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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
-

The Effect of Metformin on Fecundability in an ART(Assisted Reproductive Technology) Setting - the Correlation to Uterine Flows

Phase 2
Conditions
Infertility Female
Interventions
First Posted Date
2016-07-29
Last Posted Date
2016-07-29
Lead Sponsor
The Baruch Padeh Medical Center, Poriya
Target Recruit Count
100
Registration Number
NCT02848950

Metformin in Moderate and Severe Renal Failure (CKD 3-4): A Follow-up Study

Phase 2
Withdrawn
Conditions
Renal Insufficiency, Chronic
Interventions
First Posted Date
2016-07-28
Last Posted Date
2020-07-15
Lead Sponsor
Centre Hospitalier Universitaire, Amiens
Registration Number
NCT02848508
Locations
🇫🇷

CHU Amiens, Amiens, France

Stepping-down Approach in Patients With Chronic Poorly-controlled Diabetes on Advanced Insulin Therapy?

Not Applicable
Completed
Conditions
Type 2 Diabetes Mellitus
Interventions
Drug: GLP1 receptor agonist
Drug: basal insulin
Drug: SGLT2 inhibitor
Drug: Metformin
First Posted Date
2016-07-27
Last Posted Date
2020-11-10
Lead Sponsor
University of California, San Francisco
Target Recruit Count
22
Registration Number
NCT02846233
Locations
🇺🇸

UCSF Fresno, Fresno, California, United States

Comparison of Standard vs Higher Starting Dose of Insulin Glargine in Chinese Patients With Type 2 Diabetes (Glargine Starting Dose)

Phase 4
Completed
Conditions
Diabetes Mellitus, Type 2
Interventions
First Posted Date
2016-07-19
Last Posted Date
2022-04-25
Lead Sponsor
Sanofi
Target Recruit Count
892
Registration Number
NCT02836704

Trial to Evaluate the Efficacy and Safety of Gemigliptin Compared With Placebo Added on Insulin Alone or on Insulin in Combination With Metformin in Type 2 DM (ZEUS II Study)

Phase 3
Completed
Conditions
Type 2 Diabetes Mellitus
Interventions
Drug: Gemigliptin placebo
Drug: Gemigliptin
Drug: Metformin
Procedure: Diet/exercise questionnaire
First Posted Date
2016-07-13
Last Posted Date
2018-02-22
Lead Sponsor
LG Life Sciences
Target Recruit Count
290
Registration Number
NCT02831361

DA-EPOCH-Rituximab/Metformin (RM) for Double Hit Lymphoma

Phase 2
Terminated
Conditions
Diffuse Large B-Cell Lymphoma
Interventions
First Posted Date
2016-06-28
Last Posted Date
2017-11-17
Lead Sponsor
Rush University Medical Center
Target Recruit Count
2
Registration Number
NCT02815397
Locations
🇺🇸

Rush University Medical Center, Chicago, Illinois, United States

The Drug-drug Interaction of SP2086 and Metformin

Phase 1
Completed
Conditions
Type 2 Diabetes
Interventions
First Posted Date
2016-06-27
Last Posted Date
2016-06-27
Lead Sponsor
Jiangsu HengRui Medicine Co., Ltd.
Target Recruit Count
24
Registration Number
NCT02813863

Effects of Metformin Treatment on Myocardial Efficiency in Patients With Heart Failure

Phase 2
Completed
Conditions
Heart Failure, Systolic
Interventions
Drug: Metformin
Drug: Placebo
First Posted Date
2016-06-22
Last Posted Date
2018-04-20
Lead Sponsor
Aarhus University Hospital
Target Recruit Count
36
Registration Number
NCT02810132
Locations
🇩🇰

Aarhus University Hospital, Department of Cardiology, Palle Juul-Jensens Boulevard 99, Aarhus N, Denmark

A Study on Safety, Pharmacokinetics and Pharmacodynamics of Lixisenatide in Pediatric Patients With Type 2 Diabetes Mellitus (T2DM)

Phase 1
Completed
Conditions
Type 2 Diabetes Mellitus
Interventions
Drug: Lixisenatide (AVE0010)
Drug: Placebo
Drug: Basal Insulin
Drug: Metformin
First Posted Date
2016-06-17
Last Posted Date
2022-04-25
Lead Sponsor
Sanofi
Target Recruit Count
23
Registration Number
NCT02803918
Locations
🇺🇸

Investigational Site Number 840006, New Orleans, Louisiana, United States

🇹🇷

Investigational Site Number 792002, Ankara, Turkey

🇺🇸

Investigational Site Number 840002, Baton Rouge, Louisiana, United States

and more 8 locations

Metformin for Prevention Gestational Diabetes in Pregnant Women With Polycystic Ovarian Syndrome

Phase 2
Conditions
Diabetes, Gestational
Polycystic Ovary Syndrome
Interventions
Drug: placebo (folic acid )
Drug: metformin
First Posted Date
2016-06-16
Last Posted Date
2016-06-16
Lead Sponsor
Ain Shams University
Target Recruit Count
80
Registration Number
NCT02802215
Locations
🇪🇬

Ain Shams maternity hospital, Cairo, Egypt

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