ClinicalTrials.gg
Not yet recruitingNCT07683598Updated Jul 6, 2026

DLBS1033 as Adjunctive Therapy for Patients With Diabetic Neuropathy

An interventional study of DLBS1033 and Placebo in Diabetic Neuropathy, sponsored by RS H Adam Malik. Not yet recruiting at 1 site in Indonesia. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-06.

Sponsored by RS H Adam Malik · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 12 studies in Diabetic Neuropathies with a site in Indonesia — 3 open to participants now, 4 under way, 1 of them phase 3. Diabetic Neuropathies · Indonesia.

Planned enrollment
5th of 11
80 · median 80
Started
2026
with 1 other
No phase
6 of 12
2 open now
Registered
12th of 12
by date
Lead sponsor
1 of 12
RS H Adam Malik

Among the 12 studies in Diabetic Neuropathies with a site in Indonesia, this one is the 5th largest by planned enrollment of the 11 interventional ones that give a count, is one of 2 that started in 2026, is one of 6 with no phase, and was the 12th registered.

Diabetic Neuropathies

538 studies on the registry are indexed under Diabetic Neuropathies; 80 are open to participants now.

Browse Diabetic Neuropathies studies →

Open to participants now

3 of the 12 studies in Diabetic Neuropathies with a site in Indonesia are open now. Recruiting first, the newest first:

All 3 open studies →

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

Who these studies take

Of the 52 Diabetic Neuropathies studies recruiting now, 21 (40%) set no upper age limit and 24 (46%) stop at 75 or younger; 6 take children under 18; 3 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 12 studies in Diabetic Neuropathies with a site in Indonesia, or all of them as a file.
02

Study summary

This study will evaluate the effect of DLBS1033 as adjunctive therapy in patients with diabetic neuropathy. Diabetic neuropathy is a common complication of diabetes that can cause numbness, tingling, pain, impaired nerve function, and reduced quality of life.

Participants with diabetic neuropathy will be randomly assigned to receive either DLBS1033 plus standard therapy or placebo plus standard therapy. The study will assess changes in nerve conduction study parameters, Toronto Clinical Neuropathy Score, interleukin-8, Galectin-3, and quality of life. The purpose of this study is to determine whether DLBS1033 may provide additional benefit as an adjunctive therapy for diabetic neuropathy.

Read the detailed description

Diabetic neuropathy is one of the most common chronic complications of diabetes mellitus and may lead to sensory symptoms, neuropathic pain, impaired peripheral nerve function, and decreased quality of life. Its pathogenesis involves chronic hyperglycemia, oxidative stress, inflammation, endothelial dysfunction, and impaired microcirculation of the peripheral nerves. Current pharmacological treatment is mainly directed toward symptom control, while therapies targeting microcirculatory and inflammatory mechanisms remain limited.

DLBS1033 is a standardized bioactive extract derived from Lumbricus rubellus. It has fibrinolytic, fibrinogenolytic, antithrombotic, antiplatelet, and anti-inflammatory properties. Based on these mechanisms, DLBS1033 may have potential as an adjunctive therapy in diabetic neuropathy by improving microcirculation and modulating inflammatory pathways.

This study is an experimental analytical study with a randomized controlled trial design involving two parallel groups. Eligible patients with diabetic neuropathy at RS H Adam Malik will be recruited consecutively and randomly assigned to either the intervention group or the control group. The intervention group will receive DLBS1033 as adjunctive therapy in addition to standard therapy, while the control group will receive placebo in addition to standard therapy.

Participants will be followed for 12 weeks. Clinical neuropathy severity and quality of life will be assessed at baseline and then monthly during the follow-up period using the Toronto Clinical Neuropathy Score and the Short Form-36 questionnaire. Nerve conduction study parameters and inflammatory biomarkers will be assessed at baseline and again after 12 weeks of treatment. Nerve conduction study parameters will include nerve conduction velocity, distal latency, and amplitude. Inflammatory biomarkers will include interleukin-8 and Galectin-3 levels.

The study is expected to provide clinical evidence regarding the potential role of DLBS1033 as adjunctive therapy for patients with diabetic neuropathy, particularly in relation to electrophysiological changes, clinical neuropathy severity, inflammatory biomarkers, and quality of life.

03

Conditions studied

  • Diabetic Neuropathy

Browse trials for

Keywords

  • DLBS1033
  • Lumbricus rubellus
  • Nerve Conduction Study
  • Toronto Clinical Neuropathy Score
  • Interleukin-8
  • Galectin-3
  • Quality of Life
  • SF-36
04

Who can participate

Ages eligible
18 Years and older
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

  • Patients diagnosed with diabetic neuropathy based on symptoms and clinical signs of peripheral neuropathy and a Toronto Clinical Neuropathy Score (TCNS) of 6 or higher, representing mild to severe neuropathy.
  • Age 18 years or older.
  • Willing to participate in the study and sign the form.
  • Able to complete the study procedures and complete the Short Form-36 quality of life questionnaire independently or with assistance from the investigator if needed.

Exclusion criteria

Exclusion Criteria:

  • Participants with other conditions that may cause non-diabetic peripheral neuropathy, including history of chemotherapy, use of anti-tuberculosis drugs such as isoniazid, heavy alcohol consumption, chronic kidney disease, liver cirrhosis, vitamin B12 deficiency, hypothyroidism, /AIDS, hereditary neuropathy, or neuromuscular disease affecting the peripheral nerves.
  • Participants with acute infection or active inflammatory conditions that may affect interleukin-8 and Galectin-3 levels at the time of sample collection before or after intervention, such as acute infection with fever, infection with systemic manifestations, active , or active inflammatory disease.
  • Allergy or history of to the active ingredient of DLBS1033.
  • Currently receiving another experimental therapy or participating in another clinical study.
  • Pregnant or breastfeeding women.
Terms in these criteria, in plain language(5)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
80 participants (estimated)

Study arms

  • Experimental
    DLBS1033 Plus Standard Therapy

    Participants in this arm will receive DLBS1033 as adjunctive therapy in addition to standard therapy for diabetic neuropathy for 12 weeks.

