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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 Hypotensive Effect of Metformin in Hypertensive Patients.

Phase 4
Conditions
Hypertension
Interventions
Drug: Metformin
Drug: Placebo
First Posted Date
2014-02-26
Last Posted Date
2015-08-27
Lead Sponsor
Hospital de Clinicas de Porto Alegre
Target Recruit Count
92
Registration Number
NCT02072382
Locations
🇧🇷

Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil

A Comparison of Two Treatment Strategies in Older Participants With Type 2 Diabetes Mellitus (T2DM)

First Posted Date
2014-02-26
Last Posted Date
2019-10-09
Lead Sponsor
Eli Lilly and Company
Target Recruit Count
192
Registration Number
NCT02072096
Locations
🇺🇸

Rocky Mountain Diabetes and Osteoporosis Center, Idaho Falls, Idaho, United States

🇺🇸

Southern New Hampshire Diabetes and Endocrinology, Nashua, New Hampshire, United States

🇺🇸

Carolina Health Specialists, Myrtle Beach, South Carolina, United States

and more 16 locations

Endogenous Opioid Activity and Affective State in Insulin Resistant Women

Phase 4
Completed
Conditions
Depression
Insulin Resistance
Metabolic Syndrome
Interventions
Drug: Placebo
Drug: Metformin
First Posted Date
2014-02-24
Last Posted Date
2018-11-08
Lead Sponsor
University of Michigan
Target Recruit Count
42
Registration Number
NCT02069379
Locations
🇺🇸

University of Michigan Medical School, Ann Arbor, Michigan, United States

Paclitaxel and Carboplatin With or Without Metformin Hydrochloride in Treating Patients With Stage III, IV, or Recurrent Endometrial Cancer

Phase 2
Conditions
Recurrent Uterine Corpus Carcinoma
Endometrial Adenocarcinoma
Endometrial Serous Adenocarcinoma
Endometrial Undifferentiated Carcinoma
Stage III Uterine Corpus Cancer AJCC v7
Stage IIIA Uterine Corpus Cancer AJCC v7
Stage IIIB Uterine Corpus Cancer AJCC v7
Stage IIIC Uterine Corpus Cancer AJCC v7
Stage IV Uterine Corpus Cancer AJCC v7
Stage IVA Uterine Corpus Cancer AJCC v7
Interventions
Drug: Carboplatin
Other: Laboratory Biomarker Analysis
Drug: Metformin Hydrochloride
Drug: Paclitaxel
Other: Placebo Administration
Other: Quality-of-Life Assessment
Other: Questionnaire Administration
First Posted Date
2014-02-19
Last Posted Date
2021-09-30
Lead Sponsor
Gynecologic Oncology Group
Target Recruit Count
469
Registration Number
NCT02065687
Locations
🇺🇸

Novant Health Cancer Institute - Wilkesboro, Wilkesboro, North Carolina, United States

🇺🇸

Geisinger Medical Center, Danville, Pennsylvania, United States

🇺🇸

AnMed Health Cancer Center, Anderson, South Carolina, United States

and more 428 locations

Efficacy Study of Metformin Glycinate on Postprandial Lipemia

Phase 2
Conditions
Type 2 Diabetes
Interventions
First Posted Date
2014-02-17
Last Posted Date
2018-01-30
Lead Sponsor
Laboratorios Silanes S.A. de C.V.
Target Recruit Count
72
Registration Number
NCT02064881
Locations
🇲🇽

Instituto Nacional de Ciencias Médicas Y Nutrición Salvador Zubirán, México, Distrito Federal, Mexico

Metformin vs Conjugated Linoleic Acid and an Intervention Program With Healthy Habits in Obese Children

Phase 2
Conditions
Obesity
Interventions
Dietary Supplement: Conjugated Linoleic Acid
Drug: Placebo
Drug: metformin
Behavioral: Healthy habits program
First Posted Date
2014-02-14
Last Posted Date
2014-02-14
Lead Sponsor
Laboratorios Silanes S.A. de C.V.
Target Recruit Count
120
Registration Number
NCT02063802
Locations
🇲🇽

General Hospital of Mexico, Mexico, Distrito Federal, Mexico

Study of Management of Pasireotide-induced Hyperglycemia in Adult Patients With Cushing's Disease or Acromegaly

Phase 4
Completed
Conditions
Cushing's Disease
Acromegaly
Interventions
First Posted Date
2014-02-12
Last Posted Date
2019-05-29
Lead Sponsor
Novartis Pharmaceuticals
Target Recruit Count
249
Registration Number
NCT02060383
Locations
🇺🇸

LA Biomedical Research at Harbor UCLA Medical Center SC - SOM230B2219, Torrance, California, United States

🇺🇸

Diabetes and Endocrine Associates La Mesa Location, Multiple Locations, California, United States

🇺🇸

East Coast Institute for Research East Coast Inst. for Res(ECIR), Jacksonville, Florida, United States

and more 13 locations

Efficacy and Safety of Insulin Glargine/ Lixisenatide Fixed Ratio Combination Compared to Insulin Glargine Alone and Lixisenatide Alone on Top of Metformin in Patients With T2DM

Phase 3
Completed
Conditions
Type 2 Diabetes
Interventions
Drug: Insulin glargine/lixisenatide Fixed Ratio Combination
Drug: Insulin glargine (HOE901)
Drug: Lixisenatide (AVE0010)
Drug: Metformin
First Posted Date
2014-02-07
Last Posted Date
2017-05-09
Lead Sponsor
Sanofi
Target Recruit Count
1170
Registration Number
NCT02058147
Locations
🇺🇸

Investigational Site Number 840023, Tempe, Arizona, United States

🇺🇸

Investigational Site Number 840067, Santa Ana, California, United States

🇺🇸

Investigational Site Number 840089, Atlanta, Georgia, United States

and more 270 locations

The Role of Metformin and Colesevelam in Human GLP-1 Secretion

Phase 4
Completed
Conditions
Type 2 Diabetes
Interventions
First Posted Date
2014-01-30
Last Posted Date
2014-10-07
Lead Sponsor
University Hospital, Gentofte, Copenhagen
Target Recruit Count
12
Registration Number
NCT02050074
Locations
🇩🇰

Diabetes Research Division, Department of Medicine, Gentofte Hospital, Hellerup, Copenhagen, Denmark

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