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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
-

Efficacy and Safety of Sotagliflozin Versus Glimepiride and Placebo in Participants With Type 2 Diabetes Mellitus That Are Taking Metformin Monotherapy

Phase 3
Completed
Conditions
Type 2 Diabetes Mellitus
Interventions
First Posted Date
2017-11-06
Last Posted Date
2021-05-11
Lead Sponsor
Lexicon Pharmaceuticals
Target Recruit Count
954
Registration Number
NCT03332771
Locations
🇺🇸

Investigational Site Number 8407074, Bradenton, Florida, United States

🇺🇸

Investigational Site Number 8407111, Dallas, Texas, United States

🇺🇸

Investigational Site Number 8407078, Carmichael, California, United States

and more 139 locations

Comparison of Metformin and Insulin for Management of Gestational Diabetes Mellitus

Phase 3
Completed
Conditions
Gestational Diabetes Mellitus in Pregnancy
Interventions
Drug: Insulin
Drug: Metformin
First Posted Date
2017-10-25
Last Posted Date
2017-10-27
Lead Sponsor
Services Institute of Medical Sciences, Pakistan
Target Recruit Count
278
Registration Number
NCT03320694
Locations
🇵🇰

Services Institute of Medical Sciences, Lahore, Punjab, Pakistan

A Trial of Pembrolizumab and Metformin Versus Pembrolizumab Alone in Advanced Melanoma

Phase 1
Recruiting
Conditions
Advanced Melanoma
Interventions
First Posted Date
2017-10-17
Last Posted Date
2024-05-07
Lead Sponsor
Yana Najjar
Target Recruit Count
30
Registration Number
NCT03311308
Locations
🇺🇸

Univ of Pittsburgh Medical Center Hillman Cancer Center, Pittsburgh, Pennsylvania, United States

An Assessment of Pharmacokinetic Gemigliptin and Metformin Interactions in Healthy Mexican Volunteers

Phase 1
Completed
Conditions
Diabetes Mellitus, Type 2
Interventions
First Posted Date
2017-10-16
Last Posted Date
2017-10-16
Lead Sponsor
Stendhal Americas, S.A.
Target Recruit Count
34
Registration Number
NCT03310749
Locations
🇲🇽

Unidad de Farmacología Clínica de la Facultad de Medicina de la Universidad Nacional Autónoma de México, Nezahualcóyotl, Estado de México, Mexico

A Double-Blind, Placebo-Controlled Trial of Anti-Aging, Pro-Autophagy Effects of Metformin in Adults With Prediabetes

Phase 3
Completed
Conditions
PreDiabetes
Aging
Interventions
Drug: Placebo Oral Tablet
Drug: Metformin
First Posted Date
2017-10-13
Last Posted Date
2023-12-11
Lead Sponsor
University of New Mexico
Target Recruit Count
25
Registration Number
NCT03309007
Locations
🇺🇸

University of New Mexico Clincal & Translational Science Center, Albuquerque, New Mexico, United States

This Study Tests the Effect of Certain Medicines on the Transport of Other Medicines in the Body of Healthy Men

First Posted Date
2017-10-11
Last Posted Date
2023-11-07
Lead Sponsor
Boehringer Ingelheim
Target Recruit Count
45
Registration Number
NCT03307252
Locations
🇩🇪

CTC North GmbH & Co. KG, Hamburg, Hamburg, Germany

Metformin Treatment on Cognitive Impairment of Schizophrenia Co-morbid Metabolic Syndrome

Not Applicable
Recruiting
Conditions
Schizophrenia
Interventions
First Posted Date
2017-09-05
Last Posted Date
2023-04-11
Lead Sponsor
Central South University
Target Recruit Count
80
Registration Number
NCT03271866
Locations
🇨🇳

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

A Study to Assess the Effect of Plazomicin on the Pharmacokinetics of Metformin

Phase 1
Completed
Conditions
Healthy Volunteers
Interventions
First Posted Date
2017-09-01
Last Posted Date
2017-10-11
Lead Sponsor
Achaogen, Inc.
Target Recruit Count
16
Registration Number
NCT03270553
Locations
🇺🇸

Clinical Site, Lincoln, Nebraska, United States

Research Study Comparing a New Medicine "Fast-acting Insulin Aspart" to Another Already Available Medicine "NovoRapid"/"NovoLog" in People With Type 2 Diabetes

Phase 3
Completed
Conditions
Diabetes
Diabetes Mellitus, Type 2
Interventions
First Posted Date
2017-08-31
Last Posted Date
2022-01-11
Lead Sponsor
Novo Nordisk A/S
Target Recruit Count
1264
Registration Number
NCT03268005
Locations
🇺🇦

Novo Nordisk Investigational Site, Vinnytsia, Ukraine

An Efficacy Study of Canagliflozin or Sitagliptin to Determine Glucose Variability in Mexican Participants With Type 2 Diabetes Mellitus Inadequately Controlled on Metformin

Phase 4
Completed
Conditions
Diabetes Mellitus, Type 2
Interventions
First Posted Date
2017-08-30
Last Posted Date
2019-11-29
Lead Sponsor
Janssen Research & Development, LLC
Target Recruit Count
64
Registration Number
NCT03267576
Locations
🇲🇽

Investigación Clínica Especializada, Guadalajara, Mexico

🇲🇽

Consultorio Privado en Unidad de Patología Clínica, Guadalajara, Mexico

🇲🇽

Instituto Nacional de Ciencias Medicas y Nutrición Salvador Zubirán, Mexico City, Mexico

and more 2 locations
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