NCT05292066

Brief Summary

Background Diabetic neuropathy is a widespread, debilitating condition and its management needs a significant cost. Around, 50% of diabetes mellitus (DM) patients suffer from Diabetic Peripheral Neuropathic Pain (DPNP). According to the reported data, specific anticonvulsants and antidepressants are effective for coping diabetic peripheral neuropathy. Two drugs, duloxetine and pregabalin, are officially permitted by the Food and Drug Administration (FDA) for the management of DPNP. Methodology A Prospective Randomized Controlled Trial (RCT) trial for 12 weeks will be carried out on 126 volunteer DPNP patients with age between 18- to 70-year-old and participants was selected through consecutive sampling and will be evaluated on the basis of duration of the disease, pain scales and the data provided by particular consultants. The parameters will be measured weekly and final parameters will be measured after 12 weeks. Statistical analysis will be carried out by SPSS, ANOVA, and t-test. Expected outcomes: From this experimental design, investigators are expecting improvement in the management of DPNP and Duloxetine is more effective for treating patients suffering from DPNP.

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
126

participants targeted

Target at P75+ for early_phase_1

Timeline
Completed

Started Oct 2022

Shorter than P25 for early_phase_1

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

February 9, 2022

Completed
1 month until next milestone

First Posted

Study publicly available on registry

March 23, 2022

Completed
6 months until next milestone

Study Start

First participant enrolled

October 1, 2022

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2022

Completed
Last Updated

August 4, 2022

Status Verified

August 1, 2022

Enrollment Period

2 months

First QC Date

February 9, 2022

Last Update Submit

August 3, 2022

Conditions

Outcome Measures

Primary Outcomes (2)

  • visual analogue scale score.

    Evaluation perceived pain intensity by patients

    3 months.

  • Toronto clinical neuropathy score

    Final diagnosis and staging of diabetic peripheral neuropathy of patients. Diabetes severity will be graded according to the results of this score. Out of a total score of 19, the grades are defined as follows: 0-5 = no neuropathy; 6-8 = mild neuropathy; 9-11 = moderate neuropathy; ≥ 12 = severe neuropathy.

    3 months.

Study Arms (2)

Duloxetine Group

OTHER

Oral intake Duloxetine tablets, 30mg/day for 12 weeks.

Drug: Duloxetine Tablets,

Pregabalin Group

OTHER

Oral intake of Pregabalin tablets, 75 mg/day for 12 weeks.

Drug: Pregabalin Tablets

Interventions

Duloxetine is an FDA-approved medication used to treat the major depressive disorder, generalized anxiety disorder, fibromyalgia, and neuropathic pain. It is taken by mouth. It is a serotonin-norepinephrine reuptake inhibitor. Pregabalin is an FDA approved, sold under the brand name Lyrica. it is an anticonvulsant and anxiolytic medication used to treat epilepsy, neuropathic pain, fibromyalgia, restless leg syndrome,

Also known as: Cymbalta,
Duloxetine Group

Pregabalin is an FDA approved, it is an anticonvulsant and anxiolytic medication used to treat epilepsy, neuropathic pain, fibromyalgia, restless leg syndrome,

Also known as: Lyrica.
Pregabalin Group

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Both male and female patient with age more than 18 years to 70 years.
  • Patients diagnosed with peripheral neuropathic pain affected by diabetes from at least 24 weeks and all other causes off peripheral painful neuropathy has been already excluded by their primary physician.
  • Patients who may agree with written inform consent.
  • HbA1c ≥ 6.5% and ≤ 10%

You may not qualify if:

  • Patients with severe hepatic disease, cardiovascular diseases, Epilepsy and respiratory diseases or any other medical or psychiatric disorders.
  • Patients with uncontrolled hypertension.
  • DM patients with foot ulcers, foot injuries or any other painful lesion.
  • Patients who are already using or used duloxetine or pregabalin in last three month.
  • Pregnant women or those who may not agree to use medical recommended birth control procedures during the treatment.
  • Patient with thyroid known disorders or diagnosed during the screening
  • Vitamin B12 deficient patient
  • Chronic alcoholics
  • DKD, with eGFR \< 30ml/min
  • Hypertriglycedmia (TGs more then 250mg/dl)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Interventions

Duloxetine HydrochloridePregabalin

Intervention Hierarchy (Ancestors)

ThiophenesSulfur CompoundsOrganic ChemicalsHeterocyclic Compounds, 1-RingHeterocyclic Compoundsgamma-Aminobutyric AcidAminobutyratesButyratesAcids, AcyclicCarboxylic AcidsAmino AcidsAmino Acids, Peptides, and Proteins

Central Study Contacts

Dr. Fahim Ullah, MBBS, FCPS

CONTACT

Dr. Naseer Ahmed, MBBS, Phd

CONTACT

Study Design

Study Type
interventional
Phase
early phase 1
Allocation
RANDOMIZED
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Fahim Ullah, Assistant professor.

Study Record Dates

First Submitted

February 9, 2022

First Posted

March 23, 2022

Study Start

October 1, 2022

Primary Completion

December 1, 2022

Study Completion

December 1, 2022

Last Updated

August 4, 2022

Record last verified: 2022-08