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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
-

Metformin Hydrochloride in Treating Women With Stage I or Stage II Breast Cancer That Can Be Removed By Surgery

Not Applicable
Terminated
Conditions
Breast Cancer
Interventions
Drug: metformin hydrochloride
Other: laboratory biomarker analysis
First Posted Date
2009-09-25
Last Posted Date
2024-02-01
Lead Sponsor
Vanderbilt-Ingram Cancer Center
Target Recruit Count
5
Registration Number
NCT00984490
Locations
🇺🇸

Emory University Hospital, Atlanta, Georgia, United States

🇺🇸

Vanderbilt-Ingram Cancer Center - Cool Springs, Nashville, Tennessee, United States

🇺🇸

Vanderbilt-Ingram Cancer Center, Nashville, Tennessee, United States

24-week Study Comparing Lixisenatide to Sitagliptin as add-on to Metformin in Obese Type 2 Diabetic Patients Younger Than 50 Years

Phase 3
Completed
Conditions
Type 2 Diabetes Mellitus
Interventions
First Posted Date
2009-09-15
Last Posted Date
2016-10-11
Lead Sponsor
Sanofi
Target Recruit Count
319
Registration Number
NCT00976937
Locations
🇺🇸

Sanofi-Aventis Investigational Site Number 840004, Medford, Oregon, United States

🇺🇸

Sanofi-Aventis Investigational Site Number 840003, Muscle Shoals, Alabama, United States

🇺🇸

Sanofi-Aventis Investigational Site Number 840006, Butte, Montana, United States

and more 89 locations

24-week Treatment With Lixisenatide in Type 2 Diabetes Insufficiently Controlled With Metformin and Insulin Glargine

Phase 3
Completed
Conditions
Type 2 Diabetes Mellitus
Interventions
First Posted Date
2009-09-11
Last Posted Date
2016-10-11
Lead Sponsor
Sanofi
Target Recruit Count
446
Registration Number
NCT00975286
Locations
🇺🇸

Sanofi-Aventis Investigational Site Number 840210, Dallas, Texas, United States

🇺🇸

Sanofi-Aventis Investigational Site Number 840211, Baton Rouge, Louisiana, United States

🇺🇸

Sanofi-Aventis Investigational Site Number 840230, Hyattsville, Maryland, United States

and more 137 locations

Effect of Eslicarbazepine Acetate on the Pharmacokinetics of Metformin in Healthy Volunteers

Phase 1
Completed
Conditions
Neuropathic Pain
Interventions
First Posted Date
2009-09-03
Last Posted Date
2014-12-16
Lead Sponsor
Bial - Portela C S.A.
Target Recruit Count
20
Registration Number
NCT00971295
Locations
🇵🇹

Human Pharmacology Unit (UFH)Section of Clinical Research (SIC), Department of Research & Development (DID), BIAL - Portela & Cª, SA,, Mamede do Coronado, Portugal

CANagliflozin Treatment And Trial Analysis-Sulfonylurea (CANTATA-SU) SGLT2 Add-on to Metformin Versus Glimepiride

Phase 3
Completed
Conditions
Diabetes Mellitus, Type 2
Interventions
First Posted Date
2009-08-31
Last Posted Date
2017-01-30
Lead Sponsor
Janssen Research & Development, LLC
Target Recruit Count
1452
Registration Number
NCT00968812

Metformin Compared to Glyburide in Gestational Diabetes

Not Applicable
Completed
Conditions
Gestational Diabetes
Interventions
First Posted Date
2009-08-26
Last Posted Date
2024-11-19
Lead Sponsor
University of New Mexico
Target Recruit Count
149
Registration Number
NCT00965991
Locations
🇺🇸

University of New Mexico Diabetes in Pregnancy Clinic, Albuquerque, New Mexico, United States

Phenotypic and Genetic Correlates of Diabetes (Non-Type 1) in Young Non-Obese Asian Indians in North India and A Study to Evaluate the Efficacy of Sitagliptin (DPP-4 Inhibitor) in a Sub-group of the Study Population

Phase 4
Completed
Conditions
Diabetes Mellitus, Type 2
Interventions
Behavioral: Lifestyle modification
Drug: Metformin
First Posted Date
2009-08-24
Last Posted Date
2015-08-06
Lead Sponsor
Diabetes Foundation, India
Target Recruit Count
133
Registration Number
NCT00964184
Locations
🇮🇳

Fortis Flt Lt Rajan Dhall Hospital, New Delhi, Delhi, India

A Study of RO5095932 in Patients With Type 2 Diabetes Mellitus

Phase 1
Completed
Conditions
Diabetes Mellitus Type 2
Interventions
Drug: RO5095932
Drug: metformin
Drug: placebo
First Posted Date
2009-08-19
Last Posted Date
2016-11-02
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
122
Registration Number
NCT00961909

A Trial Comparing Two Therapies: Basal Insulin/Glargine, Exenatide and Metformin Therapy (BET) or Basal Insulin/Glargine, Bolus Insulin Lispro and Metformin Therapy (BBT) in Subjects With Type 2 Diabetes

Phase 3
Completed
Conditions
Type 2 Diabetes Mellitus
Interventions
First Posted Date
2009-08-18
Last Posted Date
2015-04-07
Lead Sponsor
AstraZeneca
Target Recruit Count
1036
Registration Number
NCT00960661
Locations
🇬🇧

Research Site, Wakefield, United Kingdom

Comparison of Repaglinide and Metformin Combination Tablet Versus Repaglinide and Metformin as Separate Tablets in Healthy Volunteers

First Posted Date
2009-08-14
Last Posted Date
2015-03-24
Lead Sponsor
Novo Nordisk A/S
Target Recruit Count
42
Registration Number
NCT00959101
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