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Effect of C-Peptide on Diabetic Peripheral Neuropathy
This study has been completed.
Sponsored by: Creative Peptides Sweden Inc.
Information provided by: Creative Peptides Sweden Inc.
ClinicalTrials.gov Identifier: NCT00278980
  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 II

MedlinePlus related topics: Diabetes Diabetes Type 1 Peripheral Nerve Disorders
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double-Blind, Placebo Control, Parallel Assignment, Safety/Efficacy Study
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

Further study details as provided by Creative Peptides Sweden Inc.:

Primary Outcome Measures:
  • Change in sensory nerve conduction velocity from baseline to 6 mo of treatment

Secondary Outcome Measures:
  • - 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
Detailed Description:

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
Criteria

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
Please refer to this study by its ClinicalTrials.gov identifier: NCT00278980

Locations
Sweden
Karolinska University Hospital Solna
Stockholm, Sweden, SE-171 76
Sponsors and Collaborators
Creative Peptides Sweden Inc.
Investigators
Principal Investigator: Lisa Juntti-Berggren, MD, PhD Karolinska University Hospital Solna, Stockholm, Sweden
  More Information

Study ID Numbers: CPSp201
Study First Received: January 12, 2006
Last Updated: January 12, 2006
ClinicalTrials.gov Identifier: NCT00278980  
Health Authority: Sweden: Medical Products Agency

Study placed in the following topic categories:
Metabolic Diseases
Autoimmune Diseases
Diabetic Neuropathies
Polyneuropathies
Diabetes Mellitus
Endocrine System Diseases
Signs and Symptoms
Diabetes Mellitus, Type 1
Neuromuscular Diseases
Peripheral Nervous System Diseases
Endocrinopathy
Glucose Metabolism Disorders
Metabolic disorder
Diabetes Complications

Additional relevant MeSH terms:
Immune System Diseases
Nervous System Diseases

ClinicalTrials.gov processed this record on January 16, 2009