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Neuropathy, DiabeticMEDONNCT04078516

Methods of Early Detection and Grading Of Diabetic Peripheral Neuropathy (MEDON)

An observational study of Neuropathy, Diabetic and Neuropathy, Painful, run by Aalborg University Hospital at 1 site in Denmark.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

MEDON aims to examine new methods for early detection and grading of diabetic peripheral neuropathy focusing on both small- and large nerve fibers. Furthermore, MEDON aims to describe differences between people with classic diabetic peripheral neuropathy and those with painful diabetic neuropathy. Read more about this study

Who is it for?
Ages 18 to 70 yearsHealthy volunteers can take part
Conditions the study is for
Neuropathy, Diabetic, Neuropathy, Painful
What is being tested?
Perception Threshold Tracking (PTT), Axon-flair mediated respons and Heart rate variability
How many people
80 participants
Where
1 siteDenmark
Study dates
12 Aug 2019to 31 Aug 2021
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 70 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: The study population include four well-defined groups of subjects: 1. Patients with Type 1 diabetes and painful diabetic peripheral neuropathy (DPN). 2. Patients with Type 1 diabetes and non-painful diabetic peripheral neuropathy (DPN) 3. Patients with Type 1 diabetes and without diabetic peripheral neuropathy (VPT<15) (DPN). 4. Healthy control subjects matched for age, BMI, and gender. Diabetes duration, HbA1c, insulin use, ethnicity, and co-morbidities will be matched between group 1, 2 and 3 to best ability.

Who may be able to join

  • Men and women minimum 18 years of age and maximum 75 years of age
  • Signed informed consent form
  • Diagnosed with diabetes type I (for group 1-3)
  • Diagnosed with DPN defined as a threshold above 25-volt biothesiometry or absent feeling on the big toe using 10g-monofilament. (for group 1-2)
  • Answered questionnaire: PainDETECT
  • Nothing abnormal on initial tests (group 4)
  • Accepted initial screening blood samples
  • MRI-compatible participant

Who cannot join

  • 1. Current or previous alcohol- or drug abuse 2. Abnormal screening blood samples 3. Not being able to understand Danish written and/or verbally 4. Not being able to corporate to examination (e.g. not being able to speak, suffering from senile dementia etc.) 5. Previous chemotherapy or intake of experimental medicine 6. Active HSV- or VZV-infection or known HIV 7. Known severe skin disease 8. Known neural damage or disease in the neural system (e.g. MS, Guillain-Barre etc.) 9. Critical limb ischemia defined as in current clinical consensus 10. Allergy or intolerance to histamine or inability to make do without for one day 11. Pregnancy 12. Active cancer-disease

Trial locations and contacts

1 site in 1 country.

Denmark1 site
  • Aalborg University Hospital

    Aalborg, North Denmark, 9000

Other trials in Denmark

About this study

Official title: Perception Threshold Tracking(PTT): A Novel Method for Early Detection and Grading of Diabetic Peripheral Neuropathy

MEDON aims to examine new methods for early detection and grading of diabetic peripheral neuropathy focusing on both small- and large nerve fibers. Furthermore, MEDON aims to describe differences between people with classic diabetic peripheral neuropathy and those with painful diabetic neuropathy.

Being tested
Perception Threshold Tracking (PTT), Axon-flair mediated respons, Heart rate variability, Quantitative Sensory Testing (QST), Peripheral blood pressure and transcutaneous oxygen tension
Keywords
diabetes, neuropathy, early detection, small nerve fibers
Medical subject headings
Diabetic Neuropathies, Neuropathy, Painful, Diabetes Mellitus

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Perception Threshold Tracking (PTT)Diagnostic test

    low-current electrical stimulation of both large- and small nerve fibers.

  • Axon-flair mediated responsDiagnostic test

    Also called Laser-doppler

    Laser-doppler examination of small blood vessels in the peripheral skin.

  • Heart rate variabilityDiagnostic test

    Also called Vagus TM

    4 measurements of heart rate.

  • Quantitative Sensory Testing (QST)Diagnostic test

    Also called German Research Network on Neuropathic Pain (DFNS) standard protocol

    Seven tests measuring 13 parameters including heat- and cold-detection and pain thresholds, mechanical pain treshold, mechanical detection threshold, pressure pain treshold and vibration threshold.

  • Peripheral blood pressure and transcutaneous oxygen tensionDiagnostic test

    Also called Perimed 6000

    Ankle/brachial index, toe/brachial index, TcpO2.

  • Magnetic Resonance Imaging (MRI)Diagnostic test

    MRI-scans of peripheral nerves and the central nervous system. Blood oxygen level dependent (BOLD) MRI.

