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Pregabalin and Alpha-lipoic Acid Combination Versus Each Monotherapy in Patients With Diabetic Peripheral Neuropathy

Efficacy and Safety of Pregabalin and Alpha-lipoic Acid Combination Versus Each Monotherapy in Patients With Diabetic Peripheral Neuropathy: a Randomized, Parallel, Open-label, Multicenter, Phase IV Clinical Trial (OPTIMUM Trial)

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04846673
Acronym
OPTIMUM
Enrollment
151
Registered
2021-04-15
Start date
2021-05-14
Completion date
2022-11-30
Last updated
2025-04-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Diabetic Peripheral Neuropathy

Brief summary

This study is a randomized, parallel, open-label, multicenter, phase IV clinical trial to assess the efficacy and safety of pregabalin and alpha-lipoic acid combination compared with each monotherapy in patients with diabetic peripheral neuropathy for 12 weeks.

Interventions

DRUGPregabalin 150mg + Alpha-lipoic acid 480mg

Pregabalin qd + alpha-lipoic acid qd

DRUGPregabalin 150mg

pregabalin qd

DRUGAlpha-Lipoic Acid 480mg

alpha-lipoic acid qd

Sponsors

Yuhan Corporation
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
19 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

* aged 19 to 75 * type 2 diabetes mellitus with HbA1c (Hemoglobin A1c) ≤ 10 % * peripheral (eg. hands, feet) neuropathic pain (eg. abnormal sensations, numbness, pain, etc.) within 3 months (12 weeks) * diagnosed with diabetic peripheral neuropathy (DPN) * VAS pain score ≥ 40 mm * written informed consent

Exclusion criteria

* brittle diabetes mellitus * ALT (Alanine Transaminase), AST (Aspartate Transaminase), CPK (Creatine Phosphokinase) level ≥ 3 times the upper limit of normal (UNL) or active liver disease * severe renal impairment (eGFR (estimated glomerular filtration rate) \< 60 mL/min/ 1.73m2) * treated with antiepileptic drugs within 1 week at randomization * other nervous system or neuropathic disorders that may affect pain evaluation * oral drug administration is not possible, or hypersensitive or allergic to pregabalin, r-thioctic acid tromethamine, thioctic acid, and other excipients * pregnant, lactating, or childbearing potential * alcoholics, drug abusers, and patients who are difficult to participate in clinical trials due to psychological and emotional problems * have participated in other clinical trials within 30 days at screening

Design outcomes

Primary

MeasureTime frame
visual analogue scale (VAS)12 weeks

Secondary

MeasureTime frame
visual analogue scale (VAS) reduction rate of more than 30%6 weeks, 12 weeks
visual analogue scale (VAS) reduction rate of more than 50%6 weeks, 12 weeks
brief pain inventory Korean version, BPI-K6 weeks, 12 weeks
visual analogue scale (VAS)6 weeks
pain detect questionnaire, PD-Q6 weeks, 12 weeks
3 level version of Euro-Qol-5 dimensions, EQ-5D-3L6 weeks, 12 weeks
total symptom score, TSS6 weeks, 12 weeks

Countries

South Korea

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: May 1, 2026