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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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A Study to Explore Pharmacokinetic Interaction Between Rilpivirine and Metformin in Healthy Participants

Phase 1
Completed
Conditions
Healthy Participants
Interventions
First Posted Date
2012-11-01
Last Posted Date
2014-03-06
Lead Sponsor
Janssen R&D Ireland
Target Recruit Count
20
Registration Number
NCT01719614

Effectiveness of Metformin in Recurrent Miscarriage in a Woman With Hyperinsulinaemia

Phase 4
Withdrawn
Conditions
Abortion, Habitual
Interventions
First Posted Date
2012-10-31
Last Posted Date
2021-01-08
Lead Sponsor
Woman's Health University Hospital, Egypt
Registration Number
NCT01718340
Locations
🇪🇬

Women's Health Hospital, Assiut, Egypt

A Pilot Study to Assess the Glucose Lowering Effect of Metformin and Sitagliptin in Adolescents With Type 1 Diabetes

Phase 4
Completed
Conditions
Type 1 Diabetes
Interventions
First Posted Date
2012-10-31
Last Posted Date
2017-04-24
Lead Sponsor
Baylor College of Medicine
Target Recruit Count
21
Registration Number
NCT01718093
Locations
🇺🇸

Baylor College of Medicine, Houston, Texas, United States

ß-Cell Function and Glycemic Control in Newly Diagnosed Type 2 Diabetic Patients With Moderate Hyperglycemia

Phase 4
Conditions
Type 2 Diabetes
Interventions
First Posted Date
2012-10-31
Last Posted Date
2012-10-31
Lead Sponsor
Taipei Veterans General Hospital, Taiwan
Target Recruit Count
160
Registration Number
NCT01717911
Locations
🇨🇳

Taipei Veterans General Hospital, Taipei, Taiwan

Metformin as a Chemoprevention Agent in Non-small Cell Lung Cancer

Phase 2
Terminated
Conditions
Carcinoma, Non-Small-Cell Lung
Lung Neoplasms
Interventions
Other: Placebo Comparator
Drug: Metformin
First Posted Date
2012-10-30
Last Posted Date
2020-03-10
Lead Sponsor
Mayo Clinic
Target Recruit Count
6
Registration Number
NCT01717482
Locations
🇺🇸

Mayo Clinic in Rochester, Rochester, Minnesota, United States

An Endometrial Cancer Chemoprevention Study of Metformin

Phase 3
Completed
Conditions
Gynecology
Interventions
Other: Placebo
Drug: Metformin
Procedure: Endometrial Biopsy
Behavioral: Lifestyle Intervention
Behavioral: Questionnaires
First Posted Date
2012-10-02
Last Posted Date
2024-07-05
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
100
Registration Number
NCT01697566
Locations
🇺🇸

University of Texas MD Anderson Cancer Center, Houston, Texas, United States

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