  • QuestionnairesDiagnostic test

    Also called PainDETECT, Douleur Neuropathique 4

    Questionnaires for detecting painful neuropathy

  • Corneal Confocal Microscopy /CCM)Diagnostic test

    Confocal microscopy of the cornea measuring NBD, NFD, NFL

Study groups in NCT04078516
Study groupRoleWhat they receive
Type 1 diabetes and painful neuropathyNo interventions. A series of observationel/expirimental methods for detecting and grading neuropathy will be applied.
Receives: Diagnostic Test: Perception Threshold Tracking (PTT); Diagnostic Test: Axon-flair mediated respons; Diagnostic Test: Heart rate variability; Diagnostic Test: Quantitative Sensory Testing (QST); Diagnostic Test: Peripheral blood pressure and transcutaneous oxygen tension; Diagnostic Test: Magnetic Resonance Imaging (MRI); Diagnostic Test: Questionnaires; Diagnostic Test: Corneal Confocal Microscopy /CCM)
Type 1 diabetes and non-painful neuropathyNo interventions. A series of observationel/expirimental methods for detecting and grading neuropathy will be applied.
Receives: Diagnostic Test: Perception Threshold Tracking (PTT); Diagnostic Test: Axon-flair mediated respons; Diagnostic Test: Heart rate variability; Diagnostic Test: Quantitative Sensory Testing (QST); Diagnostic Test: Peripheral blood pressure and transcutaneous oxygen tension; Diagnostic Test: Magnetic Resonance Imaging (MRI); Diagnostic Test: Questionnaires; Diagnostic Test: Corneal Confocal Microscopy /CCM)
Type 1 diabetes and no neuropathyNo interventions. A series of observationel/expirimental methods for detecting and grading neuropathy will be applied.
Receives: Diagnostic Test: Perception Threshold Tracking (PTT); Diagnostic Test: Axon-flair mediated respons; Diagnostic Test: Heart rate variability; Diagnostic Test: Quantitative Sensory Testing (QST); Diagnostic Test: Peripheral blood pressure and transcutaneous oxygen tension; Diagnostic Test: Magnetic Resonance Imaging (MRI); Diagnostic Test: Questionnaires; Diagnostic Test: Corneal Confocal Microscopy /CCM)
Matched controls without diabetesNo interventions. A series of observationel/expirimental methods for detecting and grading neuropathy will be applied.
Receives: Diagnostic Test: Perception Threshold Tracking (PTT); Diagnostic Test: Axon-flair mediated respons; Diagnostic Test: Heart rate variability; Diagnostic Test: Quantitative Sensory Testing (QST); Diagnostic Test: Peripheral blood pressure and transcutaneous oxygen tension; Diagnostic Test: Magnetic Resonance Imaging (MRI); Diagnostic Test: Questionnaires; Diagnostic Test: Corneal Confocal Microscopy /CCM)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Diagnostic value of CCM, PTT, AF and MRI

    Using Quantitative Sensory Testing (small fibers) and conventional nerve conduction studies (large fibers) as golden standards, we will determine the prognostic value of:

    Perception Threshold Tracking Corneal Confocal Microscopy Axon-flair mediated response MRI-scans in detecting neuropathy. Sensitivity and specificity will be reported.

    OBS! Tests will be tested in the initial groups and AFTER a group re-arrangement based on results from QST and NCS.

    Measured: End of study (when all patients have completed all sessions. Latest 31. december 2021)

Secondary outcomes (1)
  1. Validation of PainDETECT in diabetes

    Correlation between PainDETECT and DN4 will be reported.

    Measured: End of study / end of inclusion (when all patients have completed the screening session. Latest 31. november 2021)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Sep 2019
  2. Study start12 Aug 2019
  3. Primary completion31 Aug 2021
  4. Study completion31 Aug 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case-control
Time perspective
Prospective
Enrolment
80 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04078516
Sponsor's protocol ID
N-20190003
Acronym
MEDON
Status last verified
Nov 2021
First submitted
28 Aug 2019
Last updated
2 Nov 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Data will be shared with collaborating department: Department of Radiology with the purpose of analyzing the data and comparing it to their MRI scans. Data will be shared with Aalborg University with the purpose of analyzing data.

Publications

  • Moussa F, Taleb S, Borbjerg MK, Croosu SS, Morch CD, Frokjaer JB, Hansen TM, Ejskjaer N, Roikjer J. Corneal Immune Cells and Their Relation to Diabetic Peripheral Neuropathy and Neuropathic Pain. Muscle Nerve. 2026 Jan;73(1):72-78. doi: 10.1002/mus.70061. Epub 2025 Nov 17.

    PubMed 41246983
  • Hostrup SN, Lind HP, Croosu SS, Roikjer J, Morch CD, Ejskjaer N, Ostergaard LR, Hansen TM, Frokjaer JB. Multimodal MRI analysis selecting key brain features for machine learning based classification of diabetic neuropathic pain and phenotypes. J Neurol Sci. 2025 Nov 15;478:123701. doi: 10.1016/j.jns.2025.123701. Epub 2025 Sep 15.

    PubMed 40987057
  • Roikjer J, Croosu SS, Sejergaard BF, Hansen TM, Frokjaer JB, Sondergaard CB, Petropoulos IN, Malik RA, Nielsen E, Morch CD, Ejskjaer N. Diagnostic Accuracy of Perception Threshold Tracking in the Detection of Small Fiber Damage in Type 1 Diabetes. J Diabetes Sci Technol. 2024 Sep;18(5):1157-1164. doi: 10.1177/19322968231157431. Epub 2023 Feb 24.

    PubMed 36825610
  • Roikjer J, Croosu SS, Frokjaer JB, Hansen TM, Arendt-Nielsen L, Ejskjaer N, Morch CD. Perception threshold tracking: validating a novel method for assessing function of large and small sensory nerve fibers in diabetic peripheral neuropathy with and without pain. Pain. 2023 Apr 1;164(4):886-894. doi: 10.1097/j.pain.0000000000002780. Epub 2022 Sep 19.

    PubMed 36130086

Questions about this trial

What is this clinical trial studying?

An observational study of Neuropathy, Diabetic and Neuropathy, Painful, run by Aalborg University Hospital at 1 site in Denmark.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 2 Nov 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Denmark. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Diagnostic value of CCM, PTT, AF and MRI (time frame: End of study (when all patients have completed all sessions. Latest 31. december 2021)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04078516, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Nov 2021.

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