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Metformin

Generic Name
Metformin
Brand Names
Actoplus Met, Avandamet, Fortamet, Glucophage, Glucovance, Glumetza, Glycon, Invokamet, Janumet, Jentadueto, Kazano, Kombiglyze, Komboglyze, Qternmet, Riomet, Segluromet, Synjardy, Trijardy, Velmetia, Xigduo
Drug Type
Small Molecule
Chemical Formula
C4H11N5
CAS Number
657-24-9
Unique Ingredient Identifier
9100L32L2N
Background

Metformin is a biguanide antihyperglycemic agent and first-line pharmacotherapy used in the management of type II diabetes.

Metformin is considered an antihyperglycemic drug because it lowers blood glucose concentrations in type II diabetes without causing hypoglycemia. It is commonly described as an "insulin sensitizer", leading to a decrease in insulin resistance and a clinically significant reduction of plasma fasting insulin levels. Another well-known benefit of this drug is modest weight loss, making it an effective choice for obese patients type II diabetes.

Metformin was first approved in Canada in 1972, and received subsequent FDA approval in the US in 1995.

Indication

Metformin immediate-release formulations

Metformin is indicated as an adjunct to diet and exercise to improve glycemic control in adults and pediatric patients ≥10 years old with type 2 diabetes mellitus.

Metformin extended-release tablet (XR)

The extended-release formulation of metformin is indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus. Safety in children has not been determined to this date.

Metformin combination products

Metformin is a component of a variety of combination products with other anti-diabetic agents. It is indicated, along with diet and exercise, to improve glycemic control in adult patients with type 2 diabetes mellitus in combination with DPP-4 inhibitors (sitagliptin, linagliptin, alogliptin, or saxagliptin), in combination with SGLT2 inhibitors (canagliflozin, empagliflozin, ertugliflozin, or dapagliflozin), or in combination with pioglitazone.

Associated Conditions
Cardiovascular Mortality, End Stage Renal Disease (ESRD), Hospitalizations, Polycystic Ovarian Syndrome (PCOS), Type 2 Diabetes Mellitus, Decreased estimated glomerular filtration rate
Associated Therapies
-

The CANTATA-MSU Trial (CANagliflozin Treatment And Trial Analysis - Metformin and SUlphonylurea)

Phase 3
Completed
Conditions
Diabetes Mellitus, Type 2
Interventions
Drug: Canagliflozin
Drug: Placebo
Drug: Metformin
Drug: Sulphonylruea
First Posted Date
2010-04-20
Last Posted Date
2013-06-20
Lead Sponsor
Janssen Research & Development, LLC
Target Recruit Count
469
Registration Number
NCT01106625

A Phase III Randomized Trial of Metformin vs Placebo in Early Stage Breast Cancer

Phase 3
Completed
Conditions
Breast Cancer
Interventions
First Posted Date
2010-04-12
Last Posted Date
2023-09-13
Lead Sponsor
Canadian Cancer Trials Group
Target Recruit Count
3649
Registration Number
NCT01101438
Locations
🇺🇸

Kaiser Permanente-San Rafael, San Rafael, California, United States

🇨🇦

The Vitalite Health Network - Dr. Leon Richard, Moncton, New Brunswick, Canada

🇺🇸

Kaiser Permanente-Vallejo, Vallejo, California, United States

and more 340 locations

Ketosis-Prone Diabetes Mellitus (KPDM): Metformin Versus Sitagliptin Treatment

Phase 4
Completed
Conditions
Diabetes Ketoacidosis
Hyperglycemia
Ketosis Prone Diabetes
Interventions
First Posted Date
2010-04-07
Last Posted Date
2015-06-18
Lead Sponsor
Dawn Smiley MD
Target Recruit Count
48
Registration Number
NCT01099618
Locations
🇺🇸

Grady Memorial Hospital, Atlanta, Georgia, United States

A Phase III Study of BMS-512148 (Dapagliflozin) in Asian Patients With Type 2 Diabetes Who Are Not Well Controlled With Diet and Exercise

Phase 3
Completed
Conditions
Type 2 Diabetes
Interventions
First Posted Date
2010-03-30
Last Posted Date
2017-02-06
Lead Sponsor
AstraZeneca
Target Recruit Count
1179
Registration Number
NCT01095653
Locations
🇨🇳

Local Institution, Yung Kang city, Taiwan

A Phase III Study of BMS-512148 (Dapagliflozin) in Asian Patients With Type 2 Diabetes Who Are Not Well Controlled on Metformin Alone

Phase 3
Completed
Conditions
Type 2 Diabetes
Interventions
First Posted Date
2010-03-30
Last Posted Date
2017-09-11
Lead Sponsor
AstraZeneca
Target Recruit Count
1484
Registration Number
NCT01095666
Locations
🇰🇷

Local Institution, Seoul, Korea, Republic of

Renal and Hormonal Effects of Pioglitazone

Phase 4
Completed
Conditions
Diabetes
Hypertension
Interventions
First Posted Date
2010-03-22
Last Posted Date
2010-04-08
Lead Sponsor
University Hospital, Geneva
Target Recruit Count
16
Registration Number
NCT01090752
Locations
🇨🇭

Pechère-Bertschi Antoinette, Geneva, Switzerland

Bioequivalence Study of Metformin Hydrochloride Extended Release 750 mg Tablets Versus Glucophage XR® 750 mg Tablet in Healthy Volunteers Under Fasting Conditions.

Phase 1
Completed
Conditions
Type 2 Diabetes
Interventions
First Posted Date
2010-03-18
Last Posted Date
2010-10-14
Lead Sponsor
Torrent Pharmaceuticals Limited
Registration Number
NCT01089192
Locations
🇮🇳

Torrent Research Centre, Bhat, Gujarat, India

Bioequivalence Study of Metformin Hydrochloride Extended Release 750 mg Tablets Versus Glucophage XR® 750 mg Tablet in Healthy Volunteers Under Fed Conditions.

Phase 1
Completed
Conditions
Type 2 Diabetes
Interventions
First Posted Date
2010-03-18
Last Posted Date
2010-07-29
Lead Sponsor
Torrent Pharmaceuticals Limited
Registration Number
NCT01089205

Bioequivalence Study of Metformin Hydrochloride Extended Release 500 mg Tablet Versus Glucophage XR® 500 mg Tablet in Healthy Volunteers Under Fed Conditions

Phase 1
Completed
Conditions
Type 2 Diabetes
Interventions
First Posted Date
2010-03-18
Last Posted Date
2010-05-07
Lead Sponsor
Torrent Pharmaceuticals Limited
Registration Number
NCT01089179
Locations
🇮🇳

Torrent Research Centre, Bhat, Gujarat, India

Study to Compare the Bioavailability of Extended Release Metformin HCl Tablet Versus Glucophage XR® Tablets in Healthy Human Volunteers Under Fasting Condition

Phase 1
Completed
Conditions
Type 2 Diabetes
Interventions
First Posted Date
2010-03-18
Last Posted Date
2010-06-22
Lead Sponsor
Torrent Pharmaceuticals Limited
Registration Number
NCT01089166
Locations
🇮🇳

Torrent Research Centre, Bhat, Gujarat, India

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