Diabetic Polyneuropathy
Conditions
Keywords
capsaicin, placebo, trial, diabetic polyneuropathy, neuropathic pain
Brief summary
Painful diabetic neuropathy is the most common cause of neuropathic pain. 0.075% topical capsaicin has been used to treat the pain, but there is no data in lower concentration. This is the efficacy and safety of 0.025% topical capsaicin in treatment of painful diabetic polyneuropathy.
Detailed description
Patient is randomized to receive either 0.025% topical capsaicin or vehicle control (placebo) for 8 weeks. After one week wash-out period, patients will be switched to the other group for 8 weeks. Outcome will be assessed by visual analog scale, neuropathic pain scale, SF-MPQ, SF-36. Safety and tolerability will be recorded.
Interventions
0.025% topical capsaicin applied 4 times per day for 8 weeks
vehicle gel, applied 4 times per day for 8 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* History of type 2 Diabetes mellitus * Peripheral neuropathy * Stabilized on pain medication for at least one month * No previous invasive intervention for pain relief
Exclusion criteria
* Local wound or skin abnormality in the applicable area * Allergic to capsaicin * Refuse to participate or give consent * Has other significant disease or receive medication that may worsen neuropathy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain relief from pain score reduction, using visual analog scale (VAS) | 8 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Overall clinical improvement, measured by Clinician Global Impression of Change(CGIC) | 8 weeks |
Countries
Thailand