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Clinical trial of the effects of coenzyme Q10 supplementation on glycemic control and markers of lipid profiles in diabetic hemodialysis patients

  • Nephrology - Original Paper
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30 April 2020 Concerns have been raised about integrity of the clinical trial reported in 10.1007/s11255-018-1973-z. There is an ongoing investigation by the Iranian National Committee for Ethics in Biomedical Researches. Further editorial action will be taken as appropriate once the investigation into the concerns is complete and all parties have been given an opportunity to respond in full.

Abstract

Purpose

The current study was conducted to determine the effects of coenzyme Q10 (CoQ10) supplementation on glycemic control and markers of lipid profiles risk in diabetic hemodialysis (HD) patients.

Methods

This randomized, double blind, placebo-controlled clinical trial was performed among 60 diabetic HD patients. Subjects were randomly allocated into two groups to take either 120 mg/day of CoQ10 supplements or placebo (n = 30 each group) for 12 weeks.

Results

After 12 weeks of intervention, CoQ10 supplementation, compared with the placebo, resulted in a significant decrease in serum insulin concentrations (− 2.5 ± 4.0 vs. + 2.8 ± 5.3 µIU/mL, P < 0.001), homeostasis model of assessment-estimated insulin resistance (− 0.9 ± 2.1 vs. + 1.2 ± 3.0, P = 0.002), and significant increase in the quantitative insulin sensitivity check index (+ 0.009 ± 0.01 vs. − 0.02 ± 0.05, P = 0.003). In addition, a trend toward a greater decrease in serum triglycerides (− 5 ± 53 vs. + 17 ± 44, P = 0.078) and VLDL-cholesterol levels (− 0.9 ± 10 vs. + 3 ± 9,P = 0.078) was observed in the CoQ10 group compared to the placebo group. We did not observe any significant effect of CoQ10 supplementation on fasting glucose, HbA1c and other lipid profiles compared with the placebo.

Conclusions

Overall, our study supported that CoQ10 supplementation to diabetic HD patients for 12 weeks had beneficial effects on markers of insulin metabolism, but did not affect fasting glucose, HbA1c, and lipid profiles.Clinical registration http://www.irct.ir: IRCT2016081811763N30.

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  • 30 April 2020

    Concerns have been raised about integrity of the clinical trial reported in 10.1007/s11255-018-1973-z. There is an ongoing investigation by the Iranian National Committee for Ethics in Biomedical Researches. Further editorial action will be taken as appropriate once the investigation into the concerns is complete and all parties have been given an opportunity to respond in full.

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Acknowledgements

The present study was supported by a grant from the Vice-chancellor for Research, IUMS, and Iran.

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MF, GA and ZA contributed in conception, data collection and manuscript drafting. AS and AF contributed in conception, data collection and manuscript drafting. All authors read and approved the final version of the paper.

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Correspondence to Gholamreza Askari.

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The authors declare that they have no conflicts of interest.

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Fallah, M., Askari, G., Soleimani, A. et al. Clinical trial of the effects of coenzyme Q10 supplementation on glycemic control and markers of lipid profiles in diabetic hemodialysis patients. Int Urol Nephrol 50, 2073–2079 (2018). https://doi.org/10.1007/s11255-018-1973-z

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