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Non-Proliferative Diabetic RetinopathyPhase 3TNTLNCT06817265

Clinical Study on the Efficacy and Safety of TNTL in the Treatment of Non-proliferative Diabetic Retinopathy

A Phase 3 study testing TNTL and TNTL simulation preparation in people with Non-Proliferative Diabetic Retinopathy, run by Beletalent (Zhuhai) Pharmaceutical Co., Ltd at 30 sites in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The goal of this clinical trial is to learn if drug TNTL works to treat non-proliferative diabetic retinopathy in adults. It will also learn about the safety of drug TNTL. The main questions it aims to answer are: 1. Does drug TNTL can improve visual acuity and reduce the degree of retinopathy? 2. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Non-Proliferative Diabetic Retinopathy
What is being tested?
TNTL and TNTL simulation preparation
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
360 participants
Where
30 sitesChina
Study dates
29 Apr 2025to 31 Dec 2026
Phase
Phase 3
Are there results?
Not yet: the study is under way

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 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age range of 18 to 75 years old (including boundary values);
  • Conform to the diagnosis of type 2 diabetes and diabetes retinopathy. diabetes retinopathy is classified as NPDR and mild and moderate patients;
  • Patients with the best corrected visual acuity (BCVA) of the target eye is ≥ 34 points (ETDRS visual acuity chart, visual acuity equivalent to a score of 20/200, decimal 0.1);
  • Patients who meet the syndrome differentiation criteria of Yin deficiency, internal heat, and eye meridian stasis in traditional Chinese medicine;
  • During the screening period, glycated hemoglobin (HbA1c) should be ≤ 8.5%;
  • Agree to participate in this clinical study and voluntarily sign the informed consent form.

Who cannot join

  • Patients with no light perception in one eye;
  • Patients with macular edema who require anti Vascular Endothelial Growth Factor(VEGF) treatment;
  • People with other eye diseases, such as retinal artery or vein occlusion, non diabetes retinopathy, retinal detachment, uveitis, glaucoma, corneal ulcer, cataract affecting fundus examination, optic neuropathy and high myopia with fundus changes;
  • Patients with acute complications of diabetes (such as diabetes ketoacidosis, hyperglycemia hyperosmolality syndrome, diabetes lactic acidosis, etc.) within one year before the screening period;
  • People with other eye related complications of diabetes, such as iris neovascularization, angle neovascularization, and retinal neovascularization;
  • acupuncture and moxibustion and other external treatment methods of traditional Chinese medicine were used to treat diabetes retinopathy within one week before enrollment;
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  • Patients who have used drugs clearly stated in the instruction manual to treat diabetes retinopathy, such as calcium dobesilate, pancreatic kallidinogenase, Qiming Granules, Shuangdan Mingmu Capsules, Compound Danshen Dropping Pills, Tongluo Mingmu Capsules, etc. within 2 weeks before enrollment;
  • Patients who have undergone glaucoma, vitreous, retinal and other intraocular surgeries and procedures in the target eye within 3 months before enrollment;
  • Patients who have undergone cataract surgery in the target eye within 3 months prior to enrollment and have not yet stabilized according to the researcher's assessment;
  • Patients who have received intravitreal injections of anti VEGF antibodies and glucocorticoids in the target eye within 3 months prior to enrollment;
  • Patients who have undergone total retinal laser photocoagulation treatment in the target eye;
  • For those whose refractive media is turbid and difficult to evaluate fundus images in the target eye;
  • Uncontrolled or controlled blood pressure with systolic blood pressure ≥ 160mmHg and/or diastolic blood pressure ≥ 100mmHg;
  • When screening, alanine aminotransferase (ALT) or aspartate aminotransferase (AST) should be ≥ 1.5 times the upper limit of normal value;
  • Patients with serious kidney disease (such as azotemia and uremia), diabetes foot, etc;
  • When screening, individuals with severe primary diseases such as respiratory, cardiovascular, cerebrovascular, endocrine, digestive, and hematopoietic systems, or those with severe mental illnesses should be included;
  • Suspected or confirmed history of alcohol or drug abuse;
  • Pregnant women, lactating women, or women of childbearing age who are preparing to conceive; Female subjects of childbearing age or male subjects (with partners of childbearing age) who do not agree to voluntarily take effective contraceptive measures within one month after the last dose during the screening period;
  • Individuals who are allergic to the drugs or their components used in this experiment;
  • Participants who have participated in other clinical trials within the past month;
  • The researchers believe that participants should not participate in the clinical trial.

