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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
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Comparison of Melatonin or Metformin and Dacarbazine Combination Versus Dacarbazine Alone in Disseminated Melanoma

Phase 2
Terminated
Conditions
Melanoma
Interventions
First Posted Date
2014-07-15
Last Posted Date
2019-11-25
Lead Sponsor
N.N. Petrov National Medical Research Center of Oncology
Target Recruit Count
57
Registration Number
NCT02190838
Locations
🇷🇺

N.N. Petrov Research Institute of Oncology Ambulatory Chemotherapy Department, St. Petersburg, Russian Federation

🇷🇺

N.N. Petrov Research Institute of Oncology Chemotherapy and Innovative Technologies Department, St. Petersburg, Russian Federation

🇷🇺

N.N. Petrov Research Institute of Oncology Clinical Diagnostic Department, St.Petersburg, Russian Federation

Metformin in Psoriatic Arthritis

Not Applicable
Completed
Conditions
Psoriatic Arthritis
Interventions
Drug: Placebo
Drug: Metformin
First Posted Date
2014-07-11
Last Posted Date
2014-07-11
Lead Sponsor
University of Alexandria
Target Recruit Count
56
Registration Number
NCT02188654
Locations
🇪🇬

University of Alexandria, Alexandria, Egypt

Clinical Trial to Investigate the Pharmacokinetics Drug Interaction Between Metformin and Rosuvastatin

Phase 1
Completed
Conditions
Hyperlipidemia
Diabetes
Interventions
First Posted Date
2014-07-10
Last Posted Date
2018-03-29
Lead Sponsor
Jeil Pharmaceutical Co., Ltd.
Target Recruit Count
24
Registration Number
NCT02186483
Locations
🇰🇷

Samsung Medical Center(SMC), Seoul, Gangnam-Gu, Korea, Republic of

Chemotherapy and Radiation Therapy With or Without Metformin Hydrochloride in Treating Patients With Stage III Non-small Cell Lung Cancer

Phase 2
Active, not recruiting
Conditions
Adenosquamous Lung Carcinoma
Bronchioloalveolar Carcinoma
Large Cell Lung Carcinoma
Stage IIIB Non-Small Cell Lung Cancer
Non-Small Cell Lung Carcinoma
Squamous Cell Lung Carcinoma
Stage IIIA Non-Small Cell Lung Cancer
Lung Adenocarcinoma
Recurrent Non-Small Cell Lung Carcinoma
Interventions
First Posted Date
2014-07-10
Last Posted Date
2024-05-30
Lead Sponsor
NRG Oncology
Target Recruit Count
170
Registration Number
NCT02186847
Locations
🇺🇸

Mercy Hospital, Coon Rapids, Minnesota, United States

🇺🇸

FirstHealth of the Carolinas-Moore Regional Hospital, Pinehurst, North Carolina, United States

🇺🇸

Geisinger Medical Center, Danville, Pennsylvania, United States

and more 219 locations

PDE-4 Inhibitor Roflumilast and GLP-1 Agonist Liraglutide in Polycystic Ovary Syndrome

Phase 4
Completed
Conditions
PCOS
Obesity
Interventions
First Posted Date
2014-07-10
Last Posted Date
2014-07-10
Lead Sponsor
University Medical Centre Ljubljana
Target Recruit Count
45
Registration Number
NCT02187250
Locations
🇸🇮

University Medical Center Ljubljana, Ljubljana, Slovenia

Dietary Intake of Tryptophan and Metformin Response

Early Phase 1
Completed
Conditions
Metformin Response
Fasting Glucose
Metformin Concentration
Tryptophan Concentration
Diet Tolerability
Interventions
Drug: Metformin
Other: Low tryptophan diet
Other: High tryptophan diet
First Posted Date
2014-07-09
Last Posted Date
2016-03-16
Lead Sponsor
Massachusetts General Hospital
Target Recruit Count
20
Registration Number
NCT02184832
Locations
🇺🇸

Massachusetts General Hospital, Boston, Massachusetts, United States

Bioavailability of BI 1356 BS and Metformin After Co-administration Compared to the Bioavailability of BI 1356 BS Alone and Metformin Alone in Healthy Male Volunteers

Phase 1
Completed
Conditions
Healthy
Interventions
Drug: Metformin
Drug: BI 1356 BS
First Posted Date
2014-07-08
Last Posted Date
2014-07-08
Lead Sponsor
Boehringer Ingelheim
Target Recruit Count
16
Registration Number
NCT02183506

Metformin to Augment Low Milk Supply (MALMS) Study

Phase 1
Completed
Conditions
Low Milk Supply
Pre-diabetes
Insulin Resistance
Suppressed Lactation
Interventions
Behavioral: Standard care
Drug: Placebo
Drug: Metformin
First Posted Date
2014-07-02
Last Posted Date
2020-10-19
Lead Sponsor
Children's Hospital Medical Center, Cincinnati
Target Recruit Count
15
Registration Number
NCT02179788
Locations
🇺🇸

Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, United States

Bioavailability of Combination Tablet BI 1356/Metformin Compared With Single BI 1356 and Metformin Administered Together to Healthy Male and Female Subjects

Phase 1
Completed
Conditions
Healthy
Interventions
Drug: BI 1356
Drug: BI 1356/metformin
Drug: Metformin
First Posted Date
2014-06-25
Last Posted Date
2014-07-08
Lead Sponsor
Boehringer Ingelheim
Target Recruit Count
20
Registration Number
NCT02173639

Relative Bioavailability BI 10773 and Metformin in Healthy Male Volunteers

Phase 1
Completed
Conditions
Healthy
Interventions
First Posted Date
2014-06-24
Last Posted Date
2014-06-24
Lead Sponsor
Boehringer Ingelheim
Target Recruit Count
16
Registration Number
NCT02172248
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