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
-

Effect of Empagliflozin + Linagliptin + Metformin + Lifestyle in Patients With Prediabetes

First Posted Date
2019-10-18
Last Posted Date
2019-10-21
Lead Sponsor
Universidad de Guanajuato
Target Recruit Count
34
Registration Number
NCT04131582
Locations
🇲🇽

Universidad de Guanajuato, León, Guanajuato, Mexico

A Phase I Double Blind Study of Metformin Acting on Endogenous Neural Progenitor Cells in Children With Multiple Sclerosis

First Posted Date
2019-10-10
Last Posted Date
2022-03-16
Lead Sponsor
The Hospital for Sick Children
Target Recruit Count
30
Registration Number
NCT04121468
Locations
🇨🇦

The Hospital for Sick Children, Toronto, Ontario, Canada

🇨🇦

St. Michael's Hospital, Toronto, Ontario, Canada

Dietary Fish Oil Intervention in Polycystic Ovary Syndrome (PCOS)

First Posted Date
2019-10-04
Last Posted Date
2024-11-05
Lead Sponsor
University of Alberta
Target Recruit Count
180
Registration Number
NCT04116203
Locations
🇨🇦

9-111 Endocrinology Department, UofA Hospital, Edmonton, Alberta, Canada

🇨🇦

2-004 Li Ka Shing Centre, UofA, Edmonton, Alberta, Canada

Anti-PD-1 mAb Plus Metabolic Modulator in Solid Tumor Malignancies

First Posted Date
2019-10-03
Last Posted Date
2024-02-07
Lead Sponsor
Dan Zandberg
Target Recruit Count
72
Registration Number
NCT04114136
Locations
🇺🇸

UPMC Hillman Cancer Center, Pittsburgh, Pennsylvania, United States

Effect of Metformin on Chronic Pain After Thoracic Surgery in Diabetic Patients

First Posted Date
2019-09-13
Last Posted Date
2019-09-13
Lead Sponsor
Xuzhou Medical University
Target Recruit Count
200
Registration Number
NCT04089813
Locations
🇨🇳

The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China

The Antidiabetic Metformin as a Novel Adjunct to Antidepressants in Major Depressive Disorder Patients

First Posted Date
2019-09-12
Last Posted Date
2020-06-16
Lead Sponsor
Sadat City University
Target Recruit Count
80
Registration Number
NCT04088448
Locations
🇪🇬

Faculty of Medicine, Tanta, Egypt

Effect of Linagliptin + Metformin on Patients Who do Not Achieve Normoglucemia With Metformine

First Posted Date
2019-09-12
Last Posted Date
2019-09-13
Lead Sponsor
Universidad de Guanajuato
Target Recruit Count
31
Registration Number
NCT04088461
Locations
🇲🇽

Universidad de Guanajuato, León, Guanajuato, Mexico

The AMPK Modulator Metformin as a Novel Adjunct to Conventional Therapy in Rheumatoid Arthritis Patients

Phase 1
Completed
Conditions
Interventions
First Posted Date
2019-08-28
Last Posted Date
2022-10-27
Lead Sponsor
Sadat City University
Target Recruit Count
120
Registration Number
NCT04068246
Locations
🇪🇬

Faculty of Pharmacy, Shibīn Al Kawm, Menoufia, Egypt

Bioequivalence Study for Acarbose/Metformin FDC

First Posted Date
2019-08-22
Last Posted Date
2020-04-13
Lead Sponsor
Bayer
Target Recruit Count
24
Registration Number
NCT04065581
Locations
🇨🇳

Zhongshan Hospital, Fudan University, Shanghai, China

Effects of Metformin on Low Back Pain

Phase 2
Completed
Conditions
Interventions
First Posted Date
2019-08-13
Last Posted Date
2024-08-20
Lead Sponsor
Gwendolyn Sowa
Target Recruit Count
41
Registration Number
NCT04055012
Locations
🇺🇸

UPMC Wexford Spine Center, Wexford, Pennsylvania, United States

🇺🇸

UPMC Kaufmann Medical Building, Pittsburgh, Pennsylvania, United States

© Copyright 2024. All Rights Reserved by MedPath