Status:

COMPLETED

Botulinum Toxin for Cramps in Diabetic Neuropathy

Lead Sponsor:

Presidio Ospedaliero Garibaldi-Centro

Conditions:

Muscle Cramps Aggravated

Diabetes Mellitus

Eligibility:

All Genders

45-75 years

Phase:

PHASE2

Brief Summary

Objective: previous studies suggest that botulinum toxin A (BoNT/A) can reduce muscle hyperactivity. Research Design and Methods: a single-center, double-blind and placebo-controlled study investigat...

Detailed Description

This was a single-center, randomized, double-blind, placebo-controlled prospective study. A consecutive series of 303 out-patients with type 2 diabetes was screened for muscle cramps.Patients were as...

Eligibility Criteria

Inclusion

  • accepting to participate to the study;
  • age ≥ 45 and ≤ 75 years ;
  • diabetes duration \> 5 years and diabetic distal symmetric neuropathy present;
  • stable glycemic control with last HbA1c value \<9.0% (or 75 mmol/mol);
  • cramps present at rest in either calf or foot muscles or both for at least 6 months;
  • occurrence of cramps at least 3 times a week in the previous three months;
  • previous unsuccessful or poorly tolerated pharmacological treatment with at least two of the following drugs: carbamazepine, quinine, phenytoin, magnesium supplements, and benzodiazepines.

Exclusion

  • the presence of other neurological diseases and of nephropathy, macro-angiopathy, cirrhosis, and lumbar disc diseases or the inability to give informed consent because of cognitive impairment.
  • Patients previously treated with BoNT/A for any reason were also excluded

Key Trial Info

Start Date :

September 27 2014

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 3 2017

Estimated Enrollment :

50 Patients enrolled

Trial Details

Trial ID

NCT03238898

Start Date

September 27 2014

End Date

May 3 2017

Last Update

August 3 2017

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