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CTRI Number  CTRI/2013/02/003347 [Registered on: 05/02/2013] Trial Registered Prospectively
Last Modified On: 29/09/2014
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   A clinical trial to study the effects of GRC 17536 in patients with painful diabetic peripheral neuropathy (painful extremities due to peripheral nerve damage in diabetic patients).  
Scientific Title of Study   A Phase II, 4-Week Randomised, Double-Blind, Parallel Group, Placebo Controlled Proof of Concept Study to Evaluate Efficacy, Safety and Tolerability of GRC 17536 in Patients with Painful Diabetic Peripheral Neuropathy.  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
GRC 17536-203; version no.1.0, dated:18.06.2012  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name   
Designation   
Affiliation   
Address 




 
Phone    
Fax    
Email    
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Dr Venkateshan S P 
Designation  Sr Manager Clinical Sciences 
Affiliation  Glenmark Pharmaceuticals Ltd 
Address  Glenmark Pharmaceuticals Ltd, Glenmark Research Centre, Plot No. A-607, T.T.C. Industrial Area, MIDC, Mahape, Navi Mumbai

Thane
MAHARASHTRA
400709
India 
Phone  912267720000  
Fax    
Email  venkateshans@glenmarkpharma.com  
 
Details of Contact Person
Public Query
 
Name  Dr Shailendra Sachan 
Designation  Manager, Medical Writing 
Affiliation  Glenmark Pharmaceuticals Ltd 
Address  Glenmark Pharmaceuticals Ltd, Glenmark Research Centre, Plot No. A-607, T.T.C. Industrial Area, MIDC, Mahape, Navi Mumbai

Thane
MAHARASHTRA
400709
India 
Phone    
Fax    
Email  shailendrasachan@glenmarkpharma.com  
 
Source of Monetary or Material Support  
Glenmark Pharmaceuticals SA 
 
Primary Sponsor  
Name  Glenmark Pharmaceuticals SA 
Address  Glenmark Pharmaceuticals SA, Chernin de la Combeta, 5, 2300 La Chaux-de-fonds, Switzerland 
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment
Modification(s)  
  Czech Republic
Germany
India
United Kingdom  
Sites of Study
Modification(s)  
No of Sites = 10  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Arthur Asirvatham  Arthur Asirvatham Hospital  No 42-A, Kuruvikaran Salai, Anna nagar So,Madurai - 625020
Madurai
TAMIL NADU 
09443751977

asirvath.cr@gmail.com 
Dr Paramesh Shammana  Bangalore Clinisearch   No. 416, 4th Cross, 2nd Block,Kalyan Nagar, Bangalore-560043,Karnataka.
Bangalore
KARNATAKA 
09845010610

drparamesh2@gmail.com 
Dr Jayashri Shembalkar  Getwell Hospital and Research Centre  Department of Endocrinology, 20/1, Dr. Khare Marg, Dhantoli, Nagpur
Nagpur
MAHARASHTRA 
09665013901

pkshembalkar@hotmail.com 
Dr Mohan Magdum  Jehangir Clinical Development Centre Pvt. Ltd.  Jehangir Hospital Premises, 32 Sassoon Road,Pune - 411001
Pune
MAHARASHTRA 
09822217243

mohanmagdum@gmail.com 
Dr S Srikanta  Jnana Sanjeevani Medical Centre  Diabetes Department, No.2, 1st A Cross, Marenahalli,J.P Nagar Phase 2, Bangalore,
Bangalore
KARNATAKA 
09886042322

samatvam@gmail.com 
Dr Mallikarjun V Jali  K.L.E.S Dr. Prabhakar Kore Hospital & Medical research Centre  Department of Medicine, Nehru Nagar, Belgaum
Belgaum
KARNATAKA 
09844032499

drmvjali@gmail.com 
Dr Balamurugan Ramanathan  Kovai Diabetes Speciality Centre and Hospital  15, Vivekananda road, Ramnagar, Coimbatore
Coimbatore
TAMIL NADU 
09842244881

Balamurugan_dr@hotmail.com 
Dr Dinesh Dhanwal  Maulana Azad Medical College & Associate Hospitals  Department of Medicine, Room No. 115, 1st Floor, B.L. Taneja Block, Lok Nayak Hospital, Bahadur Shah Zafar Marg, New Delhi
New Delhi
DELHI 
09968604275

dineshdhanwal@hotmail.com 
Dr Vijay Viswanathan  MV Hospital for Diabetes (P) Ltd  4, West Madha Church Street, Royapuram, Chennai
Chennai
TAMIL NADU 
09840055535

