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
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A Study to Evaluate Potential Cytochrome P450 and Transporter Protein Interactions With CC-99677

First Posted Date
2020-02-13
Last Posted Date
2021-08-18
Lead Sponsor
Celgene
Target Recruit Count
48
Registration Number
NCT04268394
Locations
🇬🇧

Richmond Pharmacology Limited, London, United Kingdom

Antecedent Metabolic Health and Metformin Aging Study

First Posted Date
2020-02-11
Last Posted Date
2023-03-23
Lead Sponsor
Oklahoma Medical Research Foundation
Target Recruit Count
148
Registration Number
NCT04264897
Locations
🇺🇸

University of Wisconsin-Madison, Madison, Wisconsin, United States

🇺🇸

University of Oklahoma Health Sciences Center, Oklahoma Shared Clinical and Translational Resources, Oklahoma City, Oklahoma, United States

Calorie Restriction With or Without Metformin in Triple Negative Breast Cancer

First Posted Date
2020-01-30
Last Posted Date
2023-01-18
Lead Sponsor
Fondazione IRCCS Istituto Nazionale dei Tumori, Milano
Target Recruit Count
30
Registration Number
NCT04248998
Locations
🇮🇹

Fondazione IRCCS Istituto Nazionale Tumori, Milano, Italy

Influence of Fedratinib on the Pharmacokinetics of the Transporter Probe Substrates Digoxin, Rosuvastatin, and Metformin

First Posted Date
2020-01-18
Last Posted Date
2020-05-21
Lead Sponsor
Celgene
Target Recruit Count
24
Registration Number
NCT04231435
Locations
🇺🇸

PPD Phase 1 Clinic, Austin, Texas, United States

Metformin for Abdominal Aortic Aneurysm Growth Inhibition

First Posted Date
2020-01-13
Last Posted Date
2023-09-06
Lead Sponsor
Uppsala University Hospital
Target Recruit Count
500
Registration Number
NCT04224051
Locations
🇸🇪

Uppsala University Hospital, Uppsala, Sverige, Sweden

Diet and Exercise Plus Metformin to Treat Frailty in Obese Seniors

First Posted Date
2020-01-09
Last Posted Date
2024-01-22
Lead Sponsor
VA Office of Research and Development
Target Recruit Count
114
Registration Number
NCT04221750
Locations
🇺🇸

Michael E. DeBakey VA Medical Center, Houston, TX, Houston, Texas, United States

Safety and Therapeutic Potential of the FDA-approved Drug Metformin for C9orf72 ALS/FTD

First Posted Date
2020-01-07
Last Posted Date
2024-10-18
Lead Sponsor
University of Florida
Target Recruit Count
18
Registration Number
NCT04220021
Locations
🇺🇸

UF Health at the University of Florida, Gainesville, Florida, United States

A Study of DBPR108 and Metformin Hydrochloride Combination Therapy in Patients With T2DM

First Posted Date
2020-01-06
Last Posted Date
2021-06-28
Lead Sponsor
CSPC ZhongQi Pharmaceutical Technology Co., Ltd.
Target Recruit Count
214
Registration Number
NCT04218734
Locations
🇨🇳

Peking Union Medical College Hospital, Beijing, China

Prebiotics and Metformin Improve Gut and Hormones in Type 2 Diabetes in Youth (MIGHTY-fiber)

First Posted Date
2019-12-23
Last Posted Date
2022-08-30
Lead Sponsor
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Target Recruit Count
6
Registration Number
NCT04209075
Locations
🇺🇸

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

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