Vitamin D, Nerve Growth Factor and Nerve Conduction Studies in Adult Male Type 2 Diabetic Neuropathy Patients

NCT ID: NCT07236723

Last Updated: 2025-11-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Total Enrollment

57 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-12-31

Study Completion Date

2026-12-31

Brief Summary

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study the relationship of vitamin d with nerve growth factor level and nerve conduction studies in adult male type 2 diabetic neuropathy patients

Detailed Description

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Diabetic peripheral neuropathy (DPN) is one of the most frequent microvascular complications of both type1 (T1DM) and type2 diabetes mellitus (T2DM) . It involves damage to the peripheral nerves, leading to symptoms such as numbness, tingling, pain, and loss of sensation in the extremities, especially the feet and hands . It is the primary risk factor for lower limb ulcers, amputations and consequent disabling, that can significantly affect a person's quality of life.

Unfortunately, the exact pathogenesis of diabetic neuropathy is complex and multifactorial. However, several studies have shown that increased levels of blood glucose leads to several neuronal changes as accumulation of advanced glycation end products, mitochondrial impairment and DNA damage. Furthermore, Vitamin D deficiency is more common in people with T2DM, contributing its pathogenesis in many ways, including impairment of insulin secretion and increasing insulin resistance. Moreover, previous studies reported that low level of vitamin D is correlated with the presence and severity of sensory neuropathy . However, its pathogenesis has not yet been established.

Nerve growth factor (NGF) is a neurotrophic factor playing a major role in adult peripheral nerve system. It works by increasing nerve cell regeneration and decreasing degeneration, so NGF decreased levels induce peripheral nerve lesion in diabetic patients.

Several studies indicate that vitamin D may play a role in nutrition and protection of peripheral nerves as nerve cells and glial cells rich in vitamin D receptors, So vitamin D may have a potential effect in DPN by neuro-protection as it protect against apoptosis and degeneration, as well as it can trigger production of NGF helping preservation of neurons. Thus, we hypothesize that vitamin D, by regulating NGF expression, could help nerve regeneration and improve outcomes in patients with DPN.

Conditions

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Diabetic Neuropathy

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

RETROSPECTIVE

Study Groups

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control group

Group І: Control group included non-diabetic healthy males aged (40-60) years old

25(OH) vitamin D

Intervention Type OTHER

25(OH) vitamin D serum level using its corresponding ELISA kit

type 2 diabetic male not suffering from diabetic neuropathy aged(40-60) years old

type 2 diabetic male not suffering from diabetic neuropathy aged(40-60) years old

Nerve Growth Factor

Intervention Type OTHER

nerve growth factor level using its corresponding ELISA kit

type2 diabetic males suffering from diabetic neuropathy aged(40_60)years old

type2 diabetic males suffering from diabetic neuropathy aged(40\_60)years old

nerve conduction studies

Intervention Type OTHER

Assessment of neuropathy by nerve conduction studies of sural and tibial nerves in both lower extremities.

Interventions

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nerve conduction studies

Assessment of neuropathy by nerve conduction studies of sural and tibial nerves in both lower extremities.

Intervention Type OTHER

Nerve Growth Factor

nerve growth factor level using its corresponding ELISA kit

Intervention Type OTHER

25(OH) vitamin D

25(OH) vitamin D serum level using its corresponding ELISA kit

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adult male patients 40 -65 years' old who have type 2 diabetes mellitus on oral hypoglycemic , non-diabetic healthy subjects of matched age and type 2male diabetic neuropathy patients of matched age .

Exclusion Criteria

* Cardiac patients.
* Patients who have transient ischemic attack or stroke.
* Patients with inflammatory rheumatic diseases.
* Patients with malignant diseases.
* Hyperparathyroidism.
* Hypothyroidism.
* Renal impairment with renal replacement therapy.
* Liver diseases.
* Patients on vitamin D supplementation.
* Patients on vitamin B12 supplementation.
Minimum Eligible Age

40 Years

Maximum Eligible Age

60 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

Yes

Sponsors

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Aswan University

OTHER

Sponsor Role lead

Responsible Party

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Marwa Nasry Elbadry

Instructor of medical physiology

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Aswan university hospital

Aswān, Aswan Governorate, Egypt

Site Status

Aswan university hospital

Aswān, Aswan Governorate, Egypt

Site Status

Countries

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Egypt

Central Contacts

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Marwa Nasry Elbadry, physiology demonstrator

Role: CONTACT

02+01126060796

Facility Contacts

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Huda Ahmed Elsaid, lecturer

Role: primary

02+01001478843

References

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Shafiee A, Rafiei MA, Jafarabady K, Eskandari A, Abhari FS, Sattari MA, Amini MJ, Bakhtiyari M. Effect of cannabis use on blood levels of brain-derived neurotrophic factor (BDNF) and nerve growth factor (NGF): A systematic review and meta-analysis. Brain Behav. 2024 Jan;14(1):e3340. doi: 10.1002/brb3.3340.

Reference Type RESULT
PMID: 38376038 (View on PubMed)

Pittas AG, Jorde R, Kawahara T, Dawson-Hughes B. Vitamin D Supplementation for Prevention of Type 2 Diabetes Mellitus: To D or Not to D? J Clin Endocrinol Metab. 2020 Dec 1;105(12):3721-33. doi: 10.1210/clinem/dgaa594.

Reference Type RESULT
PMID: 32844212 (View on PubMed)

Study Documents

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Document Type: Data Monitoring Committee Charter

https://pmc.ncbi.nlm.nih.gov/articles/PMC7571449/

View Document

Related Links

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Other Identifiers

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diabetic neuropathy

Identifier Type: -

Identifier Source: org_study_id

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