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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
-

Platelet Rich Fibrin With 1% Metformin Gel for Treatment of Intrabony Defects

Phase 2
Completed
Conditions
Periodontitis
Interventions
Procedure: open flap debridement (OFD)
Other: Platelet rich fibrin (PRF)
Drug: Metformin
First Posted Date
2014-11-05
Last Posted Date
2014-11-05
Lead Sponsor
Government Dental College and Research Institute, Bangalore
Target Recruit Count
120
Registration Number
NCT02283554

A Pilot Study of Metformin Treatment in Patients With Well-differentiated Neuroendocrine Tumors

Phase 2
Conditions
Well-differentiated Neuroendocrine Tumors
Interventions
First Posted Date
2014-10-31
Last Posted Date
2014-10-31
Lead Sponsor
Instituto do Cancer do Estado de São Paulo
Target Recruit Count
30
Registration Number
NCT02279758
Locations
🇧🇷

Instituto do Cancer do Estado de São Paulo, Sao Paulo, SP, Brazil

Trial With Metformin in Women With Polycystic Ovary Syndrome

Phase 4
Completed
Conditions
Polycystic Ovary Syndrome
Interventions
Drug: Placebo
Drug: Metformin
First Posted Date
2014-10-31
Last Posted Date
2017-02-23
Lead Sponsor
Herning Hospital
Target Recruit Count
56
Registration Number
NCT02280057
Locations
🇩🇰

Gynecology Dept. Herning Hospital, Herning, Denmark

Metformin and Omega-3 Fatty Acids in Woman With a History of Early Stage Breast Cancer

Phase 1
Completed
Conditions
Stage 0 Breast Carcinoma
Breast Neoplasms
Stage I Breast Carcinoma
Stage II Breast Carcinoma
Stage III Breast Carcinoma
Interventions
First Posted Date
2014-10-30
Last Posted Date
2022-08-17
Lead Sponsor
Katherine D. Crew
Target Recruit Count
19
Registration Number
NCT02278965
Locations
🇺🇸

Columbia University, New York, New York, United States

Medico-GDM Trial - Metformine to Prevent Gestational Diabetes Mellitus

Phase 3
Conditions
Gestational Diabetes Mellitus
Interventions
Drug: Metformin
Other: control diet
First Posted Date
2014-10-27
Last Posted Date
2015-12-28
Lead Sponsor
Maasstad Hospital
Target Recruit Count
400
Registration Number
NCT02275845
Locations
🇳🇱

Maasstad Ziekenhuis, Rotterdam, Netherlands

Use of Metformin in Treatment of Childhood Obesity

Phase 4
Completed
Conditions
Pediatric Obesity
Interventions
Drug: Metformin
Drug: Placebo
First Posted Date
2014-10-27
Last Posted Date
2017-01-02
Lead Sponsor
University of Colombo
Target Recruit Count
339
Registration Number
NCT02274948
Locations
🇱🇰

Lions Club of Negombo Host, Negombo, Western Province, Sri Lanka

Effect of Lixisenatide on Postprandial Lipid Profile in Obese Type 2 Diabetic Patients

Phase 2
Terminated
Conditions
Type II Diabetes Mellitus
Interventions
First Posted Date
2014-10-24
Last Posted Date
2017-01-30
Lead Sponsor
Sanofi
Target Recruit Count
2
Registration Number
NCT02274740

Bioequivalence of a Fixed Dose Combination Tablet of Empagliflozin/Metformin Extended Release Compared With Mono Compound Tablets in Healthy Male and Female

Phase 1
Completed
Conditions
Healthy
Interventions
Drug: empagliflozin/metformin
Drug: metformin
Drug: empagliflozin
First Posted Date
2014-10-17
Last Posted Date
2017-03-09
Lead Sponsor
Boehringer Ingelheim
Target Recruit Count
30
Registration Number
NCT02266472
Locations
🇩🇪

Boehringer Ingelheim Investigational Site, Ingelheim, Germany

Metformin in Kidney Disease

Phase 2
Completed
Conditions
Cardiovascular Disease
Chronic Kidney Disease
Metabolic Syndrome
Interventions
Drug: Placebo
Drug: metformin
First Posted Date
2014-09-29
Last Posted Date
2021-11-04
Lead Sponsor
VA Office of Research and Development
Target Recruit Count
125
Registration Number
NCT02252081
Locations
🇺🇸

Tennessee Valley Healthcare System Nashville Campus, Nashville, TN, Nashville, Tennessee, United States

Investigating the Influence of Oral Semaglutide on Pharmacokinetics of Metformin and Digoxin in Healthy Subjects

Phase 1
Completed
Conditions
Healthy
Diabetes
Interventions
First Posted Date
2014-09-26
Last Posted Date
2020-02-17
Lead Sponsor
Novo Nordisk A/S
Target Recruit Count
32
Registration Number
NCT02249910
Locations
🇩🇪

Novo Nordisk Investigational Site, Berlin, Germany

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