New pill could ease diabetic nerve pain
NCT ID NCT05123196
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested a drug called MT-8554 (Elismetrep) in 156 adults with painful diabetic peripheral neuropathy. The goal was to see if it reduces pain better than a placebo over 12 weeks. Participants took either the drug or a placebo capsule, and pain was measured using a 0-10 scale.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- MT-8554 (Elismetrep) oral capsule
- What this could lead to
- If it works, this could lead to a new pain relief option for people with diabetic nerve pain.
- What could go wrong
- This is an early Phase 2 trial with only 156 participants, so results may not apply to everyone. The drug may not reduce pain better than a placebo.
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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156 people
The number who actually took part.
- Started
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Nov 2021
- Finished
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Nov 2022
- 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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20 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: 1. Patients with written consent 2. Patients aged \>=20 years at the time of consent 3. Outpatients 4. Patients with pain associated with peripheral symmetric polyneuropathy due to diabetes mellitus and pain lasting \>=3 months on the first day of the run-in period. The patient should meet \>=2 of the following criteria or nerve conduction studies showing abnormalities in at least one test item (Conduction velocity, amplitude, and latency) for at least two nerves by the first day of run-in period. * 1\. Subjective symptoms\* thought to be due to diabetic polyneuropathy * 2\. Decreased or eliminated bilateral Achilles tendon reflexes * 3\. Bilateral decreased vibratory sense of the medial malleolus (=\< 10 seconds with a C 128 tuning fork) \*Subjective symptoms thought to be due to diabetic neuropathy meet the following 3 criteria. * Bilateral * Toe and plantar symptoms (Numbness, pain or dysesthesia) * Does not cause upper extremity symptoms alone 5. Patients whose NRS during the run-in period is assessed for \>=4 days of the 7 days immediately before the first day of the treatment period and whose baseline 24-hour mean NRS score is \>=4 and =\<8. 6. Patients whose rate of change in the 24-hour mean NRS score during the 7 days immediately before the first day of the treatment period is \<30%. 7. Patients whose treatment for diabetes mellitus is consistent \>=8 weeks before the run-in period, who can consistently maintain the treatment throughout the study period, and in whom the investigator (or sub-investigator) can determine that glycemic control is constant. Exclusion Criteria: 1. Patients with pain, disease, or skin condition that, in the opinion of the investigator (or sub-investigator), would influence the evaluation of painful diabetic peripheral neuropathy. For example, if other pain is in the same location as painful diabetic peripheral neuropathy, or if the pain intensity of the other pain is greater than that of painful diabetic peripheral neuropathy, which in the opinion of the investigator (or sub-investigator) would impact the assessment of painful diabetic peripheral neuropathy. 2. Patients who have had amputation of upper and lower limbs other than toes due to gangrene caused by impaired blood circulation. 3. Patients who do not meet the criteria of prohibited concomitant drugs or restricted concomitant drugs. 4. Patients with hypersensitivity to acetaminophen or a history of hypersensitivity to acetaminophen. 5. Patients with New York Heart Association functional class III or IV symptoms of heart failure. 6. History of myocardial infarction, congestive heart failure, unstable angina, or cerebrovascular disorder (excluding lacunar infarction) within 6 months prior to informed consent. 7. Patients with major psychiatric disorder such as depression or anxiety disorder. 8. Patients with drug abuse or a history of drug abuse. 9. Patients with current or previous infection with human immunodeficiency virus (HIV), hepatitis B virus (HBV) or hepatitis C virus (HCV). However, patients with previous infection with hepatitis B virus who are HBsAg-negative are eligible. 10. Patients with HbA1c \> 10.5%. 11. Patients with poorly controlled hypertension (\>= 180 mmHg systolic and/or \>= 110 mmHg diastolic). 12. Patients with eGFR \< 30 mL/min/1.73 m\^2. 13. Patients with AST or ALT \> 2.5\*ULN. 14. Patients who answered "Yes " to any item of Columbia Suicide Severity Rating Scale within the past 12 months. 15. Patients who have a concomitant malignancy or a history of malignancy. However, patients who have a history of malignancy but have not experienced recurrence for at least 5 years before informed consent (patients who have not experienced recurrence for at least 5 years after the last administration if the patients were receiving anticancer drugs) will be excluded. 16. Male or female patients of childbearing potential who do not agree to use contraception from the date of informed consent until 3 months after the completion (discontinuation) of investigational product. 17. Female patients who are pregnant, breastfeeding or possibly pregnant. 18. Patients who participated in another clinical study and received investigational product within 12 weeks before informed consent. 19. Prior exposure to MT-8554. 20. Other patients who, in the opinion of the investigator (or sub-investigator), are ineligible for this study.