Trial locations and contacts

30 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Jinxin Clinical Project Manager contact

+86 13885383954

trade@beletalent.com

30 sites in 1 country

China30 sites, 30 recruiting
  • Beijing Chaoyang Hospital

    Beijing, Beijing Municipality, 100020

    Yong Tao, +086 13910308908, taoyong@mail.ccmu.edu.cn

    Yong Tao

    Recruiting
  • Affiliated Zhongshan Hospital Dalian University

    Dalian, Liaoning, 116001

    Wei Duan, +086 13940839879, duanwei34@hotmail.com

    Qian Yang

    Recruiting
  • The First Affiliated Hospital of Guangzhou University of Chinese Medicine

    Guangzhou, Guangdong, 510405

    Hong Liu, +086 13572876766, liuhongtry100@sina.com

    Hong Liu

    Recruiting
  • The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine

    Guiyang, Guizhou, 550001

    Limin Wang, +086 13710616456, 3620998236@qq.com

    Limin Wang

    Recruiting
  • Guizhou Provincial People's Hospital

    Guiyang, Guizhou, 550002

    Hongpei Ji, +086 18585006622, 1755240181@qq.com

    Hongpei Ji

    Recruiting
  • The First Affiliated Hospital Of University Of South China

    Hengyang, Hunan, 421001

    Gang Tan, +086 13907343001, tangang99@hotmail.com

    Gang Tan

    Recruiting
  • Shandong University of Traditional Chinese Medicine Affiliated Eye Hospital

    Jinan, Shandong, 250011

    Hongsheng Bi, +086 18085117112, hongshengbi@126.com

    Hongsheng Bi

    Recruiting
  • Shandong University of Traditional Chinese Medicine Affiliated Hospital

    Jinan, Shandong, 250012

    Meirong Chen, +086 13065066352, langhongyerong@163.com

    Meirong Chen

    Recruiting
  • Shandong Provincial Hospital

    Jinan, Shandong, 250021

    Luxin Ma, +086 15168887693, 15168887693@163.com

    Luxin Ma

    Recruiting
  • Shandong Second Provincial General Hospital

    Jinan, Shandong, 250022

    Hong Wang, +086 13969058801, wanghong630223@163.com

    Hong Wang

    Recruiting
  • Kaifeng Central Hospital

    Kaifeng, Henan, 475000

    Hongmei Mu, +086 15837815666, muhongmeik@126.com

    Hongmei Mu

    Recruiting
  • Yunnan University Affiliated Hospital

    Kunming, Yunnan, 650021

    Min Wu, +086 18908809399, ynwumin@126.com

    Min Wu

    Recruiting
  • Liaocheng People's Hospital

    Liaocheng, Shandong, 252000

    Xinying You, +086 13953113696, youyou7688@126.com

    Xinying You

    Recruiting
  • Luoyang Third People's Hospital

    Luoyang, Henan, 471099

    Jingbo Li, +086 13643897923, lyljb01@163.com

    Jingbo Li

    Recruiting
  • The Affiliated Hospital of Southwest Medical University

    Luzhou, Sichuang, 646099

    Hongshan Lv, +086 13550885588, oculistlvhongbin@163.com

    Hongshan Lv

    Recruiting
  • Panzhihua Integrated Traditional Chinese and Western Medicine Hospital

    Panzhihua, Sichuang, 617000

    Libin Zhou, +086 13982321888, zlblqh@126.com

    Libin Zhou

    Recruiting
  • Shenzhen Eye Hospital

    Shenzhen, Guangdong, 518040

    Wei Chi, +086 13710616456, dr_chiwei@163.com

    Wei Chi

    Recruiting
  • Shijiazhuang People's Hospital

    Shijiazhuang, Hebei, 050011

    Qian Ren, +086 17603119856, 17603119856@163.com

    Qian Ren

    Recruiting
  • Taihe Hospital (Affiliated Hospital Of Hubei University Of Medicine)

