Assessing the Efficacy of Different Carrier Systems in Oral Vitamin B12 Supplementation

Liaquat University of Medical & Health Sciences

Status: Completed

Conditions: Vitamin B 12 Deficiency

Treatments: Dietary Supplement: Vit B12

Study type: Interventional

Funder types: Other

Identifiers

NCT06376591

No. LUMHS/REC/-291

Details and patient eligibility

About

Vitamin B12, a vital nutrient, plays a crucial role in red blood cell formation, neurological function, and DNA synthesis. Deficiency in B12 can lead to anemia, neurological symptoms such as tingling or numbness, and cognitive impairment. Oral B12 supplementation serves as an effective strategy to address B12 deficiency, especially for individuals with limited dietary intake or absorption issues. Regular B12 supplementation can help restore body B12 levels, alleviate deficiency-related symptoms, and support overall health and well-being.

Full description

The carrier system in oral vitamin B12 supplements plays a pivotal role in ensuring the stability and efficacy of the supplement. It helps protect the vitamin from degradation in the acidic environment of the stomach, enhancing its bioavailability. Additionally, the carrier system facilitates the transport of vitamin B12 across the gastrointestinal tract, promoting optimal absorption. By optimizing the delivery of B12 to the small intestine, the carrier system maximizes its potential for absorption into the bloodstream. Overall, the choice of carrier system significantly impacts the effectiveness of oral B12 supplementation in addressing deficiency and improving health outcomes.

Limited research exists regarding the exploration of various carrier systems used in oral B12 supplementation. This gap hinders a comprehensive understanding of how different carriers affect B12 absorption and efficacy. Further studies are needed to elucidate the optimal carrier system for maximizing B12 bioavailability and improving clinical outcomes. Expanding research in this area can enhance our knowledge and guide the development of more effective oral B12 supplements.

This study aims to compare the efficacy of sucrosomial and non-sucrosomial carrier systems in delivering vitamin B12 orally. By assessing absorption kinetics and clinical outcomes, we seek to determine the superiority of the sucrosomial carrier system in enhancing B12 bioavailability. Insights from this research could help in the development of more effective oral B12 supplements.

Enrollment: 70 patients

Sex: All

Ages: 18 to 45 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Healthy adults, male or female, Aged 18 to 45 years
• Stable medical conditions, including stable cardiovascular, renal, hepatic, and hematological status,
• Normal vital signs Body mass index (BMI) 18-30 kg/m2
• Suboptimal vitamin B12 status, defined as serum B12 levels within the lower end of the reference range established by the laboratory conducting the assay.
• Willing and able to provide informed written consent.
• Able to comply with study procedures and follow-up visits as outlined in the protocol.

Exclusion criteria

• Known hypersensitivity or allergy to vitamin B12 or any of its components
• Known history of cobalt allergy or sensitivity.
• Severe malabsorption syndromes, including pernicious anemia or intestinal disorders affecting vitamin B12 absorption
• History of gastric bypass surgery or other procedures that significantly alter gastrointestinal anatomy or function
• Significant renal impairment (eGFR < 30 mL/min/1.73m²) or hepatic impairment
• Cancer
• Uncontrolled or significant cardiovascular disease, including recent myocardial infarction, unstable angina, or heart failure
• History of psychiatric illness or cognitive impairment that may impair their ability to comply with study procedures or provide informed consent
• Currently enrolled in another clinical trial involving investigational products or interventions.
• Pregnant or breast-feeding women
• Current use of acetaminophen, or nonsteroidal anti-inflammatory drugs, antibiotics, antacids, PPIs, multivitamins, or nutritional supplements with Vit B12
• Any other medical condition or circumstance that, in the investigator's judgment, would compromise the safety of the participant or the integrity of the study

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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70 participants in 7 patient groups

Sucrosomial® B12 (Center 1)

Experimental group

Description:

Participants will receive an oral single dose of 1000 mcg Sucrosomial® B12 supplement for 7 days.

Treatment:

Dietary Supplement: Vit B12

Dietary Supplement: Vit B12

Dietary Supplement: Vit B12

Dietary Supplement: Vit B12

Dietary Supplement: Vit B12

B-SUB® B12 (Center 1)

Active Comparator group

Description:

Participants will receive oral single dose of 1000 mcg B-SUB® B12 supplement for 7 days.

Treatment:

Dietary Supplement: Vit B12

Dietary Supplement: Vit B12

Dietary Supplement: Vit B12

Dietary Supplement: Vit B12

Dietary Supplement: Vit B12

Sucrosomial® B12 (Center 2)

Experimental group

Description:

Participants will receive an oral single dose of 1000 mcg Sucrosomial® B12 supplement for 7 days.

Treatment:

Dietary Supplement: Vit B12

Dietary Supplement: Vit B12

Dietary Supplement: Vit B12

Dietary Supplement: Vit B12

Dietary Supplement: Vit B12

Mecogen SL® B12 (Center 2)

Active Comparator group

Description:

Participants will receive an oral single dose of 1000 mcg Mecogen SL® B12 supplement for 7 days.

Treatment:

Dietary Supplement: Vit B12

Dietary Supplement: Vit B12

Dietary Supplement: Vit B12

Dietary Supplement: Vit B12

Dietary Supplement: Vit B12

Sucrosomial® B12 (Center 3)

Experimental group

Description:

Participants will receive an oral single dose of 1000 mcg Sucrosomial® B12 supplement for 7 days.

Treatment:

Dietary Supplement: Vit B12

Dietary Supplement: Vit B12

Dietary Supplement: Vit B12

Dietary Supplement: Vit B12

Dietary Supplement: Vit B12

Evermin® B12 (Center 3)

Active Comparator group

Description:

Participants will receive an oral single dose of 1000 mcg Evermin® B12 supplement for 7 days.

Treatment:

Dietary Supplement: Vit B12

Dietary Supplement: Vit B12

Dietary Supplement: Vit B12

Dietary Supplement: Vit B12

Dietary Supplement: Vit B12

Neuromax® B12 (Center 3)

Active Comparator group

Description:

Participants will receive an oral single dose of 1000 mcg Neuromax® B12 supplement for 7 days.

Treatment:

Dietary Supplement: Vit B12

Dietary Supplement: Vit B12

Dietary Supplement: Vit B12

Dietary Supplement: Vit B12

Dietary Supplement: Vit B12