New combo drug aims to ease nerve pain in diabetes
NCT ID NCT06797869
First seen Jun 27, 2026 · Last updated Sep 11, 2026 · Updated 2 times
Summary
This study tests whether a new medicine called CagriSema can reduce nerve pain in people with type 2 diabetes. About 142 adults with painful diabetic neuropathy will receive either CagriSema or a placebo for around 10 months. The main goal is to see if the drug lowers weekly pain scores.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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142 people
The number who actually took part.
- Started
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Jan 2025
- Finished
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Aug 2026
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
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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18 years and older
- 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.
Key Inclusion Criteria: * Male or female. * Age 18 years or above at the time of signing the informed consent. * Body mass index (BMI) ≥25.0 kilogram per square meter (kg/m\^2) at screening. * Diagnosis of type 2 diabetes (T2D) ≥180 days before screening. \-- For participants on anti-diabetic drugs: Stable daily and/or weekly dose(s) ≥90 days before screening of any of the following anti-diabetic drug(s) or combination regimen(s) at effective or maximum tolerated dose, as judged by the investigator: * Treatment with 1-3 marketed oral anti-diabetic drugs (OADs) (metformin, α-glucosidase inhibitors (AGI), glinides, sodium-glucose co-transporter 2 inhibitors (SGLT2i), thiazolidinediones, or sulphonylureas (SU) as a single agent or in combination) according to local guidelines. * Treatment with basal or basal-bolus insulin (including premixed insulin formulations) according to local guidelines. * HbA1c ≤10.5 % (91 millimole per mole \[mmol/mol\]) and ≥6.0 % (42 mmol/mol), as determined by central laboratory at screening. * Diagnosis of painful diabetic peripheral neuropathy (pDPN) at screening as well as at the following criteria: \-- Participant with self-reported pain consistent with pDPN for a minimum of 3 months before screening, as judged by the investigator. * Stable pharmacological and non-pharmacological treatment of pain for a minimum of 3 months before screening, in the opinion of the investigator. The treatment regimen should adhere to local guidelines (if available). Key Exclusion Criteria: * Female who is pregnant, breast-feeding or intends to become pregnant or is of childbearing potential and not using a highly effective contraceptive method. * Use of any glucagon-like peptide-1 receptor agonist (GLP-1 RA), including medication with GLP-1 RA activity, (DPP-4), or amylin analogue within 60 days before screening. * Significant use of opioids, cannabinoids or benzodiazepines within 30 days before screening, in the opinion of the investigator. Significant use is defined as use that renders it unlikely that the participant is able to comply with protocol requirements for discouraged medications. * Anticipated initiation or clinically relevant change in concomitant medications (for more than 14 consecutive days during the study) known to affect weight or glucose metabolism (e.g., orlistat, thyroid hormones or oral corticosteroids). * Planned initiation or change in anti-depressant, anti-psychotic or anti-epileptic medication. If participants are already taking such medication, they should have stable and optimised treatment for at least 8 weeks before screening. * Presence or history of epilepsy and fibromyalgia. * Presence of non-diabetic neuropathies, in the opinion of the investigator. * Uncontrolled and potentially unstable diabetic retinopathy or maculopathy. Verified by a fundus examination and OCT assessment performed within 90 days before screening or in the period between screening and randomisation. Pharmacological pupil-dilation is a requirement unless using a digital fundus photography camera specified for non-dilated examination. * Any other painful medical condition(s) where the pain is significantly more severe than the diabetic peripheral neuropathy pain, as judged by the investigator (participants will not be excluded if the pain is transient in nature). * History of suicidal attempt within 5 years before screening * Suicidal behaviour within 1 month before screening. * Renal impairment with estimated Glomerular Filtration Rate (eGFR) \<30 ml/min/1.73 m2 as determined by central laboratory at screening. * Exposure to an investigational medicinal product within 90 days or 5 half-lives of the investigational medicinal product (if known), whichever is longer, before screening.
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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.
