Page last updated: 2024-10-26

valproic acid and Diabetic Neuropathies

valproic acid has been researched along with Diabetic Neuropathies in 6 studies

Valproic Acid: A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS.
valproic acid : A branched-chain saturated fatty acid that comprises of a propyl substituent on a pentanoic acid stem.

Diabetic Neuropathies: Peripheral, autonomic, and cranial nerve disorders that are associated with DIABETES MELLITUS. These conditions usually result from diabetic microvascular injury involving small blood vessels that supply nerves (VASA NERVORUM). Relatively common conditions which may be associated with diabetic neuropathy include third nerve palsy (see OCULOMOTOR NERVE DISEASES); MONONEUROPATHY; mononeuropathy multiplex; diabetic amyotrophy; a painful POLYNEUROPATHY; autonomic neuropathy; and thoracoabdominal neuropathy. (From Adams et al., Principles of Neurology, 6th ed, p1325)

Research Excerpts

ExcerptRelevanceReference
"Valproic acid and its sodium salt (sodium valproate) are antiepileptic drugs that are sometimes used to treat chronic neuropathic pain and fibromyalgia, although they are not licensed for this use."8.87Valproic acid and sodium valproate for neuropathic pain and fibromyalgia in adults. ( Derry, S; Gill, D; Moore, RA; Wiffen, PJ, 2011)
" For treating trigeminal neuralgia, carbamazepine had a combined number needed to treat of 2."6.17Anticonvulsant drugs for management of pain: a systematic review. ( Carroll, D; Jadad, AR; McQuay, H; Moore, A; Wiffen, P, 1995)
"Valproic acid and its sodium salt (sodium valproate) are antiepileptic drugs that are sometimes used to treat chronic neuropathic pain and fibromyalgia, although they are not licensed for this use."4.87Valproic acid and sodium valproate for neuropathic pain and fibromyalgia in adults. ( Derry, S; Gill, D; Moore, RA; Wiffen, PJ, 2011)

Research

Studies (6)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's1 (16.67)18.2507
2000's4 (66.67)29.6817
2010's1 (16.67)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Agrawal, RP2
Goswami, J1
Jain, S1
Kochar, DK3
Gill, D1
Derry, S1
Wiffen, PJ1
Moore, RA1
Jain, N1
Agarwal, RP1
Srivastava, T1
Agarwal, P1
Gupta, S1
Sindrup, SH1
Otto, M1
Bach, FW1
Jensen, TS1
Rawat, N1
Vyas, A1
Beniwal, R1
Kochar, SK1
Garg, P1
McQuay, H1
Carroll, D1
Jadad, AR1
Wiffen, P1
Moore, A1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Regional Anesthesia and Valproate Sodium for the Prevention of Chronic Post-Amputation Pain[NCT01928849]Phase 2128 participants (Actual)Interventional2013-12-31Completed
Erenumab as a Therapeutic Approach for the Management of Trigeminal Neuropathic Pain (TNP)[NCT05142228]Phase 25 participants (Actual)Interventional2022-04-01Terminated (stopped due to Low enrollment rate)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in Self-Reported Leeds Assessment of Neuropathic Symptoms and Signs Pain Scale (S-LANSS)

The S-LANSS is a self-reported version of the Leeds Assessment of Neuropathic Symptoms and Signs pain scale. It aims to differentiate neuropathic pain from somatic or nociceptive pain. We will analyze the change in numeric average pain score during the past week (range from 0-10) from baseline. Higher scores indicate greater pain. (NCT01928849)
Timeframe: Assessments at enrollment and 3 months or time of final adjudication assessment (up to 6 months)

Interventionscore on a scale (Median)
Cherry Syrup-2
Valproic Acid-2

Number of Patients With Chronic Post-amputation Pain

The primary endpoint is the incidence of chronic pain after surgery. The study team will use the average pain score over the past week as noted on the Self-Reported Leeds Assessment of Neuropathic Symptoms and Signs pain scale (S-LANSS) for the assessment of pain, and define chronic pain as a score greater than or equal to 3. (NCT01928849)
Timeframe: 3 months or time of final adjudication assessment, up to 6 months

InterventionParticipants (Count of Participants)
Cherry Syrup37
Valproic Acid36

Brief Pain Inventory (BPI) Short Form Score

The BPI short form is a multidimensional patient-completed measure that assesses the sensory component of pain intensity. We will analyze the change in average pain score question (ranges 0-10) and the sum of the 7 interference questions (total range 0-70) from baseline. Higher score indicates greater pain and interference. (NCT01928849)
Timeframe: Assessments at enrollment and 3 months or time of final adjudication assessment (up to 6 months)

,
Interventionscore on a scale (Median)
BPI Average Pain ScoreBPI interference question sum
Cherry Syrup-2-15
Valproic Acid-1-7

