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
-

Study of Brain Function in Women With Insulin Resistant Polycystic Ovary Syndrome

Not Applicable
Completed
Conditions
Interventions
First Posted Date
2008-05-02
Last Posted Date
2014-05-21
Lead Sponsor
University of Michigan
Target Recruit Count
14
Registration Number
NCT00670800
Locations
🇺🇸

University of Michigan, Michigan Clinical Research Unit, Ann Arbor, Michigan, United States

Metabolic Effect of Metformin in Obese Insulin Resistant Adolescents With Normal Glucose Tolerance

First Posted Date
2008-04-28
Last Posted Date
2009-02-18
Lead Sponsor
Yale University
Target Recruit Count
28
Registration Number
NCT00667498
Locations
🇺🇸

Yale Center for Clinical Investigation (YCCI), New Haven, Connecticut, United States

Evaluate Efficacy and Safety of Saxagliptin in Combination With Metformin in Adult Patients With Type 2 Diabetes

First Posted Date
2008-04-18
Last Posted Date
2012-03-08
Lead Sponsor
AstraZeneca
Target Recruit Count
570
Registration Number
NCT00661362
Locations
🇰🇷

Research Site, Uijeongbu-si, Korea, Republic of

Efficacy and Safety of Dapagliflozin in Combination With Metformin in Type 2 Diabetes Patients

First Posted Date
2008-04-17
Last Posted Date
2015-03-30
Lead Sponsor
AstraZeneca
Target Recruit Count
1217
Registration Number
NCT00660907
Locations
🇬🇧

Research Site, Trowbridge, United Kingdom

Metformin and Temsirolimus in Treating Patients With Metastatic or Unresectable Solid Tumor or Lymphoma

First Posted Date
2008-04-16
Last Posted Date
2013-05-30
Lead Sponsor
London Health Sciences Centre
Target Recruit Count
28
Registration Number
NCT00659568
Locations
🇨🇦

London Regional Cancer Program at London Health Sciences Centre, London, Ontario, Canada

The Copenhagen Insulin and Metformin Therapy Trial

First Posted Date
2008-04-14
Last Posted Date
2014-02-04
Lead Sponsor
Steno Diabetes Center Copenhagen
Target Recruit Count
415
Registration Number
NCT00657943
Locations
🇩🇰

Rigshospitalet, Copenhagen, Denmark

🇩🇰

Bispebjerg Hospital, Copenhagen, Denmark

🇩🇰

Frederiksberg Hospital, Frederiksberg, Denmark

and more 6 locations

Incretin Secretion in Women With Polycystic Ovary Syndrome (PCOS)

Not Applicable
Terminated
Conditions
Interventions
First Posted Date
2008-03-31
Last Posted Date
2008-03-31
Lead Sponsor
Hvidovre University Hospital
Target Recruit Count
66
Registration Number
NCT00647023

Diagnosis and Therapy of Vulnerable Atherosclerotic Plaque

First Posted Date
2008-03-14
Last Posted Date
2012-11-02
Lead Sponsor
Aristotle University Of Thessaloniki
Target Recruit Count
300
Registration Number
NCT00636766
Locations
🇬🇷

General Hospital of Thessaloniki "Hippokratio", Thessaloniki, Greece

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