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Thursday, March 17, 2022
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Diabetic Nerve Pain Study
This is a clinical research study to test the safety and effectiveness of an investigational medication for diabetic nerve pain (diabetic neuropathy) Participants who qualify for the study will receive trial-related medical care, tests and trial medication and may be compensated for time and travel.
Your Name
Postal Code
Phone
Email
Your Birth Date
Gender
What is your racial or ethnic identification?
Have you been diagnosed with Type 1 or Type 2 Diabetes?
Choose One
Have you experienced nerve pain (pain, numbness, tingling, or weakness in the areas of your feet or hands that would normally be covered by a glove or stocking), for at least 6 months?
Choose One
Are your nerve pain symptoms the same on both sides of your body (symmetrical)?
Choose One
In a typical month, do you experience moderate or severe pain more than half the days of the month?
Choose One
Was your most recent HbA1c at or below 11%?
Choose One
Have you been hospitalized for low blood sugar (hypoglycemia) within the past 6 months?
Choose One
Do you have chronic nerve pain that your doctor has diagnosed as being due to a medical condition or event other than diabetes?
Choose One
Have you been diagnosed with any other chronic pain conditions?
Choose One
Are you using marijuana or cannabinoids?
Choose One
Do you have a lower extremity amputation such as a below the knee amputation? This does not include toe amputations.
Choose One
Do you require the use of a cane, walker or wheelchair to get around?
Choose One
Have you used the topical prescription medication Qutenza more than 3 times in the last 6 months?
Choose One
Do you have an implanted device for pain relief? This includes a spinal cord stimulator or nerve stimulator.
Choose One
Have you been diagnosed with kidney failure?
Choose One
Do you have a history of long QT syndrome or ventricular arrhythmias?
Choose One
Do you have an active Hepatitis A, B or C infection?
Choose One
In the last two years, have you been diagnosed with substance or alcohol use disorder?
Choose One
This study requires participants to use a reliable method of birth control for 11 months in order to participate in the trial. Would you be willing to comply with this practice?
Choose One
Height (ft.)
Inches
Weight (lbs.)
If you pre-qualify for a study, TrialSearch will call using auto-dialed technology and may send SMS notifications from SubjectWell or short code 38066. Message Frequency Varies Per User. Msg & Data Rates May Apply, Text STOP To CANCEL, Text HELP For HELP. Consent for receiving texts is not required as a condition for receiving any services. If you have questions regarding privacy, please read our Privacy Policy and Terms of Use
Why are we asking this?
Eligibility Requirements
Participants must
Be between 18 and 79 years old.
Be diagnosed with Type 1 or Type 2 Diabetes.
Have symmetric diabetic nerve pain (diabetic neuropathy).
About TrialSearch
TrialSearch makes clinical trials more accessible, contributing to improving overall global health and increasing the rate at which medical science innovates. We help you take an active role in your healthcare by helping you find and join the right clinical trial now.
Benefits of Participation
No-Cost Care & Treatment
Potential
Compensation
Advance
Medicine
Our Patients Say:
"The experience was great! I was not aware of trials being conducted prior to finding TrialSearch on Facebook. They improved my knowledge, and they made an effort to provide resources to answer my questions further. I would absolutely work with TrialSearch again!." – Carol W.
© 2020 - 2021 TrialSearch / All rights reserved.
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