Phase IV Trial to Evaluate Efficacy of Alpha-Lipoic Acid in Treating Symptomatic Diabetic Polyneu… (NCT05813496) | Clinical Trial Compass
CompletedPhase 4
Phase IV Trial to Evaluate Efficacy of Alpha-Lipoic Acid in Treating Symptomatic Diabetic Polyneuropathy in Egypt
Egypt430 participantsStarted 2022-10-26
Plain-language summary
The purpose of the study is to find out whether ALA is effective and safe for treating Egyptian diabetic patients with symptomatic polyneuropathy. The ADA stated that despite the exploration of several pharmacological therapies for DPN management, substantial evidence on medicines that modify the natural history of DPN is still absent. This is a multicenter, interventional, two-arm, parallel-group, randomized, double-blinded, placebo-controlled, phase IV trial. Patients will be administered either one tablet of placebo or one tablet containing 600 mg of ALA twice a day for 24 weeks, depending on the randomization process.
Who can participate
Age range18 Years – 64 Years
SexALL
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Inclusion criteria
✓. Signed informed consent form.
✓. Male or female patients aged ≥ 18 and ≤ 64 years.
✓. Type 2 diabetes mellitus (T2DM) patients as defined according to the American Diabetes Association (ADA) criteria with diabetes duration ≥ 1 year.
✓. Hemoglobin A1c (HbA1c) ≤10%.
✓. Patients with symptomatic distal symmetrical polyneuropathy (DSPN) attributable to diabetes; after a thorough evaluation for other causes of neuropathy, with evidence of polyneuropathy based on abnormal peripheral nerve function according to clinical and electrophysiological examinations.
✓. Patients treated with oral antidiabetic drugs and/or insulin.
✓. Patients with the treatment regimen, weight, diet, and physical activity level relatively acceptable as judged by the investigator within 1 month prior to study entry.
✓. Patients with working telephone numbers.
Exclusion criteria
✕
What they're measuring
1
To compare the relative change in NCS parameters between the study arms
. Female patients with child-bearing potential not using effective birth control methods including oral contraceptives with a stable regimen for at least 2 months, depo-medroxyprogesterone, a barrier method alone (diaphragm, condoms, or contraceptive sponge with spermicidals), or an intrauterine device that has been in place for at least 2 months.
✕. Patients with neuropathies other than DSPN; myopathy and other neurologic diseases that might interfere with the assessment of the severity of DSPN.
✕. Patients with a recent history of drug or alcohol abuse; within 1 year prior to study entry.
✕. Patients with a history of peripheral vascular disease and/or foot ulcers.
✕. Patients with a history of organ transplantation.
✕. Patients with a history of cardiovascular, pulmonary, gastrointestinal, hematologic, or endocrine disease, or malignancy that cause neuropathic pain.
✕. Hospitalization due to hypoglycemia or ketoacidosis within 3 months prior to study entry.
✕. Patients with significant hepatic or renal disease \[Serum creatinine \> 1.8 mg/dL for men and \> 1.6 mg/dL for women, Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) ≥ 3 times upper limit of normal (ULN)\].