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
-

Semaglutide vs Metformin in Polycystic Ovary Syndrome (PCOS)

First Posted Date
2022-12-12
Last Posted Date
2024-05-10
Lead Sponsor
University of Hull
Target Recruit Count
60
Registration Number
NCT05646199
Locations
🇬🇧

Hull University Teaching Hospitals NHS Trust, Hull, United Kingdom

A Study of Effect of LY3556050 on Metformin in Healthy Participants

Phase 1
Completed
Conditions
Interventions
First Posted Date
2022-11-14
Last Posted Date
2023-01-18
Lead Sponsor
Eli Lilly and Company
Target Recruit Count
18
Registration Number
NCT05615467
Locations
🇺🇸

PRA International, Salt Lake City, Utah, United States

A Study Investigating Interactions Between BMS-986322 and Rosuvastatin, Metformin and Methotrexate in Healthy Participants

First Posted Date
2022-11-14
Last Posted Date
2024-03-27
Lead Sponsor
Bristol-Myers Squibb
Target Recruit Count
76
Registration Number
NCT05615012
Locations
🇺🇸

Local Institution - 0001, Miami, Florida, United States

Evaluating the Efficacy and Safety of Metformin in Vitiligo

Phase 2
Recruiting
Conditions
Interventions
First Posted Date
2022-11-07
Last Posted Date
2023-06-02
Lead Sponsor
University of Massachusetts, Worcester
Target Recruit Count
30
Registration Number
NCT05607316
Locations
🇺🇸

UMass Chan Medical School, Worcester, Massachusetts, United States

Metformin Treatment in Infants After Perinatal Brain Injury

First Posted Date
2022-10-21
Last Posted Date
2024-03-07
Lead Sponsor
The Hospital for Sick Children
Target Recruit Count
1
Registration Number
NCT05590676
Locations
🇨🇦

The Hospital for Sick Children, Toronto, Ontartio, Canada

A Study of LY3526318 in Healthy Male Japanese Participants

First Posted Date
2022-10-14
Last Posted Date
2023-01-09
Lead Sponsor
Eli Lilly and Company
Registration Number
NCT05580250
Locations
🇯🇵

Souseikai Fukuoka Mirai Hospital, Fukuoka, Japan

Clinical Trial of Crocus Kozanis Administration in Obese Children and Adolescents

First Posted Date
2022-10-10
Last Posted Date
2024-02-08
Lead Sponsor
Aristotle University Of Thessaloniki
Target Recruit Count
75
Registration Number
NCT05572749
Locations
🇬🇷

Unit of Paediatric Endocrinology and Metabolism, 2nd Department of Paediatrics, AHEPA University Hospital, Thessaloniki, Greece

Metformin as Added on Therapy in Patients With Ulcerative Colitis

Phase 2
Recruiting
Conditions
Interventions
First Posted Date
2022-10-10
Last Posted Date
2024-02-20
Lead Sponsor
Tanta University
Target Recruit Count
46
Registration Number
NCT05574387
Locations
🇪🇬

Faculty of Medicine, Mansoura University, Mansoura, Egypt

Effect of Metformin Use on Mortality in Diabetic and Non Diabetic Patients With Sepsis and Septic Shock.

Not Applicable
Not yet recruiting
Conditions
Interventions
First Posted Date
2022-10-07
Last Posted Date
2022-10-07
Lead Sponsor
Assiut University
Target Recruit Count
75
Registration Number
NCT05572060
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