    Shiyan, Hubei, 442099

    Yong Zhang, +086 13710616456, inforzy@163.com

    Yong Zhang

    Recruiting
  • Wuhan Puren Hospital

    Wuhan, Hubei, 430080

    Yumin Gui, +086 13707152515, 5537468@qq.com

    Yumin Gui

    Recruiting
  • Wuxi People's Hospital

    Wuxi, Jiangsu, 214023

    Yong Yao, +086 13301518688, pard1@126.com

    Yong Yao

    Recruiting
  • Xian No.1 Hospital

    Xi’an, Shanxi, 710002

    Huiqin Lu, +086 13389255280, 13389255280@163.com

    Huiqin Lu

    Recruiting
  • The First Affiliated Hospital of Xi'an Medical University

    Xi’an, Shanxi, 710077

    Ying Deng, +086 15237321701, xady2008@163.com

    Ying Deng

    Recruiting
  • The First People'S Hospitalof Xian Yang

    Xianyang, Shanxi, 712000

    Lihua Hou, 18220010523, houlihua1018@163.com

    Lihua Hou

    Recruiting
  • Xinxiang Central Hospital

    Xinxiang, Henan, 453001

    Ximin Feng, +086 15237321701, fengximin00@163.com

    Ximin Feng

    Recruiting
  • Xuancheng People's Hospital

    Xuancheng, Anhui, 242000

    Shenghua Dong, +086 13013133123, Xcsyydsh@163.com

    Shenghua Dong

    Recruiting
  • Yichang Central People's Hospital

    Yichang, Hubei, 443000

    Yan Zhang, 13647177003, caoshuzhangyan@163.com

    Yan Zhang

    Recruiting
  • People's Hospital of Zhengzhou

    Zhengzhou, Henan, 450014

    Yuanyuan Yan, +086 13526696829, 1165581980@qq.com

    Yuanyuan Yan

    Recruiting
  • Zhengzhou Second Hospital

    Zhengzhou, Henan, 450015

    Xuexia Gao, +086 13837199867, gaoxuexia2003@163.com

    Xuexia Gao

    Recruiting
  • Zhuhai People's Hospital

    Zhuhai, Guangdong, 519099

    Hongyun Lu, +086 13902533020, luhongyun2013@163.com

    Hongyun Lu

    Recruiting

Other trials in China

About this study

Official title: Phase III Clinical Study on the Efficacy and Safety of TNTL in the Treatment of Non-proliferative Diabetic Retinopathy(With Syndrome of Yin Deficiency With Internal Heat and Blood Stasis Obstructing the Collaterals of the Eyes)

The goal of this clinical trial is to learn if drug TNTL works to treat non-proliferative diabetic retinopathy in adults. It will also learn about the safety of drug TNTL. The main questions it aims to answer are:

  1. Does drug TNTL can improve visual acuity and reduce the degree of retinopathy?
  2. What medical problems do participants have when taking drug TNTL? Researchers will compare drug TNTL to a placebo (a look-alike substance that contains no drug) to see if drug TNTL works to treat non-proliferative diabetic retinopathy.
Read more

Participants will:

  1. Take drug TNTL or a placebo every day for 6 months
  2. Visit the clinic once every 4 weeks for checkups and tests
  3. Keep a diary of their symptoms and Change from baseline
Being tested
TNTL, TNTL simulation preparation

What participants receive

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

  • TNTLDrug

    oral, 4 tablets, 3 times a day, after meals. Take it for 24 weeks.

  • TNTL simulation preparationDrug

    oral, 4 tablets, 3 times a day, after meals. Take it for 24 weeks.

Study groups in NCT06817265
Study groupRoleWhat they receive
TNTL Experimental GroupActive comparatorTNTL, oral, 4 tablets, 3 times a day, after meals. Take it for 24 weeks.
Receives: Drug: TNTL
TNTL Control GroupPlacebo comparatorTNTL simulation preparation,oral, 4 tablets, 3 times a day, after meals. Take it for 24 weeks.
Receives: Drug: TNTL simulation preparation

What is being measured

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

  1. Change in best corrected visual acuity (BCVA) from baseline after 24 weeks of medication;

    After 24 weeks of medication, the subjects' best corrected visual acuity (BCVA) was checked and compared with the value measured at week 0 to observe the degree of change from baseline value;

