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
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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NOT_YET_RECRUITING
57 participants
OBSERVATIONAL
2025-12-31
2026-12-31
Brief Summary
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Detailed Description
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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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Study Design
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CASE_CONTROL
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
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
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
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.
Nerve Growth Factor
nerve growth factor level using its corresponding ELISA kit
25(OH) vitamin D
25(OH) vitamin D serum level using its corresponding ELISA kit
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* 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.
40 Years
60 Years
MALE
Yes
Sponsors
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Aswan University
OTHER
Responsible Party
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Marwa Nasry Elbadry
Instructor of medical physiology
Locations
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Aswan university hospital
Aswān, Aswan Governorate, Egypt
Aswan university hospital
Aswān, Aswan Governorate, Egypt
Countries
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Central Contacts
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Facility Contacts
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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.
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.
Study Documents
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Document Type: Data Monitoring Committee Charter
https://pmc.ncbi.nlm.nih.gov/articles/PMC7571449/
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Related Info
Other Identifiers
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diabetic neuropathy
Identifier Type: -
Identifier Source: org_study_id
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