    Dietary Supplement: DLBS1033

  • Placebo comparator
    Placebo Plus Standard Therapy

    Participants in this arm will receive placebo in addition to standard therapy for diabetic neuropathy for 12 weeks.

    Dietary Supplement: Placebo

Interventions

  • Dietary supplementDLBS1033

    DLBS1033 is a standardized bioactive extract derived from Lumbricus rubellus. Participants assigned to the intervention arm will receive DLBS1033 1 capsule orally three times daily for 12 weeks, in addition to standard therapy for diabetic neuropathy.

    Also known as: Lumbricus rubellus Extract

  • Dietary supplementPlacebo

    Participants assigned to the control arm will receive a matching placebo capsule orally three times daily for 12 weeks, in addition to standard therapy for diabetic neuropathy.

    Also known as: Placebo capsule

06

What researchers measure

Primary outcomes

  1. Change From Baseline in Nerve Conduction Velocity Assessed by Nerve Conduction Study at Week 12

    Nerve conduction velocity will be assessed using nerve conduction study and reported in meters per second. Change from baseline to week 12 will be compared between groups.

    Time frame: Baseline and week 12

  2. Change From Baseline in Distal Latency Assessed by Nerve Conduction Study at Week 12

    Distal latency will be assessed using nerve conduction study and reported in milliseconds. Change from baseline to week 12 will be compared between groups.

    Time frame: Baseline and week 12

  3. Change From Baseline in Nerve Response Amplitude Assessed by Nerve Conduction Study at Week 12

    Nerve response amplitude will be assessed using nerve conduction study and reported in millivolts for motor nerve responses and microvolts for sensory nerve responses. Change from baseline to week 12 will be compared between groups.

    Time frame: Baseline and week 12

Secondary outcomes

  1. Change From Baseline in Toronto Clinical Neuropathy Score During 12 Weeks

    Clinical neuropathy severity will be assessed using the Toronto Clinical Neuropathy Score. The total score ranges from 0 to 19, with higher scores indicating more severe neuropathy. Scores of 0-5 indicate no neuropathy, 6-8 mild neuropathy, 9-11 moderate neuropathy, and 12 or higher severe neuropathy. Change from baseline to week 4, week 8, and week 12 will be compared between groups.

    Time frame: Baseline, week 4, week 8, and week 12

  2. Change From Baseline in Serum Interleukin-8 Level at Week 12

    Serum interleukin-8 level will be measured using enzyme-linked immunosorbent assay and reported in picograms per milliliter. Change from baseline to week 12 will be compared between groups.

    Time frame: Baseline and week 12

  3. Change From Baseline in Serum Galectin-3 Level at Week 12

    Serum Galectin-3 level will be measured using enzyme-linked immunosorbent assay and reported in nanograms per milliliter. Change from baseline to week 12 will be compared between groups.

    Time frame: Baseline and week 12

  4. Change From Baseline in Short Form-36 Quality of Life Score During 12 Weeks

    Quality of life will be assessed using the Short Form-36 questionnaire. Scores range from 0 to 100, with higher scores indicating better quality of life. Change from baseline to week 4, week 8, and week 12 will be compared between groups.

    Time frame: Baseline, week 4, week 8, and week 12

07

Study locations

1 site
  • RS H Adam Malik
    Medan, North Sumatera 20136, Indonesia
    • Putri Gily De La Glory Ginting, MD · Contactputriginting99@gmail.com · +6282276141617
    • Putri Gily De La Glory Ginting, Medical Doctor · Principal investigator
08

References and documents

Individual participant data

Plan to share: No — Individual participant data will not be shared because the data contain confidential patient information and there is no current plan for public data sharing.

No publications or documents are linked to this record.

09

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

Start is estimated for Aug 2026; primary completion for Feb 2027, 6 months later.

Of 137 non-industry interventional studies with no phase under Diabetic Neuropathies, half reached primary completion within 11 months of starting (the median), counting those still running; a quarter within 6 and three quarters within 24. This study's planned 6 months is below that.

Counting every sponsor, half of 152 studies reached it within 12 months; a quarter within 6 and three quarters within 28.

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

Registered
Jun 18, 2026
First posted
Jul 6, 2026
StartEst.
Aug 1, 2026
Primary completionEst.
Feb 1, 2027
CompletionEst.
Mar 1, 2027
Last update
Jul 6, 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 Jul 6, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07683598
Lead sponsor
RS H Adam Malik
Responsible party
Putri Gily De La Glory Ginting (Resident, Department of Neurology, RS H Adam Malik) — Principal investigator
First posted
Jul 6, 2026
Start date
Aug 1, 2026 (estimated)
Primary completion
Feb 1, 2027 (estimated)
Completion
Mar 1, 2027 (estimated)
Last update
Jul 6, 2026

Study contacts

Putri Gily De La Glory Ginting, Medical Doctor
Contact
putriginting99@gmail.com
+6282276141617
Putri Gily De La Glory Ginting, Medical Doctor
principal investigator · Department of Neurology, RS H Adam Malik

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: DLBS 1033

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