Contacts and locations
Locations
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Aarhus Universitetshospital, Steno Diabetes Center Aarhus
Aarhus N, 8200, Denmark
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Aintree University Hospital
Liverpool, L9 7AL, United Kingdom
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Amicis Centers of Clinical Research
St Louis, Missouri, 63128, United States
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Aphp-Hopital La Pitie Salpetriere
Paris, 75013, France
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Centre Hospitalier Universitaire de Bordeaux-Hopital Haut Leveque
Pessac, 33600, France
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Centre de Recherche Clinique Portes Du Sud
Vénissieux, 69200, France
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Centricity Clinical Research Burlington
Burlington, Ontario, L7M 4Y1, Canada
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Centricity Research Brampton Endocrinology
Brampton, Ontario, L6S 0C6, Canada
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Centricity Research Etobicoke Endocrinology
Etobicoke, Ontario, M9R 4E1, Canada
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Clinical Res Collaborative
Cumberland, Rhode Island, 02864, United States
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Complejo Hospitalario Universitario A Coruña
A Coruña, 15006, Spain
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Ctr de Med Metab de Lanaudiere
Terrebonne, Quebec, J6X 4P7, Canada
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DM Clinical
Albuquerque, New Mexico, 87106, United States
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DM Clinical
Houston, Texas, 77081, United States
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DM Clinical
San Antonio, Texas, 78207, United States
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DM Clinical Research
San Antonio, Texas, 78207, United States
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Diabetes Heart Research Centre
Toronto, Ontario, M6G 1M2, Canada
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Foot & Ankle Center of Illinois
Springfield, Illinois, 62704, United States
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G.A. Research Associates Ltd.
Moncton, New Brunswick, E1G 1A7, Canada
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Groupe Sos Sante-Hopital Le Creusot-Hotel Dieu
Le Creusot, 71200, France
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H. Infanta Luisa_Endocrino y Obesidad
Seville, 41010, Spain
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Haukeland Universitetssykehus
Bergen, 5021, Norway
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Hospital Germans Trias i Pujol
Badalona, Barcelona, 08916, Spain
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Hospital Nisa Sevilla Aljarafe (To be inactivated when NN9388-7864 is in closing status)
Castilleja de la Cuesta, Andalusia, 41950, Spain
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Hospital Universitario Marqués de Valdecilla
Santander, 39008, Spain
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Hospital Universitario de la Princesa
Madrid, 28006, Spain
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Hospital Vall d'Hebron
Barcelona, 08035, Spain
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Ipswich Hospital - Diabetes
Ipswich, IP4 5PD, United Kingdom
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King's College Hospital - Renal
London, SW9 8RR, United Kingdom
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Kolding Sygehus Karkirurgi
Kolding, 6000, Denmark
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Les Hopitaux de Chartres-Hopital Louis Pasteur
Le Coudray, 28630, France
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Lillestol Research LLC
Fargo, North Dakota, 58104, United States
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Linda Vista Health Care Ctr
San Diego, California, 92111, United States
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Manchester Royal Infirmary - Diabetes
Manchester, M13 9WL, United Kingdom
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My Preferred Research
Miami, Florida, 33155, United States
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New Horizon Research Center
Miami, Florida, 33165, United States
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Oregon Health & Science University
Portland, Oregon, 97239, United States
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Oslo universitetssykehus, Ullevål
Oslo, 0450, Norway
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Piedmont Healthcare/Research
Statesville, North Carolina, 28625, United States
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Premier Clinical Trial Research Network (PCTRN)
Hamilton, Ontario, L8L 5G4, Canada
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Radiance Clinical Research
Lampasas, Texas, 76550, United States
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Renstar Medical Research
Ocala, Florida, 34470, United States
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Renstar Medical Research
Ocala, Florida, 34471, United States
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Royal Hallamshire Hospital
Sheffield, S10 2JF, United Kingdom
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Southgate Medical Group, LLP
West Seneca, New York, 14224, United States
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St Pancras Clinical Research
London, EC2Y 8EA, United Kingdom
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Stavanger Universitetssykehus, Helse Stavanger HF
Stavanger, NO-4011, Norway
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Steno Diabetes Center Copenhagen
Herlev, 2730, Denmark
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Steno Diabetes Center Nordjylland
Gistrup, 9260, Denmark
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Steno Diabetes Center Odense
Odense C, 5000, Denmark
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Sykehuset Innlandet HF Hamar
Hamar, 2318, Norway
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Tameside General Hospital
Ashton-under-Lyne, Greater Manchester, OL6 9RW, United Kingdom
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Velocity Clinical Research Portsmouth
Suffolk, Virginia, 23435, United States
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Velocity Clinical Research Rockville
Rockville, Maryland, 20854, United States
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eStudySite
La Mesa, California, 91942, United States
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