Evidence map›Paper›PMID 42823911›Full record

Trial reportDiabetes, obesity & metabolism2026

Efficacy and Safety of Crisugabalin for Inadequately Controlled Diabetic Peripheral Neuropathic Pain: A Randomized, Active-Controlled, Phase 2 Trial.

Yaming Li, Fang Zhang, Wei Liu, Xiuhai Su, Bin Zhou, Na Xu, Junjie Shang, Chen Fang, Liujun Fu, Fangqiong Li and 2 more

Abstract readRandomized Controlled TrialMulticenter StudyClinical Trial, Phase II
In one paragraph

Trial report in Diabetes, obesity & metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Yaming LiShaanxi Key Laboratory of Natural Products & Chemical Biology, College of Chemistry & Pharmacy, Northwest A&F University, Xianyang, Shaanxi Province, China.
Fang ZhangDepartment of Endocrinology, Kaifeng Hospital of Traditional Chinese Medicine, Kaifeng, Henan Province, China.
Wei LiuDepartment of Endocrinology, Yongzhou Central Hospital, Yongzhou, Hunan Province, China.
Xiuhai SuDepartment of Endocrinology, Cangzhou Integrated Traditional Chinese and Western Medicine Hospital, Cangzhou, Hebei Province, China.
Bin ZhouDepartment of Endocrinology, Shaoyang Central Hospital, Shaoyang, Hunan Province, China.
Na XuDepartment of Endocrinology, Nanyang Central Hospital, Nanyang, Henan Province, China.
Junjie ShangDepartment of Endocrinology, Nanyang Second People's Hospital, Nanyang, Henan Province, China.
Chen FangDepartment of Endocrinology, Suzhou Ninth People's Hospital, Suzhou, Jiangsu Province, China.
Liujun FuDepartment of Endocrinology, The First Affiliated Hospital of Henan University of Science and Technology, Luoyang, Henan Province, China.
Fangqiong LiHaisco Pharmaceutical Group Co., Ltd., Chengdu, Sichuan Province, China.
Chao ZhengDepartment of Endocrinology, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China.
Jinyou DuanShaanxi Key Laboratory of Natural Products & Chemical Biology, College of Chemistry & Pharmacy, Northwest A&F University, Xianyang, Shaanxi Province, China.ORCID https://orcid.org/0000-0002-2992-0527

Funding

Haisco Pharmaceutical Group Co., Ltd
6 · The paper itself

Abstract

aimsCrisugabalin (HSK16149), a selective γ-aminobutyric acid (GABA) analog, has shown preliminary efficacy in controlling diabetic peripheral neuropathic pain (DPNP), but efficacy in patients with inadequate response to prior pregabalin treatment remains unknown. MATERIALS AND

methodsThis multicentre randomized controlled trial was conducted from April 18, 2024 to July 18, 2024. Adults patients with DPNP and inadequate response to pregabalin were randomized at a 1:1 ratio to receive crisugabalin (40 mg/day) or pregabalin (300 mg/day) for 4 weeks. The primary endpoint was the mean change of SF-MPQ pain score from baseline to 4 weeks of treatment.

resultsNinety-three patients were randomized: 47 and 46 in the crisugabalin and pregabalin groups, respectively. The efficacy analysis included 90 patients (mean age, 58.9 years; 49 men). The least square mean (LSM) difference in the mean change of SF-MPQ pain score was -7.2 (95% CI: -12.4, -2.0; ANCOVA p = 0.007) between the two groups. The rate of treatment-emergent adverse events was 29.5% (13/44) and 47.8% (22/46) in the crisugabalin and pregabalin groups, respectively.

conclusionsTreatment with crisugabalin 40 mg/day resulted in greater pain reduction in comparison to pregabalin 300 mg/day over a period of 4 weeks in DPNP patients with inadequate response to prior pregabalin treatment.

Indexed as

AnalgesicsDiabetic Neuropathiesgamma-Aminobutyric AcidNeuralgiaAgedDiabetes Mellitus, Type 2FemaleHumansMaleMiddle AgedPain MeasurementPregabalinTreatment OutcomeAnalgesicsgamma-Aminobutyric AcidPregabalincrisugabalindiabetesneuropathic painpregabalinrandomized controlled trial

Identifiers

PMID42823911
PMCPMC13731062

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.