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CTRI Number  CTRI/2026/03/105259 [Registered on: 03/03/2026] Trial Registered Prospectively
Last Modified On: 02/03/2026
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   A study to find whether Nerve damage in the hands and feet is related to heart nerve problems in people with Type 2 Diabetes  
Scientific Title of Study   A Study of the correlation between Diabetic Peripheral Neuropathy and Cardiac Autonomic Neuropathy in patients with Type 2 Diabetes Mellitus  
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Kuchkar Snehal Sanjay 
Designation  Post Graduate General Medicine 
Affiliation  Vinayaka Missions Kirupananda Variyar Medical College and Hospital 
Address  Department of General Medicine, Vinayaka Missions Kirupananda Variyar Medical College and Hospital Salem

Salem
TAMIL NADU
636308
India 
Phone  09420395199  
Fax    
Email  snehalkuchkar@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr S Moogaambiga 
Designation  Professor  
Affiliation  Vinayaka Missions Kirupananda Variyar Medical College and Hospital 
Address  Department of General Medicine, Vinayaka Missions Kirupananda Variyar Medical College and Hospital Salem

Salem
TAMIL NADU
636308
India 
Phone  9842459677  
Fax    
Email  mooks.stanlean@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Kuchkar Snehal Sanjay 
Designation  Post Graduate General Medicine 
Affiliation  Vinayaka Missions Kirupananda Variyar Medical College and Hospital 
Address  Department of General Medicine, Vinayaka Missions Kirupananda Variyar Medical College and Hospital Salem

Salem
TAMIL NADU
636308
India 
Phone  9420395199  
Fax    
Email  snehalkuchkar@gmail.com  
 
Source of Monetary or Material Support  
Vinayaka Mission Kirupananda Variyar Medical College and Hospital Salem Tamilnadu 636308 
 
Primary Sponsor  
Name  Dr Kuchkar Snehal Sanjay  
Address  Vinayaka Missions KIrupananda Variyar Medical College and Hospital Salem Tamilnadu 636308 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Kuchkar Snehal Sanjay  Vinayaka Missions Kirupananda Variyar Medical College and Hospital Salem  Department of General Medicine, Vinayaka Missions Kirupananda Variyar Medical College and Hospital Salem
Salem
TAMIL NADU 
09420395199

snehalkuchkar@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee Vinayaka Missions Kirupananda Variyar Medical College and Hospital Salem  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: E084||Diabetes mellitus due to underlying condition with neurological complications,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients aged more than 30 years diagnosed with type 2 diabetes mellitus according to ADA
criteria
Duration of diabetes equal to or more than 5 years
Availability of recent baseline labs within 3 months including HbA1c and serum
creatinine
Patients who provide written informed consent to participate in the study
Patients who are able to undergo detailed neurological and cardiac autonomic function
assessments 
 
ExclusionCriteria 
Details  Patients with type 1 diabetes mellitus
History of coronary artery disease congestive heart failure or significant valvular
heart disease
Known neurological disorders unrelated to diabetes eg stroke multiple sclerosis
Parkinsons disease
Patients with severe renal impairment eg eGFR less than 30 mLmin1.73 m²
Patients with severe hepatic dysfunction
Presence of chronic alcohol use which can cause independent neuropathy Patients on
medications known to affect autonomic function eg beta blockers certain
antidepressants
Active malignancy or current chemotherapy known to cause neuropathy eg
platinum agents taxanes vinca alkaloids within the past 6 to 12 months
Known hereditary neuropathy eg Charcot Marie Tooth or family history
suggesting inherited neuropathy.
Patients with history of chronic occupational or toxic exposure known to cause
peripheral neuropathy eg heavy metals such as lead arsenic mercury
Patients with Vitamin B12 deficiency
Pregnant females 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To determine the correlation between the severity of Diabetic Peripheral Neuropathy and the presence or severity of Cardiac Autonomic Neuropathy in patients with Type 2 Diabetes Mellitus at a single point of assessment  3 Months 
 
Secondary Outcome  
Outcome  TimePoints 
Prevalence of Cardiac Autonomic Neuropathy in patients with Diabetic Peripheral Neuropathy
Association between duration of Type 2 Diabetes Mellitus and severity of Cardiac Autonomic Neuropathy 
12 months 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   15/03/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  
Type 2 Diabetes Mellitus is commonly associated with microvascular complications including diabetic peripheral neuropathy and cardiac autonomic neuropathy While peripheral neuropathy is frequently diagnosed based on clinical symptoms and examination cardiac autonomic neuropathy often remains subclinical and underdiagnosed despite its association with increased cardiovascular morbidity and mortality
Early detection of cardiac autonomic dysfunction in patients with diabetic peripheral neuropathy may help in identifying high risk individuals and preventing adverse cardiovascular outcomes However the correlation between diabetic peripheral neuropathy and cardiac autonomic neuropathy in patients with type 2 diabetes mellitus is not clearly established in the local population
This cross sectional observational study aims to assess the prevalence of cardiac autonomic neuropathy in patients with type 2 diabetes mellitus and to determine its correlation with diabetic peripheral neuropathy Peripheral neuropathy will be assessed using validated clinical scoring systems and cardiac autonomic function will be evaluated using standard autonomic function tests The findings of this study may help in early identification of patients at risk and guide timely intervention
 
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