Levagen+ Efficacy Study on Diabetic Peripheral Neuropathy
A Randomized Placebo Controlled Trial Assessing the Efficacy of Levagen+ for Treating Symptoms of Diabetic Peripheral Neuropathy
The goal of this clinical trial is to assess the efficacy of Levagen+ supplementation for the symptoms of diabetic peripheral neuropathy (DPN) in patients with DPN.
Participants will have remote visits and attend a local pathology centre for blood draws. They will take the study product for 12 weeks, from baseline to week 12 they will have remote visits every 3 weeks.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: Amanda Rao
- Phone Number: +61(0)731024486
- Email: research@rdcglobal.com.au
Study Locations
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Queensland
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Fortitude Valley, Queensland, Australia, 4006
- Recruiting
- RDC Clinical
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Principal Investigator:
- Amanda Rao
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Contact:
- Amanda Rao
- Phone Number: +61 (07) 3102 4486
- Email: research@rdcglobal.com.au
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Adults aged 18-75 years.
- Using prescribed glucose-lowering medications, including oral medications (stable dose for 3 months or more) and/or insulin for diabetes (type 1 or 2).
- Scoring12 or more on the Self-reported Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS).
- Able to provide informed consent.
- Agree not to change current diet and/or exercise frequency or intensity during entire enrolment period.
- Agree to not participate in another clinical trial during the study period.
- Able to attend an ACL collection centre.
Exclusion Criteria:
- Peripheral neuropathy due to causes other than diabetes mellitus (e.g. nutritional deficiencies; hereditary sensory neuropathy; paraneoplastic diseases; advanced liver disease; kidney disease; hypothyroidism; prolonged phenytoin, warfarin or immunosuppressive drug use; active infection [HIV, Lyme disease, Epstein-Barr virus, Hepatitis C, Shingles, Leprosy]; autoimmune disease [Sjogren syndrome, Lupus, Rheumatoid arthritis, Guillain-Barre syndrome]; trauma / injury; toxins [heavy metals, chemicals]; antibiotics; or inflammatory conditions [vasculitis]).
- Serious illness e.g., paraneoplastic diseases, advanced liver disease, kidney disease, hypothyroidism, mood disorders such as depression, anxiety or bipolar disorder, neurological disorders such as MS, or heart conditions, or peripheral vascular disease
- Unstable illness e.g., diabetes and thyroid gland dysfunction, hypercholesterolemia
- Current malignancy (excluding Basal Cell Carcinoma) or chemotherapy or radiotherapy treatment for malignancy within the previous 2 years.
- Currently taking Coumadin (Warfarin), Heparin, Dalteparin, Enoxaparin or other anticoagulation therapy including low dose aspirin
- Herbal medicines for pain relief including, but not limited to, medicinal cannabis, willow bark (Salix alba), Boswellia (Boswellia serrata) or turmeric/curcumin (Curcuma longa).
- Active smokers, nicotine use or drug (prescription or illegal substances) abuse.
- Chronic past and/or current alcohol use (>14 alcoholic drinks per week)
- Females attempting to conceive, pregnant or lactating
- Allergic, sensitive or intolerant to any of the ingredients in active or placebo formula.
- Difficulty swallowing capsules.
- Participants who are currently participating in any other clinical trial or who have participated in any other clinical trial during the past 1 month.
- Any condition which in the opinion of the investigator makes the participant unsuitable for inclusion.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Levagen+
Take 1 capsule twice daily with water after food. Each capsule will contain: A175mg containing 150 mg of palmitoylethanolamide (PEA). Total daily dose of 350mg Levagen+ containing 300 mg PEA. |
Participants will take 1 capsule twice daily with water after food.
Each capsule will contain: A175mg containing 150 mg of palmitoylethanolamide (PEA).
Total daily dose of 350mg Levagen+ containing 300 mg PEA
Other Names:
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Placebo Comparator: Placebo
Take 1 capsule twice daily with water after food.
Each capsule will contain microcrystalline cellulose [MCC].
|
Participants will take 1 capsule twice daily with water after food.
Each capsule will contain microcrystalline cellulose [MCC]
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change from baseline to the end of the study period in overall severity of neuropathic pain
Time Frame: Baseline to week 12
|
Change from baseline to the end of the study period in overall severity of neuropathic pain, as assessed by the Brief Pain Inventory Short Form for Diabetic Peripheral Neuropathy (BPI-DPN). This is a self-reported scale, higher scores indicate greater pain and interference. |
Baseline to week 12
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change from baseline to the end of the study period in Neuropathic Pain Symptom Inventory
Time Frame: Baseline to week 12
|
Change from baseline to the end of the study period in Neuropathic Pain Symptom Inventory (NPSI).
This is a self-administered questionnaire used to evaluate neuropathic pain intensity across 5 categories, namely "superficial spontaneous pain", "deep spontaneous pain", "paroxysmal pain", "evoked pain", and "dysesthesia / paraesthesia".
There are 10 pain descriptors and 2 items related to abnormal sensations.