Defense and Veterans Pain Rating Scale (DVPRS) Score

The DVPRS is a pain assessment tool developed by the military in an effort to improve reliability and interpretability of pain assessment in the military population. It has been found to be an effective and valid tool in this population. We will analyze the change in numeric pain response (range 0-10) and the sum of the four supplemental questions (range 0-40) from baseline. Higher scores indicate greater pain and functional limitations. (NCT01928849)
Timeframe: Assessments at enrollment and 3 months or time of final adjudication assessment (up to 6 months)

,
Interventionscore on a scale (Median)
DVPRS numeric painDVPRS Supplemental Question Sum
Cherry Syrup-2-9
Valproic Acid0-4.5

Effect on Analgesic Requirement

The effect of study drug on perioperative analgesic consumption and corresponding analysis of pain/sedation scales. Outcome defined as total opioid consumption (mg) during each 24-hour periods following surgery. (NCT01928849)
Timeframe: Assessments during hospitalization (0-24 hours and 24-48 hours post-surgery)

,
Interventionmorphine milligram equivalents (Median)
Postoperative hours 0-24Postoperative hours 24-48
Cherry Syrup5949
Valproic Acid3345

Incidence of Pain Sub-types

The incidence of neuropathic limb or post-amputation pain sub-types as defined by adjudication classification at each assessment time point. (NCT01928849)
Timeframe: Assessments at enrollment and 3 months or time of final adjudication assessment (up to 6 months)

,
InterventionParticipants (Count of Participants)
Residual limb painPhantom limb
Cherry Syrup2922
Valproic Acid3126

Richmond Agitation-Sedation Scale (RASS)

The RASS is a commonly used, valid and reliable assessment tool for use in hospitalized patients. Validity testing reveals good inter-rater reliability among medical, surgical, and intensive care units. We will analyze the numeric score at each assessment (range -5 (unarousable) to 4 (combative)). (NCT01928849)
Timeframe: during hospitalization (0-24 hours and 24-48 hours post-surgery)

,
Interventionscore on a scale (Median)
Post-op hours 0-24Post-op hours 24-48
Cherry Syrup00
Valproic Acid00

Reviews

2 reviews available for valproic acid and Diabetic Neuropathies

ArticleYear
Valproic acid and sodium valproate for neuropathic pain and fibromyalgia in adults.
    The Cochrane database of systematic reviews, 2011, Oct-05, Issue:10

    Topics: Adult; Analgesics; Diabetic Neuropathies; Fibromyalgia; Humans; Neuralgia, Postherpetic; Randomized

2011
Anticonvulsant drugs for management of pain: a systematic review.
    BMJ (Clinical research ed.), 1995, Oct-21, Volume: 311, Issue:7012

    Topics: Anticonvulsants; Carbamazepine; Clonazepam; Diabetic Neuropathies; Humans; Pain; Phenytoin; Treatmen

1995

Trials

4 trials available for valproic acid and Diabetic Neuropathies

ArticleYear
Management of diabetic neuropathy by sodium valproate and glyceryl trinitrate spray: a prospective double-blind randomized placebo-controlled study.
    Diabetes research and clinical practice, 2009, Volume: 83, Issue:3

    Topics: Alanine Transaminase; Aspartate Aminotransferases; Diabetes Mellitus, Type 2; Diabetic Neuropathies;

2009
Sodium valproate in the management of painful neuropathy in type 2 diabetes - a randomized placebo controlled study.
    Acta neurologica Scandinavica, 2002, Volume: 106, Issue:5

    Topics: Adult; Aged; Anticonvulsants; Diabetes Mellitus, Type 2; Diabetic Neuropathies; Double-Blind Method;

2002
Sodium valproate for painful diabetic neuropathy: a randomized double-blind placebo-controlled study.
    QJM : monthly journal of the Association of Physicians, 2004, Volume: 97, Issue:1

    Topics: Adult; Diabetic Neuropathies; Double-Blind Method; Female; GABA Agents; Humans; Male; Middle Aged; N

2004
Anticonvulsant drugs for management of pain: a systematic review.
    BMJ (Clinical research ed.), 1995, Oct-21, Volume: 311, Issue:7012

    Topics: Anticonvulsants; Carbamazepine; Clonazepam; Diabetic Neuropathies; Humans; Pain; Phenytoin; Treatmen

1995

Other Studies

1 other study available for valproic acid and Diabetic Neuropathies

ArticleYear
Sodium valproate in painful diabetic polyneuropathy.
    Acta neurologica Scandinavica, 2003, Volume: 108, Issue:6

    Topics: Anticonvulsants; Diabetic Neuropathies; Humans; Pain Measurement; Pain, Intractable; Randomized Cont

2003