ClinicalTrials.gg
RecruitingNCT07260656Updated Apr 20, 2026

Efficacy of a Topical Palmitated Formulation of Capsaicin (Capsadyn®) In the Treatment of Diabetic Neuropathic Foot Pain

An Early Phase 1 interventional study of Capsaicin Palmitate and Placebo in Diabetic Neuropathies, Painful, Diabetic Foot and Diabetic Peripheral Neuropathy, sponsored by Carilion Clinic. Recruiting at 1 site in United States. Open to participants aged 25 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-04-20.

Primary conditionDiabetic FootRegistry: Diabetic NeuropathiesReclassifiedWhy we changed it
Registry
Diabetic Neuropathies — the first condition term the registry derived for this study.
ClinicalTrials.gg
Diabetic Foot
Why
  1. The study's listed conditions name Diabetic Foot, a narrower term within Diabetic Neuropathies.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Carilion Clinic · Early Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Nov 2025; still recruiting 11 months later.

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Phase
Early Phase 1
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
25 Years to 75 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 381 studies in Diabetic Foot with a site in United States — 66 open to participants now, 85 under way, 3 of them phase 3. Diabetic Foot · United States.

Planned enrollment
135th of 322
80 · median 60
Started
2025
with 29 others
Phase 1
19 of 381
3 open now
Primary completion
2027-11
later than 73 of 84 live
Registered
366th of 381
by date

Among the 381 studies in Diabetic Foot with a site in United States, this one is the 135th largest by planned enrollment of the 322 interventional ones that give a count, is one of 30 that started in 2025, is one of 19 in phase 1, reaches primary completion later than 73 of the 84 other live ones, and was the 366th registered.

Diabetic Foot

1,078 studies on the registry are indexed under Diabetic Foot; 222 are open to participants now.

Browse Diabetic Foot studies →

Open to participants now

66 of the 381 studies in Diabetic Foot with a site in United States are open now. Recruiting first, the newest first:

60 more — sign in →

All 66 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 137 Diabetic Foot studies recruiting now, 96 (70%) set no upper age limit and 12 (9%) stop at 75 or younger; 5 take children under 18; 10 take healthy volunteers.

This study: 25 Years to 75 Years · all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 381 studies in Diabetic Foot with a site in United States, or all of them as a file.
02

Study summary

The purpose of this research is to assess whether the use of a topical cream with an active ingredient can reduce the amount of foot pain experienced in participants who have been diagnosed with Diabetic Peripheral Neuropathy (DPN) with minimal side effects or discomfort from use.

Read the detailed description

This is a double-blind, randomized, placebo-controlled trial with two arms to assess the pain-reducing effects of topical Capsadyn compared to a placebo (carrier cream). At the appointment/recruitment visit, patients will receive standard of care as determined by their clinician. At the first visit, participants opting into the trial will not receive any new medications designed for producing pain relief alongside the Test Article but will continue medications taken before entry to the study, if use history is stable, or medications not specifically designed for pain reduction. Both the clinician administering the Test Article and the participant will be blinded to Test Article, or unaware of whether it is Capsadyn or placebo.

A Test article can be administered to either a unilateral area, or bilateral painful areas. Test Article should be administered over the complete painful area. Test Articles will be packaged in coded, white-labeled one-ounce plastic jars, marked only with a code indicating Capsadyn or placebo, and sent to Carilion Pharmacy for distribution to healthcare providers. The pharmacy will quarantine the Test Articles and randomize Test Article scheduling between the two arms. The participant population will be scheduled for an even split between the two study arms. With the recruitment of 40 participants (20 per group), an interim look at the data will be done to assess participant compliance with instructions, general progress of the study and to troubleshoot any issues that may have arisen.

03

Conditions studied

  • Diabetic Neuropathies, Painful
  • Diabetic Foot
  • Diabetic Peripheral Neuropathy

Browse trials for

Keywords

  • diabetic foot pain
04

In context

Diabetic Foot Reclassified

1,078 studies on the registry are indexed under Diabetic Foot; 222 are open to participants now.

This study's planned enrollment of 80 is above the median of 60 across 848 interventional studies indexed under Diabetic Foot.

Browse Diabetic Foot studies →

Lead sponsor

Carilion Clinic is the lead sponsor of 75 studies on the registry; 15 are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 2 (22%) have results posted.

