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 for Antipsychotic-induced Weight Gain in Adults With Intellectual Disability

First Posted Date
2023-02-27
Last Posted Date
2024-08-20
Lead Sponsor
Centre for Addiction and Mental Health
Target Recruit Count
100
Registration Number
NCT05744479
Locations
🇨🇦

Centre for Addiction and Mental Health, Toronto, Ontario, Canada

New Approaches to INOCA

Completed
Conditions
Interventions
First Posted Date
2023-02-23
Last Posted Date
2023-02-23
Lead Sponsor
Pasquale Mone
Target Recruit Count
3000
Registration Number
NCT05740345

Metformin Efficacy and Safety in Epileptic Patients

First Posted Date
2023-02-10
Last Posted Date
2024-12-02
Lead Sponsor
Tanta University
Target Recruit Count
60
Registration Number
NCT05722951
Locations
🇪🇬

Omnia Ashraf Abd El Aziz Ahmed Kotb, Alexandria, Egypt

Cardio-protective Effect of Metformin in Patients Undergoing PCI

First Posted Date
2023-02-01
Last Posted Date
2023-09-13
Lead Sponsor
Future University in Egypt
Target Recruit Count
80
Registration Number
NCT05708053
Locations
🇪🇬

Faculty of Pharmacy, Cairo University, Cairo, Egypt

🇪🇬

Kasr El Aini Hospital, Cairo, Egypt

🇪🇬

Kasr El-Aini Hospital, Cairo, Egypt

Drug Drug Interaction (DDI) Between Supaglutide and Digoxin or Metformin

First Posted Date
2023-01-23
Last Posted Date
2024-08-05
Lead Sponsor
Shanghai Yinnuo Pharmaceutical Technology Co., Ltd.
Target Recruit Count
34
Registration Number
NCT05694221
Locations
🇨🇳

Huashan Hospital, Fudan University, Shanghai, Shanghai, China

Metabolic Responses of Metformin and Genetic Polymorphisms of SLC22A1 Gene in PCOS

First Posted Date
2023-01-11
Last Posted Date
2024-08-13
Lead Sponsor
Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
Target Recruit Count
100
Registration Number
NCT05680805
Locations
🇧🇩

Department of Endocrinology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh

A Phase 3 Study to Evaluate the Efficacy of XW003 Compared With Dulaglutide in Participants With T2DM

First Posted Date
2023-01-11
Last Posted Date
2023-07-17
Lead Sponsor
Hangzhou Sciwind Biosciences Co., Ltd.
Target Recruit Count
623
Registration Number
NCT05680129
Locations
🇨🇳

ZHONGSHAN Hospital, Shanghai, Shanghai, China

Topiramate vs Metformin on Cardio-Metabolic Profile in Schizophrenia on Atypical Antipsychotics

First Posted Date
2022-12-23
Last Posted Date
2023-08-22
Lead Sponsor
All India Institute of Medical Sciences, Bhubaneswar
Target Recruit Count
60
Registration Number
NCT05663749
Locations
🇮🇳

Dept of Psychiatry, Aiims, Bhubaneswar, Bhubaneswar, Odisha, India

Treatment With Metformin in Chinese Children With Alport Syndrome

Phase 4
Not yet recruiting
Conditions
Interventions
First Posted Date
2022-12-19
Last Posted Date
2022-12-19
Lead Sponsor
Peking University First Hospital
Target Recruit Count
78
Registration Number
NCT05655728

Independent and Additive Effects Of Micronutrients With Metformin In Patients With PCOS

First Posted Date
2022-12-16
Last Posted Date
2024-02-23
Lead Sponsor
Khyber Medical University Peshawar
Target Recruit Count
120
Registration Number
NCT05653895
Locations
🇵🇰

Bacha Khan Medical Complex Swabi, Swabi, Khyber Pukhtunkhwa, Pakistan

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