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
-

Uterine Artery Blood Flow in Pregnant Women With PCOS Treated With Metformin

Phase 3
Completed
Conditions
Interventions
First Posted Date
2007-04-27
Last Posted Date
2016-07-20
Lead Sponsor
Norwegian University of Science and Technology
Target Recruit Count
48
Registration Number
NCT00466622
Locations
🇳🇴

Dept. of Obstetrics and Gynecology, National Center for fetal Medicine, University Hospital of Trondheim, Trondheim, Norway

The Effect of Metformin Treatment on Thyroid Hormone Metabolism in Euthyroid Patients With Type 2 Diabetes Mellitus

Phase 4
Completed
Conditions
First Posted Date
2007-04-20
Last Posted Date
2007-04-20
Lead Sponsor
Haydarpasa Numune State Hospital
Registration Number
NCT00463502

A Safety and Efficacy Study With YM543 in Type 2 Diabetes Mellitus Subjects

First Posted Date
2007-03-30
Last Posted Date
2008-10-16
Lead Sponsor
Astellas Pharma Inc
Target Recruit Count
97
Registration Number
NCT00454233
Locations
🇷🇺

4 Sites, Moscow, Russian Federation

🇷🇺

10 Sites, St. Petersburg, Russian Federation

Metformin and Oral Contraceptives in PCOS

Phase 4
Completed
Conditions
Interventions
First Posted Date
2007-03-23
Last Posted Date
2015-04-13
Lead Sponsor
Odense University Hospital
Target Recruit Count
90
Registration Number
NCT00451568
Locations
🇩🇰

Odense University Hospital, Odense, Denmark

Efficacy of Lifestyle Interventions and Metformin for the Treatment of Antipsychotic-Induced Weight Gain

Phase 4
Completed
Conditions
First Posted Date
2007-03-23
Last Posted Date
2007-10-31
Lead Sponsor
Central South University
Target Recruit Count
128
Registration Number
NCT00451399
Locations
🇨🇳

Institute of Mental Health of The Second Xiangya Hospital, Central South University, Changsha, Hunan, China

A Glycemic Control Evaluation of Glimepiride Versus Rimonabant on Top of Metformin in Type 2 Diabetes

First Posted Date
2007-03-20
Last Posted Date
2016-05-16
Lead Sponsor
Sanofi
Target Recruit Count
508
Registration Number
NCT00449605
Locations
🇨🇱

Sanofi-aventis adminsitrative office, Santiago, Chile

🇸🇪

Sanofi-Aventis Administrative Office, Bromma, Sweden

Effect of Short-Term Beta-Cell Rest in Adolescents and Young Adults With Type 2 Diabetes Mellitus

First Posted Date
2007-03-09
Last Posted Date
2024-11-19
Lead Sponsor
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Target Recruit Count
82
Registration Number
NCT00445627
Locations
🇺🇸

National Institutes of Health Clinical Center, Bethesda, Maryland, United States

Effect of Insulin Sensitizer Therapy on Atherothrombotic and Inflammatory Profiles Associated With Insulin Resistance

First Posted Date
2007-03-06
Last Posted Date
2013-10-31
Lead Sponsor
Mayo Clinic
Target Recruit Count
28
Registration Number
NCT00443755
Locations
🇺🇸

Mayo Clinic, Rochester, Minnesota, United States

Medication in Early Diabetes (MED) Study

Phase 4
Withdrawn
Conditions
Interventions
First Posted Date
2007-02-21
Last Posted Date
2016-05-27
Lead Sponsor
Menzies School of Health Research
Registration Number
NCT00437970
Locations
🇦🇺

Menzies School of Health Research, Darwin, Northern Territory, Australia

Efficacy of Alogliptin and Pioglitazone in Subjects With Type 2 Diabetes Mellitus

First Posted Date
2007-02-07
Last Posted Date
2013-04-04
Lead Sponsor
Takeda
Target Recruit Count
803
Registration Number
NCT00432276
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