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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
-

Pharmacokinetic/Pharmacodynamic Drug-drug Interaction of LC15-0444 and Metformin After Oral Administration in Healthy Male Subjects

Phase 1
Completed
Conditions
Healthy
Interventions
Drug: LC15-0444
Drug: Metformin
Drug: LC15-0444+Metformin
First Posted Date
2011-08-31
Last Posted Date
2011-12-30
Lead Sponsor
LG Life Sciences
Target Recruit Count
30
Registration Number
NCT01426399
Locations
🇰🇷

Seoul National University Hospital, Seoul, Korea, Republic of

Liraglutide and Heart Failure in Type 2 Diabetes

Phase 2
Completed
Conditions
Congestive Heart Failure
Type 2 Diabetes Mellitus
Interventions
First Posted Date
2011-08-30
Last Posted Date
2016-09-01
Lead Sponsor
Thomas Nystrom
Target Recruit Count
62
Registration Number
NCT01425580
Locations
🇸🇪

Karolinska Institutet, Department of Clinical Science and Education, Södersjukhuset, Stockholm, Sweden

🇸🇪

Karolinska Institutet, Division of Internal Medicine Södersjukhuset AB, Stockholm, Sweden

Efficacy and Safety of Metformin in Preventing Patients With Risperidone From Weight Gain and Amenorrhea

Not Applicable
Withdrawn
Conditions
Weight Gain
Amenorrhea
Interventions
Other: Starch tablets
Drug: Metformin
First Posted Date
2011-08-26
Last Posted Date
2012-08-02
Lead Sponsor
Central South University
Registration Number
NCT01423487
Locations
🇨🇳

Mental Health Institute of The Second Xiangya Hospital, Changsha, Hunan, China

Effect of Metformin on Adrenal or Ovarian Androgen Production in Overweight Pubertal Girls With Androgen Excess

Early Phase 1
Recruiting
Conditions
Obesity
Hyperandrogenemia
Polycystic Ovary Syndrome
Interventions
First Posted Date
2011-08-24
Last Posted Date
2023-10-27
Lead Sponsor
University of Virginia
Target Recruit Count
20
Registration Number
NCT01422746
Locations
🇺🇸

University of Virginia Center for Research in Reproduction, Charlottesville, Virginia, United States

Adipokines in Obese Adolescents With Insulin Resistance

Phase 4
Completed
Conditions
Obesity
Interventions
Drug: Metformin
Drug: Placebo
First Posted Date
2011-08-05
Last Posted Date
2012-04-27
Lead Sponsor
Hospital Regional de Alta Especialidad del Bajio
Target Recruit Count
31
Registration Number
NCT01410604
Locations
🇲🇽

Hospital Regional de Alta Especialidad del Bajío, León, Guanajuato, Mexico

🇲🇽

Hospital Infantil de México Federico Gómez, México, Distrito Federal, Mexico

Drug-Drug Interaction Study With Metformin and Nizatidine

Phase 1
Completed
Conditions
Healthy
Interventions
First Posted Date
2011-08-04
Last Posted Date
2014-04-10
Lead Sponsor
University of California, San Francisco
Target Recruit Count
10
Registration Number
NCT01409395
Locations
🇺🇸

Ucsf Ctsi Crc, San Francisco, California, United States

Drug-drug Interaction Study With Metformin and Imatinib

Phase 1
Completed
Conditions
Healthy
Interventions
First Posted Date
2011-07-28
Last Posted Date
2014-04-10
Lead Sponsor
University of California, San Francisco
Target Recruit Count
11
Registration Number
NCT01404715
Locations
🇺🇸

Ucsf Ctsi Crc, San Francisco, California, United States

The Inhibitory Effect of Metformin on Gluconeogenesis in Relation to Polymorphisms in Organic Cation Transporter 1

Phase 4
Completed
Conditions
Pharmacogenetics of Metformin
Interventions
First Posted Date
2011-07-22
Last Posted Date
2015-06-26
Lead Sponsor
University of Southern Denmark
Target Recruit Count
37
Registration Number
NCT01400191
Locations
🇩🇰

Clinical pharmacology, Institute og public health, University of Southern Denmark, Odense, Denmark

Pioglitazone and Metformin in Diabetic Children

Phase 1
Completed
Conditions
Type 2 Diabetes
Interventions
First Posted Date
2011-07-19
Last Posted Date
2011-07-19
Lead Sponsor
Coordinación de Investigación en Salud, Mexico
Target Recruit Count
56
Registration Number
NCT01396564
Locations
🇲🇽

Endocrine Outpatient Clinic of the Hospital de Pediatria del CMN "Siglo XXI", Mexico City, DF, Mexico

Metformin & Inflammation in Pre-diabetic Children

Phase 2
Completed
Conditions
Glucose Intolerance
Inflammation
Diabetes
Interventions
Drug: Metformin
Drug: placebo
First Posted Date
2011-07-15
Last Posted Date
2011-07-18
Lead Sponsor
Coordinación de Investigación en Salud, Mexico
Target Recruit Count
52
Registration Number
NCT01394887
Locations
🇲🇽

Endocrine Outpatient Clinic of the Hospital de Pediatria del CMN "Siglo XXI", Mexico City, DF, Mexico

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