Diabetic Peripheral Neuropathy Studies

Do your legs or feet ache due to diabetic peripheral neuropathy (DPN)?

Learn more about the DPN Clinical Trials

Study-related care by specialized doctors and study medication may be provided at no cost. Compensation may also be available. No health insurance required.

We’re seeking adults diagnosed with type 1 or 2 diabetes to take part in clinical trials to assess the effectiveness of investigational medication for lower extremity pain caused by DPN.

What happens if I fill out the pre-screening questionnaire?

If you pass the initial study screener, we will match you to a study location in your area or notify you if one becomes available. If there is not a current study for DPN-related pain in your area, we may contact you in the future via email or phone about other study opportunities.

If you decide to participate, you may be asked to read and sign a consent form detailing your rights, risks, benefits, and study requirements.

See if you may qualify

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Do you consent to the collection and processing of your personal data (including information about your race and ethnicity (as applicable), and your health information, including symptoms, diagnoses, medications, and treatments and our sharing of this information (“Health Data”) for the purpose of recruitment into clinical research studies, determining your eligibility for studies, and provision of other services you requested, and disclosure to our Research Partners? You may withdraw your consent at any time by contacting us at info@autocruitment.com. Please note that your revocation will not impact any records or health data already collected, disclosed, or processed based on your consent. If you do not consent to the collection and use of your Health Data in this manner, we will not be able to provide you with our services or evaluate your eligibility to participate in the studies. *

Yes

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Do you consent to receive recurring messages at the phone number you provided above, including SMS/MMS text messages, sent by or on behalf of AutoCruitment through the use of an autodialer or artificial intelligence with information about research studies for which you may be eligible. To opt out, reply “STOP” or similar words. Message and data rates may apply. By clicking ”Yes”, you also agree to our SMS Terms. *

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By clicking “I accept” below, you agree to receive calls or text messages from or on behalf of Velocity Clinical Research, Inc., regarding clinical research study opportunities at the phone number provided. These calls or text messages may result in data usage and/or charges. Frequency of texting may vary. You may reply with STOP to a text message. For full details, refer to Velocity's Privacy Policy. *

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Personal Information

First Name *

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Last Name *

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Email *

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Date of Birth MM/DD/YYYY *

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Zip Code *

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What sex were you assigned at birth? *

Male

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Health History

Have you been diagnosed by a doctor with any of the following conditions? *
Please select all that apply...

NASH/MASH (Nonalcoholic liver disease)

Suspected to have NASH/MASH (Nonalcoholic liver disease)

Liver fibrosis

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Type I Diabetes

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Metabolic dysfunction-associated steatotic liver disease (MASLD)

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Do you have a history of any of the following conditions? *
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Hypertension

High Blood Pressure

Dyslipidemia

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High Triglycerides

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Heart Attack (myocardial infarction)

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Coronary Artery Disease

Atherosclerosis

None of the above

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Have you had any of the following surgeries due to your atherosclerosis? *

Revascularization Surgery due to atherosclerosis

Amputation due to atherosclerosis

No

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Have you been experiencing pain in your limbs? *

Yes - pain in any limb for at least 3 months

Yes - pain in a lower limb for the last year

No

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Are you currently a heart transplant recipient, awaiting a heart transplant, or have a implanted left ventricular assist device (LVAD)? *

Yes - heart transplant recipient

Yes - awaiting a heart transplant

Yes - have an implanted LVAD

None of the above

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Have you been diagnosed (by a doctor) with any other medical conditions? *
(For Example: Variceal bleeding, Cushing’s syndrome, hepatitis, HIV, pancreatitis, cancer, liver disease, schizophrenia, schizoaffective disorder, bipolar disorder)
Please list here or write 'none'.
Please only include conditions which have been diagnosed by a doctor.

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Are you currently taking any medications for hypertension? *

Yes - medication for hypertension

No

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Are you taking medications or treatments for any other health conditions? *
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Additional Details

Please, select your height from the dropdown below. *

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How much do you weigh in Lbs (pounds)? *

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Which racial or ethnic group(s) do you identify with? *
Capturing information on ethnic backgrounds allows us to better understand how different groups may have different needs.
Please select all that apply.

American Indian or Alaskan Native

Asian

Black or African American

Hispanic Latino or Spanish

Middle Eastern or North African

Native Hawaiian or Other Pacific Islander

White

Mediterranean (Greek/Italian/Portuguese/Spanish/etc)

Another race or ethnicity

I prefer not to answer

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What is the best day/time to reach you via telephone (we know you are busy)? *

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The information you are providing here will be processed in accordance with our Privacy Policy, which describes our data privacy practices, including how we share your information with our Research Partners and use your information to send you details about potential clinical trial opportunities. When you submit this information, you consent to AutoCruitment’s use of your data as described in our Privacy Policy. If you have any questions regarding the handling of the information you have provided to AutoCruitment, or if you would like to make any changes or withdraw your consent, please contact us at info@autocruitment.com.

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