Effect of C-Peptide on Diabetic Peripheral Neuropathy
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Purpose
The aim of the study is to investigate the effect of C-peptide administration on nerve function in patients with type 1 diabetes and peripheral sensory neuropathy.
| Condition | Intervention | Phase |
|---|---|---|
|
Diabetes Mellitus, Type 1 Diabetic Polyneuropathy |
Drug: C-peptide |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double-Blind Primary Purpose: Treatment |
| Official Title: | Effect of C-Peptide on Diabetic Peripheral Neuropathy, a 6 Months Randomized Double-Blind, Placebo Controlled, Dose-Finding, Multicenter Study, With Parallel Groups |
- Change in sensory nerve conduction velocity from baseline to 6 mo of treatment
- - Change in quantitative sensory tests and
- neurological impairment assessment from baseline to 6 mo of treatment
- - Safety and tolerability of C-peptide
| Estimated Enrollment: | 180 |
| Study Start Date: | October 2003 |
| Estimated Study Completion Date: | December 2004 |
It has been observed that C-peptide administration results in an activation of renal tubular and sciatic endoneural Na/K-ATPase of the rat and stimulation of endothelial nitric oxide synthase. The hypothesis is that C-peptide administration may improve peripheral nerve dysfunction in diabetic neuropathy by increasing nerve blood flow and Na/K-ATPase activity. The purpose of the trial is to investigate the effect of C-peptide administration on diabetic peripheral sensory neuropathy in patients with type 1 diabetes and diabetic neuropathy in the lower extremities.
Eligibility| Ages Eligible for Study: | 18 Years to 55 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Subjects who have a duration of type 1 diabetes of more than 5 yrs
- Subjects who are C-peptide deficient
- Subjects who have diabetic distal symmetric neuropathy, according to the criteria defined at the San Antonio Conference on Diabetic Neuropathy 1988
- Subjects who have measurable action potential in the sural nerves
- Subjects who have reduced nerve conduction velocity in the sural nerves
Exclusion Criteria:
- Subjects who have neuropathy or signs of nerve dysfunction which may be a consequence of factors other than type 1 diabetes
- Subjects who have concomitant medication that may interfere with the peripheral nerve function or measurement thereof
- Subjects who are transplanted (islet cell, kidney or pancreas)
Contacts and Locations| Sweden | |
| Karolinska University Hospital Solna | |
| Stockholm, Sweden, SE-171 76 | |
| Principal Investigator: | Lisa Juntti-Berggren, MD, PhD | Karolinska University Hospital Solna, Stockholm, Sweden |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00278980 History of Changes |
| Other Study ID Numbers: | CPSp201 |
| Study First Received: | January 12, 2006 |
| Last Updated: | January 12, 2006 |
| Health Authority: | Sweden: Medical Products Agency |
Additional relevant MeSH terms:
|
Diabetes Mellitus Diabetes Mellitus, Type 1 Peripheral Nervous System Diseases Polyneuropathies Diabetic Neuropathies Glucose Metabolism Disorders Metabolic Diseases |
Endocrine System Diseases Autoimmune Diseases Immune System Diseases Neuromuscular Diseases Nervous System Diseases Diabetes Complications |
ClinicalTrials.gov processed this record on May 23, 2013