Skip to main content
. 2023 May 17;21(5):e08006. doi: 10.2903/j.efsa.2023.8006

Reference

Country

Duration

Funding

Design Subject characteristics at baseline Intervention Outcome ascertainment Results

Berger et al. (1992)

USA

Subject 1: 7 months

Subject 2: 4.5 months

Subject 3: 14 months (QST results became abnormal)

Subject 4: 3.5 months

Subject 5: 1.5 months

Note: Pyridoxine discontinued at first evidence of sensory disturbance

NR

CT

Inclusion/exclusion criteria:

NR (cases neurologically normal, except one with poliomyelitis as a child, but not described as in‐ or exclusion criteria)

N = 5

Sex (% women): 20

Age (range): 29–55

Serum pyridoxal phosphate (PLP), nmol/L (after 1 month of intervention): Subject 1: 920

Subject 2: 280

Subject 3: NR

Subject 4: 690

Subject 5: NR

Vitamin B6 (pyridoxine) dose (mg/day)

Subject 1: 1,000

Subject 2: 1,000

Subject 3: 1,000

Subject 4: 3,000

Subject 5: 3,000

Vitamin B6 (mg/kg bw):

Subject 1: 12

Subject 2: 19.6

Subject 3: 12

Subject 4: 42.8

Subject 5: 56.9

Background nutrient intake: NR

Compliance: NR

Time to onset of clinical symptoms (reflected in duration of exposure)

Quantitative sensory threshold (QST) index

Method:

Clinical neurologic examinations including testing of deep tendon reflexes appreciation to pin, cold, and vibration, motor strength, and gait

Physiologic evaluations including

1) Quantitative measurement of the sural sensory potential amplitude and conduction velocity

2) Quantitative vibration thresholds

3) Quantitative thermal thresholds

Symptoms progressed with increasing PLP concentration and after PLP returned to normal

Serum PLP (nM)

*Subjects 3 + 5: NR

Subject 1

Month 1: 920

Month 4: 690

Month 7: 680

Month 8: 10

Subject 2

Month 1: 280

Month 5: 280

Month 5.5: 50

Month 6: 20

Subject 3 did not experience symptoms

Subject 4:

Month 1: 690

Month 3: 750

Month 5: 0

Thermal and vibrational QST post PLP

Subject: 1: returned to normal after 1 month

Subject 2: returned to normal over 1 month+ vibrational QST remained elevated

Subject 4: continued to worsen over 2.5 months

Subject 5: continued to worsen over 1 month

Time until serum PLP levels returned to normal after discontinuation (week):

Subject 1: 4

Subject 2: 2

Subject 4: 6

bw: body weight; CT: clinical trial; d: day; NR: not reported; PLP: pyroxidal phosphate; QST: quantitative sensory threshold; USA: United States of America; wk: week.