The scale ranges from 0 (no pain at all) to 10 (worst pain imaginable).
The total scores of all items are combined to find the total pain intensity
|
Baseline to week 12
|
|
Change from baseline to the end of the study period in Safety via Adverse Event reporting
Time Frame: Baseline to week 12
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Change from baseline to the end of the study period in safety via Adverse Event reporting and incident rate ratio between placebo and Levagen+
|
Baseline to week 12
|
|
Change from baseline to the end of the study period in Safety Markers (FBC)
Time Frame: Baseline to week 12
|
Change from baseline to the end of the study period in safety Markers (FBC - Full Blood Count) via blood test.
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Baseline to week 12
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Change from baseline to the end of the study period in Safety Markers (E/LFT)
Time Frame: Baseline to week 12
|
Change from baseline to the end of the study period in safety Markers (E/LFT) via blood test.
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Baseline to week 12
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Change from baseline to the end of the study period in Safety (Vitals - BP)
Time Frame: Baseline to week 12
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Change from baseline to the end of the study period in Safety Markers vital signs (blood pressure)
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Baseline to week 12
|
|
Change from baseline to the end of the study period in Safety (Vitals - heart rate)
Time Frame: Baseline to week 12
|
Change from baseline to the end of the study period in Safety Markers vital signs (heart rate)
|
Baseline to week 12
|
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Change from baseline to the end of the study period in Medical Outcomes Study - Sleep Scale (MOS-Sleep)
Time Frame: Baseline to week 12
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Change from baseline to the end of the study period in Medical Outcomes Study - Sleep Scale (MOS-Sleep).
This is a self-administered 12-item questionnaire that includes a Sleep Problem Index and evaluates 6 dimensions of sleep difficulty, namely: "sleep disturbance", "sleep adequacy", somnolence", "quantity of sleep/optimal sleep", "awakening short of breath or with headache", and "occurrence of snoring".
The Sleep Problem Index summarises information across 9 items and is rated on a scale of 1 (all of the time) to 6 (none of the time).
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Baseline to week 12
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Change from baseline to the end of the study period in Depression Anxiety and Stress Scale (DASS-21)
Time Frame: Baseline to week 12
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Change from baseline to the end of the study period in Depression Anxiety and Stress Scale (DASS-21).
The DASS-21 is a self-reported questionnaire derived from the original 42-item DASS and is a quantitative measure of distress.
It consists of 3 subscales: the depression subscale (DASS-D), anxiety subscale (DASS-A) and stress subscale (DASS-S).
Each subscale contains 7 items which are rated on a 4-point severity/frequency scale.
The scores for each subscale are calculated by summing the scores for the relevant items.
Higher scores indicate greater distress.
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Baseline to week 12
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Change from baseline to the end of the study period in Glycaemic control (HbA1c)
Time Frame: Baseline to week 12
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Change from baseline to the end of the study period in Glycaemic control (HbA1c)
|
Baseline to week 12
|
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Change from baseline to the end of the study period in Glycaemic control (fasting blood glucose)
Time Frame: Baseline to week 12
|
Change from baseline to the end of the study period in Glycaemic control (fasting blood glucose)
|
Baseline to week 12
|
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Change from baseline to the end of the study period in Anthropometry (weight)
Time Frame: Baseline to week 12
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Change from baseline to the end of the study period in Anthropometry (weight).
|
Baseline to week 12
|
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Change from baseline to the end of the study period in Anthropometry (height)
Time Frame: Baseline to week 12
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Change from baseline to the end of the study period in Anthropometry (height).
|
Baseline to week 12
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Change from baseline to the end of the study period in Anthropometry (BMI)
Time Frame: Baseline to week 12
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Change from baseline to the end of the study period in Anthropometry (BMI).
|
Baseline to week 12
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Change from baseline to the end of the study period in use of rescue medication for pain
Time Frame: Baseline to week 12
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Change from baseline to the end of the study period in use of rescue medication for pain.
Participants will be allowed to use a rescue medication as needed, with use documented via participant diaries including date, time, dosage, reason for use.
Data will be analysed based on total usage, frequency, and the proportion of participants requiring rescue medication.
|
Baseline to week 12
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Ramasamy Venkatesh, Gencor Pacific
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Endocrine System Diseases
- Nervous System Diseases
- Neuromuscular Diseases
- Diabetes Mellitus
- Diabetes Complications
- Peripheral Nervous System Diseases
- Diabetic Neuropathies
- Anti-Infective Agents
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Anti-Inflammatory Agents
- Peripheral Nervous System Agents
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Antirheumatic Agents
- Sensory System Agents
- Antiviral Agents
- Analgesics, Non-Narcotic
- Analgesics
- Neurotransmitter Agents
- Anti-Inflammatory Agents, Non-Steroidal
- Cannabinoid Receptor Agonists
- Cannabinoid Receptor Modulators
- Palmidrol
Other Study ID Numbers
Other Study ID Numbers
- NEULEV
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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