Compared within Diabetic Foot, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Diabetic Neuropathies. The counts are of registry records indexed under each term, refreshed daily. How we classify →

05

Who can participate

Ages eligible
25 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • At least 3 toes per foot
  • Have otherwise intact feet.
  • Absence of any eczema, hyperkeratosis, scleroderma, or other dermatological conditions afflicting the area of Test Article administration that may interfere with absorption, particularly hyperhidrosis.
  • Must agree to apply the Test Article to painful areas of feet as directed by research personnel.
  • Must agree to apply the Test Article to feet as instructed 2x per day.
  • Must wait 60 minutes after each application of Test Article before filling out NRS forms.
  • Unless burning is encountered soon after application, the participant must wait at least 60 minutes before washing feet after application of Test Article.
  • All participants must be willing to use Test Articles blinded.

Exclusion criteria

Exclusion Criteria:

  • Younger than 25 and older than 75 years of age
  • Any dermatological condition(s) with the potential to disrupt skin integrity or alter sensory function of the feet.
  • Any open wounds, skin ulceration, infection, skin irritation (e.g., poison oak), history of eczema, trauma or burn (including sunburn) affecting the feet within 30 days.
  • Any recent medical history of surgery affecting the feet.
  • Unless part of a stable continuum of substance use prior to start of study, the use of any topical medication products on feet, including holistic formulations, patch or herbal products, cannabinoid products, prescription or over the-counter (OTC) analgesic creams/lotions/patches/gels, nonsteroidal anti-inflammatory drugs, acetaminophen, counterirritants, local anesthetics, or is prohibited.
  • Current substance abuse.
  • History of or allergy to chili peppers, coconut oil, Shea butter, or sunflower seed oil.
  • Except for interventions for mobility, (e.g., physical therapy, exercise, grounding) no concurrent foot therapy for pain that may interfere with NRS evaluations is permitted (e.g., massage, electrophoresis, red light, etc.).
  • No concurrent enrollment in another clinical trial.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

06

Study design

Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
80 participants (estimated)

Study arms

  • Active comparator
    Capsadyn Arm

    participant will receive an over-the-counter topical cream with .25% capsaicin palmitate

    Drug: Capsaicin Palmitate

  • Placebo comparator
    Placebo Arm

    participant will receive an over-the counter topical cream with no active ingredient

    Drug: Placebo

Interventions

  • DrugCapsaicin Palmitate

    Participant will apply a small amount of topical cream (size of a quarter) to one or both feet twice a day, once in the morning and once in the evening.

    Also known as: Capsadyn

  • DrugPlacebo

    Participant will apply a small amount of topical cream (size of a quarter) to one or both feet twice a day, once in the morning and once in the evening.

    Also known as: OTC topical cream

07

What researchers measure

Primary outcomes

  1. Significant reduction in foot pain in participants with chronic diabetic neuropathic foot pain.

    Participants will complete a Numeric Rating Scale (NRS) twice a day for 14 days one hour after applying topical cream to the area of their foot where they are experiencing Diabetic Peripheral Neuropathy foot pain. Participants will not be aware of whether the topical cream applied includes capsaicin palmitate. The NRS rates the intensity of symptoms with a scale of 0 to 10 with 0 being no symptom present to 10 being the worst possible intensity. The symptoms being assessed include redness, irritation, itching, tingling, and a burning or cooling sensation one hour after applying the topical cream. Study investigators will review the variances in the NRS ratings throughout the duration of the 14 days of all participants and report any changes from baseline scores. Data will be analyzed using one-way repeated measures ANOVA, followed by the Mann-Whitney U post-hoc test. Data will be visualized as box-and-whisker plots, comparing Capsadyn to placebo.

    Time frame: A NRS will be completed by the participant twice a day, once in the morning and once in the evening, for 14 days after each application of the topical cream provided

08

Study locations

1 of 1 sites recruiting
  • Carilion Clinic
    Roanoke, Virginia 24016, United States
    Recruiting
    • Internal Medicine · Contact540-224-5170
    • Robert Carpenter, MD · Principal investigator
09

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Nov 2025 (actual). Primary completion is estimated for Nov 2027, 24 months after the start.

Of 26 phase 1 interventional studies under Diabetic Foot, half reached primary completion within 29 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 43. This study's planned 24 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 20, 2025
First posted
Dec 3, 2025
StartActual
Nov 26, 2025
Primary completionEst.
Nov 2027
CompletionEst.
Nov 2027
Last update
Apr 20, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 20, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT07260656
Lead sponsor
Carilion Clinic
Responsible party
Sponsor
First posted
Dec 3, 2025
Start date
Nov 26, 2025
Primary completion
Nov 2027 (estimated)
Completion
Nov 2027 (estimated)
Last update
Apr 20, 2026

Study contacts

Autumn Weidman
Contact
alweidman@carilionclinic.org
(540) 240-1695
Adam Cordell
Contact
ajcordell@carilionclinic.org
(540) 566-8542
Robert Carpenter, MD
principal investigator · Carilion Clinic

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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