    Measured: From enrollment to the end of treatment at 24 weeks

Secondary outcomes (9)
  1. Change in best corrected visual acuity (BCVA) from baseline after medication

    After 4 weeks,8weeks,12weeks,16weeks,20weeks of medication, the subjects' best corrected visual acuity (BCVA) was checked separately and compared with the value measured at week 0 to observe the degree of change from baseline value;

    Measured: From enrollment to the end of treatment at 4 weeks,8weeks,12weeks,16weeks,20weeks

  2. The change and progression rate of ETDRS classification DR Classification from baseline after 12 and 24 weeks of medication;

    After 12 weeks,24 weeks of medication, the subjects' ETDRS classification based on the Diabetic Retinopathy Severity Score and compared with the value measured at week 0 to observe the change and progression rate from baseline value as required, with a minimum score of 10 and a maximum score of 90. The higher the score, the more severe it is.

    Measured: From enrollment to the end of treatment at 12weeks and 24weeks.

  3. The proportion of subjects whose best corrected visual acuity (BCVA)increased by ≥ 5, ≥ 10, ≥ 15 compared to baseline after medication;

    After 4,8,12,16,20,24 weeks of medication, count the proportion of subjects whose best corrected visual acuity(BCVA) increased by ≥ 5, ≥ 10, ≥ 15 compared to baseline

    Measured: From enrollment to the end of treatment at 4,8,12,16,20, and 24 weeks

  4. The proportion of subjects whose best corrected visual acuity (BCVA) decreased by ≥ 5, ≥ 10, ≥ 15 compared to baseline after medication

    After 4,8,12,16,20,24 weeks of medication, count the proportion of subjects whose best corrected visual acuity(BCVA) decreased by ≥ 5, ≥ 10, ≥ 15 compared to baseline

    Measured: From enrollment to the end of treatment at 4,8,12,16,20, and 24 weeks

  5. Changes in fundus condition compared to baseline

    Changes in fundus condition compared to baseline after 12 and 24 weeks of medication

    Measured: From enrollment to the end of treatment at 12 and 24 weeks.

  6. Changes in retinal macular optical coherence tomography (OCT) compared to baseline

    Changes in retinal macular optical coherence tomography(OCT) after 12 and 24 weeks of medication compared to baseline

    Measured: From enrollment to the end of treatment at 12 and 24 weeks.

  7. Changes in HemoglobinA1c compared to baseline

    Changes in HemoglobinA1c levels compared to baseline after 12 and 24 weeks of medication

    Measured: From enrollment to the end of treatment at 12 and 24 weeks.

  8. Changes in fasting blood glucose compared to baseline

    Changes in fasting blood glucose levels after 4, 8, 12, 16, 20, and 24 weeks of medication compared to baseline

    Measured: From enrollment to the end of treatment at 4,8,12,16,20, and 24 weeks

  9. Effective rate of traditional Chinese medicine syndrome

    After medication, use the Traditional Chinese Medicine Syndrome(yin deficiency with internal heat and blood stasis obstructing the collaterals of the eyes) Scale as required to score and calculate the effective rate,the lowest score is 0, the highest score is 30, and the higher the score, the more severe it is.

    Measured: From enrollment to the end of treatment at 4,8,12,16,20, and 24 weeks

Timeline

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

  1. First posted10 Feb 2025
  2. Study start29 Apr 2025
  3. Primary completion30 Aug 2026 (estimated)
  4. Study completion31 Dec 2026 (estimated)

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
360 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06817265
Sponsor's protocol ID
TNTL-DR-20241112
Acronym
TNTL
Status last verified
Jan 2025
First submitted
24 Jan 2025
Last updated
24 Aug 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing TNTL and TNTL simulation preparation in people with Non-Proliferative Diabetic Retinopathy, run by Beletalent (Zhuhai) Pharmaceutical Co., Ltd at 30 sites in China.

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 6 inclusion and 21 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: looking for participants now, as of the sponsor's last update on 24 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 30 sites in China. 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Jinxin Clinical Project Manager (+86 13885383954, trade@beletalent.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in best corrected visual acuity (BCVA) from baseline after 24 weeks of medication; (time frame: From enrollment to the end of treatment at 24 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 24 Aug 2025.

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