A new pill takes aim at diabetic nerve pain — will it work?
NCT ID NCT06074562
First seen Jul 30, 2026 · Last updated Jul 31, 2026 · Updated 1 time
Summary
This phase 2 trial tests whether mazisotine, an oral drug, can reduce the persistent nerve pain that often complicates diabetes. About 400 adults with diabetic peripheral neuropathic pain will receive either mazisotine or a placebo for roughly 24 weeks. Researchers will measure changes in average pain intensity to see if the drug offers meaningful relief.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- an experimental drug called mazisotine (LY3556050)
- What this could lead to
- If it works, mazisotine could offer a new oral option for the burning, stabbing nerve pain that many people with diabetes experience.
- What could go wrong
- This is a mid-stage trial, so the drug may not prove more effective than placebo. Side effects are possible, and the results may not apply to everyone with diabetic nerve pain.
This is an AI summary of the original study and may miss details. Read our disclaimer.
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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404 people
The number who actually took part.
- Started
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Oct 2023
- Finished
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Jun 2025
- 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.
Inclusion Criteria: * Have a history and current diagnosis of Type 1 Diabetes (T1D) or Type 2 Diabetes (T2D) diagnosed for at least 6 months prior to screening. * Have a stable glycemic control on stable diabetes treatment regimen for at least 90 days prior to day 1 with a hemoglobin A1c (HbA1c) ≤10 for T1D and HbA1c ≤11 for participants with T2D at time of screening. * Have a history of daily peripheral neuropathic pain for at least 12 weeks based on participant report or medical history. * Have a visual analog scale (VAS) pain value ≥40 and \<95 during screening. * Have presence of diabetic peripheral neuropathy of symmetrical nature and in lower extremities for ≥6 months and diagnosed by a score of Part B ≥3 on Michigan Neuropathy Screening Instrument * Are willing to maintain a consistent regimen of any ongoing nonpharmacologic pain-relieving therapies (for example, physical therapy) and will not start any new nonpharmacologic pain-relieving therapies during study participation. * Are willing to discontinue all medications taken for chronic pain conditions, except allowed concomitant pain medication permitted per protocol, for the duration of the study * Have a body mass index ≤45 kilogram/square meter (kg/m²) (inclusive). * Are men, or women able to abide by reproductive and contraceptive requirements. Exclusion Criteria: * History of other potentially causative and/or confounding sources of pain that may impair self-assessment of pain due to DPNP. * Have had a procedure within the past 6 months intended to produce permanent sensory loss in the target area of interest (for example, ablation techniques. * Have had cancer within 2 years of baseline, except for cutaneous basal cell or squamous cell carcinoma resolved by excision. * Are, in the judgment of the investigator, actively suicidal and therefore deemed to be at significant risk for suicide. * Have in the judgement of the investigator, an acute, serious, or unstable medical condition or a history or presence of any other medical illness that would preclude study participation. * Have a positive HIV test result at screening. * Have a surgery planned during the study for any reason. * Have a substance use disorder as defined by the Diagnostic and Statistical Manual of Mental Disorders (5th edition; DSM-5; American Psychiatric Association)
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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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Agentura Science Pro
Olomouc, 779 00, Czechia
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Alliance for Multispecialty Research, LLC
Wichita, Kansas, 67205, United States
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Alliance for Multispecialty Research, LLC
Lexington, Kentucky, 40509, United States
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Alliance for Multispecialty Research, LLC
Kansas City, Missouri, 64114, United States
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CMR of Greater New Haven, LLC
Hamden, Connecticut, 06517, United States
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Care Access - Lake Charles
Lake Charles, Louisiana, 70601, United States
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Centrum Badań Klinicznych Piotr Napora lekarze sp.p.
Wroclaw, Lower Silesian Voivodeship, 51-162, Poland
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Centrum Medyczne Pratia Katowice
Katowice, Silesian Voivodeship, 40-081, Poland
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Centrum Terapii Wspolczesnej J. M. Jasnorzewska Spolka Komandytowo-Akcyjna
Lodz, Łódź Voivodeship, 90-338, Poland
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Clinvest Research LLC
Springfield, Missouri, 65807, United States
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Consano Clinical Research, LLC
Shavano Park, Texas, 78231, United States
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DiaVize s.r.o.
Prague, Praha, Hlavní Mešto, 140 00, Czechia
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Diabet2 s.r.o., diabetologicka a interni ambulance
Prague, Praha 1, 11000, Czechia
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EDUMED - Broumov
Broumov, Hradec Králové Region, 550 01, Czechia
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Eulji University Hospital
Daejeon, Taejǒn-Kwangyǒkshi, 01830, South Korea
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FLEDIP - Na dlouhem lanu
Prague, Praha, Hlavní Mešto, 160 00, Czechia
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FutureSearch Trials of Neurology
Austin, Texas, 78731, United States
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Headlands Research - Scottsdale
Scottsdale, Arizona, 85260, United States
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Heishinkai Medical Group ToCROM Clinic
Shinjuku-ku, Tokyo, 160-0008, Japan
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Hope Clinical Research, Inc.
