Status:

RECRUITING

Evaluating a Nitric Oxide Generator, Nebivolol as a Disease Modifier in Patients With Diabetic Neuropathy.

Lead Sponsor:

St. John's Research Institute

Conditions:

Diabetic Neuropathy Peripheral

Eligibility:

All Genders

Up to 18 years

Phase:

PHASE2

PHASE3

Brief Summary

The goal of this clinical trial is to test in patients with diabetic neuropathy, * Can Nevibolol at a dose of 2.5 mg- 10 mg compared with standard pain modulating treatment conserve the mean nerve ac...

Detailed Description

A 3 centre, 3-arm, parallel group, open label, stratified randomized controlled trial design is used with a 1:1:1 allocation ratio and blinding of outcome assessors. Primary Objectives: 1. To evalua...

Eligibility Criteria

Inclusion

  • Patients aged \>= 18 years diagnosed with diabetes mellitus, of a duration of \<= 5 years since their diagnosis
  • HbA1c \< 9 at enrolment with stable glycemic control for the last three months
  • Neuropathy meeting the following 'Toronto criteria' (8) - (a) abnormal nerve conduction study\* based on age-matched controls at the site and - (b) a symptom or sign of neuropathy defined as one of either a diabetic neuropathy symptom score of \>= 1/4 Or neuropathy disability score of \>= 3/10 (9).
  • Abnormal NCS defined as one or more abnormal Z score in two or more nerves, based on sural nerve amplitude (antidromic stimulation), tibial and peroneal NCV, tibial amplitude, increased F-wave minimum latency (F-min), and absent F-waves (only considered abnormal in tibial nerve)

Exclusion

  • Absolute contra-indications for nebivolol - sick-sinus syndrome, sinus bradycardia with a resting heart rate \< 50/ minute, second or third degree AV-nodal blocks fascicular blocks, severe asthma or COPD and acute heart failure
  • Patients with a compelling indication for a non-dihydropyridine calcium channel blocker (CCB)
  • Patients with compelling need for another beta-blocker in the judgement of the treating team
  • Patients who have undergone major amputations of the lower limbs or are posted for the same.

Key Trial Info

Start Date :

November 15 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

March 30 2026

Estimated Enrollment :

120 Patients enrolled

Trial Details

Trial ID

NCT06201611

Start Date

November 15 2024

End Date

March 30 2026

Last Update

February 4 2025

Active Locations (2)

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Page 1 of 1 (2 locations)

1

St John's Medical College Hospital

Bangalore, Karnataka, India, 560034

2

St John's Research Institute

Bangalore, Karntakaka, India, 560034