Vijayviswanathan92@gmail.com 
Dr Sunil M Jain  TOTALL Diabetes Hormone Institute, A unit of Hormone Research Institute Pvt. Ltd  Diabetes Department, BCM Health Island, PU 4, Scheme 54, Behind Prestige Management Institute, Near Bombay Hospital, Indore- 452010
Indore
MADHYA PRADESH 
09826023182

sunilmjain@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 10  
Name of Committee  Approval Status 
Arthur Asirvatham Hospital,Institutuonal Review Board, Madurai  Approved 
Bangalore Clinisearch Institutional review Board  Submittted/Under Review 
Ethics Commiittee of Diabetes Thyroid Hormone research Institute PVT. Ltd., Indore  Approved 
Ethics Commiittee of KLE university, KLE university, Belgam  Approved 
Ethics Committee of Prof. M Viswanathan Diabetes Research Centre, M.V.Hospital for Diabetes(P) Ltd, Chennai  Approved 
Getwell Institutional Ethics Committe, Nagpur  Approved 
Institutional Ethics Committee of Kovai Diabetes Speciality Centre and Hospital, Coimbtore  Approved 
Institutional Ethics Committee, Maulana Azad Medical College, New Delhi  Approved 
Jehangir Clinical Development Centre Institutional Reviw Board, Pune  Approved 
Science for Health, Jnana Sanjeevini Medical Centre, Bangalore  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Painful Diabetic Peripheral Neuropathy ,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  GRC 17536  BID for 4 weeks, oral adminstration 
Comparator Agent  Matching Placebo  BID for 4 weeks, oral adminstration 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  1. Patients willing to provide voluntary written informed consent
2. Male and female (women of non child-bearing potential) patients ≥18 yrs and ≤75 yrs
3. Patients with diabetes mellitus with painful peripheral neuropathy for at least 6 months
4. A baseline 24-hour average daily pain intensity score ≥5
5. Women must be of non child-bearing potential, defined as post menopausal or surgically sterile
 
 
ExclusionCriteria 
Details  1. Other chronic pain conditions not associated with DPN, that may confound the assessment of neuropathic pain
2. Other causes of neuropathy or lower extremity pain
3. Complex regional pain syndrome or trigeminal neuralgia
4. Lower extremity amputations other than toes
5. Participation in another study with an investigational compound within the previous 90 days prior to study medication administration, or concurrent participation in another clinical study
6. Major depression.
7. Presence or history of cancer within the past 5 years with the exception of adequately treated localized basal cell skin cancer or in situ uterine cervical cancer.
8. Patients with clinically significant or uncontrolled hepatic, gastrointestinal, cardiovascular, respiratory, neurological (other than neuropathy), psychiatric, hematological, renal, or dermatological disease, or any other medical condition that according to Investigators medical judgment: Could interfere with the accurate assessment of safety or efficacy, or, Could potentially affect a patients safety or study outcome
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Centralized 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Mean 24-hour average pain intensity (API) score   Time Frame: 4 weeks
 
 
Secondary Outcome  
Outcome  TimePoints 
Mean night-time API Score   Time Frame: 4 weeks  
Patient Global Impression of Change   Time Frame: 4 weeks 
Clinician Global Impression of Change   Time Frame: 4 weeks  
 
Target Sample Size   Total Sample Size="138"
Sample Size from India="83" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   07/02/2013 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  17/12/2012 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

Diabetic peripheral neuropathy (DPN) represents a diffuse symmetric and length-dependent injury to peripheral nerves that has major implications on quality of life (QOL), morbidity, and costs from a public health perspective. Painful diabetic neuropathy affects approximately 16% of patients with diabetes. Pharmacological agents used in the management of painful DPN mainly include tricyclic antidepressants, selective serotonin and norepinephrine reuptake inhibitors, opioid, and anti epileptic drugs. The available treatment options do not give total relief, are not effective in all patients, and only about one-third of patients may achieve more than 50% pain relief. Hence newer therapies are required for the treatment of DPN.

The study will be conducted in 10 centres in India, and 1 each, in Germany and the UK.

The primary outcome measures will be the change from baseline to end of treatment in the mean 24-hour average pain intensity.   
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