Canoga Park, California, 91303, United States
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Japanese Red Cross Asahikawa Hospital
Asahikawa, Hokkaido, 070-8530, Japan
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Juno Research
Houston, Texas, 77040, United States
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Kikuchi Naika Clinic
Maebashi, Gunma, 370-3573, Japan
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Konkuk University Medical Center
Seoul, Seoul-teukbyeolsi [Seoul], 05030, South Korea
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Kunisaki Makoto Clinic
Fukuoka, 819-0168, Japan
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Kure Medical Center
Kure, Hiroshima, 737-0023, Japan
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Las Vegas Medical Research
Las Vegas, Nevada, 89128, United States
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Lucas Research - Hickory
Hickory, North Carolina, 28601, United States
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Lucas Research, Inc
Morehead City, North Carolina, 28557, United States
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MICS Centrum Medyczne Torun
Torun, Kuyavian-Pomeranian Voivodeship, 87-100, Poland
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MICS Centrum Medyczne Warszawa
Warsaw, Masovian Voivodeship, 00-874, Poland
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Matsuyama Shimin Hospital
Matsuyama, Ehime, 790-0067, Japan
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MedVadis Research Corporation
Waltham, Massachusetts, 02451, United States
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Medical Corporation Heishinkai OCROM Clinic
Suita-shi, Osaka, 565-0853, Japan
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Medical Corporation Sato Medical clinic
Ootaku, Tokyo, 143-0015, Japan
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Medyczne Centrum Diabetologiczno Endokrynologiczno Metaboliczne DIAB-ENDO-MET
Krakow, Lesser Poland Voivodeship, 31-261, Poland
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Minamiosaka Hospital
Osaka, 559-0012, Japan
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NZOZ Przychodnia Specjalistyczna Andrzej Wittek, Henryk Rudzki
Ruda Śląska, Silesian Voivodeship, 41-709, Poland
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Neurologická Ambulance - Forbeli
Prague, Praha 6, 160 00, Czechia
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New Horizon Research Center
Miami, Florida, 33165, United States
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New Phase Research and Development
Knoxville, Tennessee, 37909, United States
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North Suffolk Neurology
Port Jefferson Station, New York, 11776, United States
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Northern California Research - Sacramento
Sacramento, California, 95821, United States
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Northwest Clinical Research Center
Bellevue, Washington, 98007, United States
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Northwestern University
Chicago, Illinois, 60611, United States
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Nowon Eulji Medical Center, Eulji University
Seoul, Seoul-teukbyeolsi [Seoul], 01830, South Korea
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Nzoz Neuro-Kard Ilkowski i Partnerzy SPL
Poznan, Greater Poland Voivodeship, 61-853, Poland
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Orange Grove Family Practice
Tucson, Arizona, 85741, United States
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Plumeria DM Clinic
Shizuoka, 422-8006, Japan
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Preferred Research Partners
Little Rock, Arkansas, 72211, United States
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Pro Familia Altera
Katowice, Silesian Voivodeship, 40-648, Poland
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Rainier Clinical Research Center
Renton, Washington, 98057, United States
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SKY Integrative Medical Center/SKYCRNG
Ridgeland, Mississippi, 39157, United States
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Samodzielny Publiczny Zespol Opieki Zdrowotnej w Wyszkow
Wyszków, Masovian Voivodeship, 07-200, Poland
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Samsung Medical Center
Seoul, Seoul-teukbyeolsi [Seoul], 06351, South Korea
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Sejong General Hospital
Sosa-gu, Kyǒnggi-do, 14754, South Korea
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StudyMetrix Research
City of Saint Peters, Missouri, 63303, United States
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Suburban Research Associates
West Chester, Pennsylvania, 19380, United States
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Sugiura Internal Medicine Clinic
Sokashi, Saitama, 340-0015, Japan
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Suncoast Research Group
Miami, Florida, 33135, United States
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Suruga Clinic
Shizuoka, Shizuoka, 424-0855, Japan
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The Institute for Liver Health II dba Arizona Clinical Trials - Mesa
Chandler, Arizona, 85225, United States
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Tristar Clinical Investigations
Philadelphia, Pennsylvania, 19114, United States
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UniMed Center
East Brunswick, New Jersey, 08816, United States
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Valley Clinical Trials, Inc.
Northridge, California, 91325, United States
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Velocity Clinical Research, Medford
Medford, Oregon, 97504, United States
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Velocity Clinical Research, Salt Lake City
West Jordan, Utah, 84088, United States
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Vestra Clinics
European Union, Rychnov Nad Kněžnou, 516 01, Czechia
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Yokohama Minoru Clinic
Yokohama, Kanagawa, 232-0064, Japan
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Zdrowie Osteo-Medic
Biaystok, Podlaskie Voivodeship, 15-351, Poland
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can textured insoles boost balance training for diabetic nerve damage?
- Magnetic pulses to the sole: a new way to restore feeling in diabetic feet?
- Can targeted exercise help older diabetics stay steady on their feet?
- A ZAP BEHIND THE KNEE MAY QUIET DIABETIC NERVE PAIN
- Could a sleep hormone ease diabetic nerve damage?
- Could zapping nerves save limbs? new study tests electrical stimulation for diabetic neuropathy