Cochrane · systematic review · CD012967

Alpha‐lipoic acid for diabetic peripheral neuropathy

Baicus, C, Purcarea, A, von Elm, E, et al. · Cochrane Database of Systematic Reviews · 2024 · Cochrane Library

NeuromuscularAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
5
current version
GRADE rated
3
No studies
2
Included studies
NR
No studies 2 · 40%Ungraded 0 · 0%Very low 0 · 0%Low 1 · 20%Moderate 2 · 40%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Alpha‐lipoic acid compared to placebo for diabetic peripheral neuropathy

Population: people with DPN
5 questions
OutcomeEffectEvidenceStatus / GRADE
Change in neuropathy symptoms
Alpha‐lipoic acid vs placebo
no estimate extracted1 study · 330 participantsModerate
Downgraded: risk of bias
Change in impairment
Alpha‐lipoic acid vs placebo
no estimate extracted1 study · 245 participantsLow
Downgraded: risk of bias, imprecision
Change in any validated quality of life score
Alpha‐lipoic acid vs placebo
no estimate extractedNRNo studies
Complications of DPN
Alpha‐lipoic acid vs placebo
no estimate extractedNRNo studies
Adverse events leading to cessation of treatment
Alpha‐lipoic acid vs placebo
RR 1.48 [0.5, 4.35]3 studies · 1090 participantsModerate
Downgraded: risk of bias