Can a numbing gel on the feet beat a daily pill for diabetic nerve pain?
NCT ID NCT07800468
First seen Sep 02, 2026 · Last updated Sep 03, 2026 · Updated 1 time
Summary
This trial tests whether a lidocaine gel applied to the feet can ease painful diabetic neuropathy as well as the oral drug duloxetine. Adults with type 2 diabetes and moderate-to-severe nerve pain will be randomly assigned to one of the two treatments for 8 weeks. Researchers will measure changes in pain scores and track side effects to see if the topical gel offers a safer, targeted alternative.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Topical lidocaine 2% gel and oral duloxetine
- What this could lead to
- If topical lidocaine works as well as duloxetine, people with diabetic nerve pain might get a targeted option with fewer whole-body side effects.
- What could go wrong
- This is a small, 8-week trial, so results may not apply broadly. Lidocaine may not match duloxetine's pain relief, and both treatments carry risks like skin irritation or nausea.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 80 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Dec 2026
An estimate. Start dates often move.
- Expected to finish
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Apr 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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30 to 70 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adult patients aged 30 to 70 years * Confirmed type 2 diabetes mellitus (as per WHO 2019 criteria) for at least 1 year * HbA1c \< or = 10% (or documented stable glycemic control over the preceding 3 months) * Diagnosis of painful diabetic peripheral neuropathy (PDPN) with a DN4 score \> or = 4/10 * Baseline Numeric Rating Scale (NRS) pain score \>= 4/10 (moderate-to-severe pain) * Willing and able to provide written informed consent Exclusion Criteria: * Known hypersensitivity or contraindication to lidocaine or duloxetine * Current use of other neuropathic pain medications (gabapentinoids, tricyclic antidepressants, opioids, or topical capsaicin) within 4 weeks of enrollment * Significant hepatic impairment (ALT or AST \> 3 times the upper limit of normal) * Severe renal impairment (eGFR \< 30 mL/min/1.73 m²) * Active skin lesions, open wounds, or dermatological conditions at the intended application site on the feet * Pregnant or lactating females * Other causes of peripheral neuropathy (e.g., alcohol-related, hypothyroidism, vitamin B12 deficiency, or Charcot-Marie-Tooth disease)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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