hypertension
- Refusal to participate
- Patient participating in an intervention study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: NUTROF Group
vitamin and DHA supplementation
|
DHA docosahexaenoic acid Omega 3s may be of interest in cases of retinopathies.
|
|
Placebo Comparator: MERALUT Group
vitamin A, natural flavonoids, lutein and zeaxanthin and no DHA
|
vitamin A, natural flavonoids, lutein and zeaxanthin
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
density of the deep capillary plexus in optical coherence tomography angiography (OCTA)
Time Frame: six months
|
Macular vascularization consists of three interconnected capillary plexuses: the superficial capillary plexus (SCp) located at the level of the optic fibres and the intermediate (ICP) and deep (DCP) capillary plexuses located respectively at the level of the inner and outer part of the inner nuclear layer.16
OCTA is a non-invasive imaging method of retinal vasculature that allows a qualitative but mainly quantitative analysis of the capillary plexuses.
A last parameter that could not be evaluated precisely with the old fluorescein and OCT angiography techniques.
OCTA is performed without injection of intravenous contrast agent and has no side effects.
Several studies have shown that PCP is the plexus most affected by non-perfusion areas in diabetic retinopathy.
|
six months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Stage of diabetic retinopathy: minimal, moderate or severe
Time Frame: six months
|
Each stage of retinopathy may be associated with some degree of diabetic macular edema; macular edema is classified as minimal, moderate or severe, depending on its location relative to the centre of the macula. It is considered severe when it reaches the centre of the macula. Non-proliferative diabetic retinopathy (NPDR, no neo-vessels) Minimal non-proliferative DR (some microaneurysms or punctiform hemorrhages).
|
six months
|
|
glycated haemoglobin (percent)
Time Frame: six months
|
In diabetes, the higher the blood glucose level, the more glucose attaches to hemoglobin and the higher the level of glycated hemoglobin. It therefore indicates whether the blood glucose level was, on average, higher or lower during the 2 months prior to the test. Glycated haemoglobin is measured every 2-4 months. A small amount of blood is drawn from a vein or from the fingertip (micro-method). Glycated haemoglobin (HbA1c) is a fundamental criterion for blood sugar control. It is essential for assessing the risk of complications. 9% Very high 7% Recommended 5% Normal |
six months
|
|
capillary plexus density in OCTA
Time Frame: six months
|
capillary plexus density
|
six months
|
|
area (mm²) of the central avascular zone in OCTA
Time Frame: six months
|
area (mm²
|
six months
|
|
Visual acuity measurement ETDRS
Time Frame: six months
|
Visual acuity
|
six months
|
|
central retinal thickness (µm) in the 2 groups at 6 months
Time Frame: six months
|
central retinal thickness
|
six months
|
|
cholesterol level: Low-density lipoprotein, High-density lipoprotein and total cholesterol
Time Frame: six months
|
cholesterol leve
|
six months
|
|
triglycerid level
Time Frame: six months
|
triglycerid level
|
six months
|
|
Diet questionnaire
Time Frame: six months
|
questionnaire
|
six months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- OMEDIA
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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