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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
-

Comparing Efficacy and Safety of CinnaGen-liraglutide Versus Victoza® in Patients With Type II Diabetes

Phase 3
Conditions
Diabetes Mellitus, Type 2
Interventions
Drug: Liraglutide 6 MG/ML Pen Injector
Drug: Metformin
Drug: Sulfonylurea/non-sulfonylurea insulin secretagogues
First Posted Date
2018-02-05
Last Posted Date
2019-02-06
Lead Sponsor
Cinnagen
Target Recruit Count
300
Registration Number
NCT03421119

Effect of Propolis or Metformin Administration on Glycemic Control in Patients With Type 2 Diabetes Mellitus

Phase 2
Completed
Conditions
Diabetes Mellitus, Type 2
Interventions
First Posted Date
2018-01-30
Last Posted Date
2022-11-07
Lead Sponsor
University of Guadalajara
Target Recruit Count
36
Registration Number
NCT03416127
Locations
🇲🇽

Intstituto de Terapeútica Experimental y Clínica. Centro Universitario de Ciencias de la Salud. Universidad de Guadalajara, Guadalajara, Jalisco, Mexico

Pilot Study of Metformin for Patients With Fanconi Anemia

Phase 2
Completed
Conditions
Fanconi Anemia
Interventions
First Posted Date
2018-01-16
Last Posted Date
2022-11-29
Lead Sponsor
Boston Children's Hospital
Target Recruit Count
15
Registration Number
NCT03398824
Locations
🇺🇸

Boston Children's Hospital, Boston, Massachusetts, United States

Metformin and Its Impact on the Substances Associated With NO Production in Prediabetes Patients.

Phase 4
Completed
Conditions
Impaired Glucose Tolerance (IGT)
PreDiabetes
Impaired Fasting Glucose (IFG)
Interventions
First Posted Date
2018-01-12
Last Posted Date
2022-05-27
Lead Sponsor
Wroclaw Medical University
Target Recruit Count
47
Registration Number
NCT03398356
Locations
🇵🇱

NZOZ Nowy Dwór, Wroclaw, Lower Silesia, Poland

Research of Intensive Metabolic Intervention Before Pregnancy in PCOS

Phase 4
Conditions
PCOS
Impaired Glucose Tolerance
Interventions
First Posted Date
2017-12-26
Last Posted Date
2017-12-26
Lead Sponsor
RenJi Hospital
Target Recruit Count
160
Registration Number
NCT03383068
Locations
🇨🇳

Renji Hospital Department of Endocrinology and Metabolism, Shanghai, Shanghai, China

Metformin, Vitamin D, and Depression in Polycystic Ovary Syndrome (PCOS) Trial

Phase 4
Terminated
Conditions
Vitamin D Deficiency
PCOS
Depression
Insulin Resistance
Interventions
First Posted Date
2017-12-20
Last Posted Date
2021-02-09
Lead Sponsor
University of California, San Francisco
Target Recruit Count
5
Registration Number
NCT03380091
Locations
🇺🇸

UCSF Center for Reproductive Health, San Francisco, California, United States

Phase II Study of Oral Metformin for Intravesical Treatment of Non-muscle-invasive Bladder Cancer

Phase 2
Recruiting
Conditions
Superficial Bladder Cancer
Bladder Cancer
Interventions
First Posted Date
2017-12-20
Last Posted Date
2023-09-21
Lead Sponsor
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
Target Recruit Count
49
Registration Number
NCT03379909
Locations
🇳🇱

Academic Medical Center, Amsterdam, Netherlands

🇳🇱

Sint Franciscus Gasthuis, Rotterdam, Zuid-Holland, Netherlands

🇳🇱

RadboudUMC, Nijmegen, Gelderland, Netherlands

Dapagliflozin, Cardio-Metabolic Risk Factors and Type-2 Diabetes

Phase 4
Conditions
Type 2 Diabetes Mellitus
Interventions
First Posted Date
2017-12-19
Last Posted Date
2018-02-26
Lead Sponsor
University of Palermo
Target Recruit Count
186
Registration Number
NCT03377335
Locations
🇮🇹

University Hospital of Palermo, Palermo, Italy

IMPACT: A Randomized WOO Study of Novel Therapeutic Agents in Women Triaged to Primary Surgery for EOC

Early Phase 1
Completed
Conditions
Ovarian Cancer
Interventions
First Posted Date
2017-12-19
Last Posted Date
2024-10-30
Lead Sponsor
Haukeland University Hospital
Target Recruit Count
26
Registration Number
NCT03378297
Locations
🇳🇴

Helse Bergen HF, Haukeland University Hospital, Bergen, Norway

🇳🇴

Helse Stavanger HF, Stavanger University Hospital, Stavanger, Norway

Therapeutic Effects of Compound Zhenzhu Tiaozhi Capsules in NAFLD

Not Applicable
Conditions
Nonalcoholic Fatty Liver Disease
Interventions
Dietary Supplement: TLC
Drug: Compound Zhenzhu Tiaozhi capsule
Drug: Simvastatin
Drug: metformin
First Posted Date
2017-12-18
Last Posted Date
2017-12-19
Lead Sponsor
The First Affiliated Hospital of Guangdong Pharmaceutical University
Target Recruit Count
196
Registration Number
NCT03375580
Locations
🇨🇳

First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, Guangdong, China

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