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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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Abe Diabetes Clinic
Ōita, Oita Prefecture, 870-0039, Japan
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Hakodate Central General Hospital
Hakodate, Hokkaido, 040-8585, Japan
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Hisatomi Clinic
Saga, Saga-ken, 849-0937, Japan
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JUNEIKAI Medical Corporation Akaicho Clinic
Chiba, Chiba, 260-0804, Japan
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Japan Organization of Occupational Health and Safety Chubu Rosai Hospital
Nagoya, Aichi-ken, 455-8530, Japan
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Japan Organization of Occupational Health and Safety Sanin Rosai Hospital
Yonago, Tottori, 683-8605, Japan
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Japanese Red Cross Asahikawa Hospital
Asahikawa, Hokkaido, 070-8530, Japan
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Jiyugaoka Yamada Internal Medicine Clinic
Obihiro, Hokkaido, 080-0848, Japan
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Kikuchi Clinic of Internal Medicine
Maebashi, Gunma, 370-3573, Japan
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Kitano Hospital, Tazuke Kofukai Medical Research Institute
Osaka, 530-8480, Japan
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Kumanomae Nishimura Naika Clinic
Arakawa-ku, Tokyo, 116-0012, Japan
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Kunisaki Makoto Clinic
Fukuoka, Fukuoka, 819-0168, Japan
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Matsunami Health Promotion Clinic
Hashima-gun, Gifu, 501-6061, Japan
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Medical Corporation Heishinkai OCROM Clinic
Suita, Osaka, 565-0853, Japan
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Medical Corporation Heishinkai ToCROM Clinic
Shinjuku-ku, Tokyo, 160-0008, Japan
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Medical Corporation Ikeikai Inobe Funai Clinic
Ōita, Oita Prefecture, 870-0021, Japan
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Medical Corporation Keiaikai Nakamura Hospital
Beppu, Oita Prefecture, 874-0937, Japan
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Medical Corporation Kouhoukai Takagi Hospital
Okawa-shi, Fukuoka, 831-0016, Japan
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Medical Corporation Souaikai Aihara Medical Clinic
Shinagawa-ku, Tokyo, 142-0053, Japan
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OMI MEDICAL CENTER, Social Medical Corporation Seikoukai
Kusatsu, Shiga, 525-8585, Japan
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Ome Municipal General Hospital
Ome-shi, Tokyo, 198-0042, Japan
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Saiki Central Hospital
Saiki, Oita Prefecture, 876-0851, Japan
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Sanuki Municipal Hospital
Sanuki-shi, Kagawa-ken, 769-2393, Japan
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Shonan Fujisawa Tokushukai Hospital
Fujisawa-shi, Kanagawa, 251-0041, Japan
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Shunkaikai Inoue Hospital
Nagasaki, Nagasaki, 850-0045, Japan
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Social Medical Corporation the Chiyukai foundation Fukuoka Wajiro Hospital
Fukuoka, Fukuoka, 811-0213, Japan
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Soka Sugiura Internal Medicine Clinic
Sōka, Saitama, 340-0034, Japan
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Steel Memorial Yawata Hospital
Kitakyushu-shi, Fukuoka, 805-0050, Japan
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Sugawara Clinic
Nerima-ku, Tokyo, 177-0041, Japan
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TOJITAMA thyroid and diabetes Clinic
Fukuoka, Fukuoka, 815-0033, Japan
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Takamatsu Red Cross Hospital
Takamatsu, Kagawa-ken, 760-0017, Japan
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Tokyo Center Clinic
Chuo-ku, Tokyo, 103-0028, Japan
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Yachiyo Hospital
Anjo, Aichi-ken, 446-8510, Japan
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Other studies related to the condition(s) this trial covers.
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