A Randomized Pilot Study to Evaluate the Effects of a Short Course of Metformin Versus No Therapy in the Period Prior to Hysterectomy for Grade 1-2 Adenocarcinoma of the Endometrium in Obese Non-Diabetic Women
1 other identifier
interventional
10
1 country
1
Brief Summary
The purpose of this research is to determine the effects of Metformin, a well tolerated drug widely prescribed for treatment of Type 2 Diabetes Mellitus, on endometrium cancer patients.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2
Started Aug 2013
Typical duration for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 11, 2013
CompletedFirst Posted
Study publicly available on registry
June 13, 2013
CompletedStudy Start
First participant enrolled
August 29, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 10, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
July 10, 2017
CompletedResults Posted
Study results publicly available
October 25, 2017
CompletedOctober 25, 2017
September 1, 2017
3 years
June 11, 2013
August 9, 2017
September 25, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
IHC-based Tissue Markers of Proliferation
1 year
Study Arms (2)
Group 1 - Metformin
EXPERIMENTALoral metformin at 500 mg twice a day for 14-21 days followed by surgery
Group 2 - No treatment
NO INTERVENTIONInterventions
Eligibility Criteria
You may qualify if:
- Histological confirmed diagnosis of grade I or II adenocarcinoma of the endometrium
- Must be obese as defined by a body mass index (BMI) greater than or equal to 30 kg/m2
- Candidate for surgical removal of their uterus as part of their endometrial cancer treatment
- Subjects must have signed informed consent
- Age 42 - 65 years of age
- Electrocorticogram (ECOG) Performance status of 0 - 2
- History of adequate renal, liver, and bone marrow function:
- Hb: (adequate for surgical intervention, with transfusion if necessary) White Blood Cell (WBC): (normal range)
- Platelets: (180K/cmm)
- Liver Function Test(LFTs): Normal bilirubin (\<2.0mg/dL), AST/ALT (2xULN)
- Renal function: creatinine less than 1.4
- Female subjects must either not be of child-bearing potential or must have a negative urine pregnancy test within 7 days of randomization to Metformin. Subjects are considered not of child-bearing potential if they are surgically sterile or they are postmenopausal for greater than 12 months.
You may not qualify if:
- Poorly differentiated cancer or any of the high-risk subtypes of endometrial cancer including serous, clear cell, or carcinosarcoma
- History of diabetes mellitus Type 1 or Type 2.
- Receiving metformin prior to enrollment
- Known hypersensitivity to metformin.
- Unable to swallow and retain oral medication.
- Pregnant or lactating.
- Previous or concurrent malignancies, except non-melanoma skin cancers, unless curatively treated and with no evidence of recurrence for \> 5 years
- If the physician feels that the candidate is not suitable for the study, he/she will be excluded.
- Currently taking biguanides, sulfonylurea drugs, thiazolidinediones, insulin, or mTOR or DPP-4 inhibitors or having taken any of these medications during the 12 weeks prior to study participation.
- Clinical symptoms of gastrointestinal obstruction or bleeding and consideration for immediate surgery or immediate neoadjuvant chemoradiation.
- History of lactic or other metabolic acidosis.
- Uncontrolled infectious disease.
- History of positivity for human immunodeficiency virus (HIV).
- History of congestive heart failure requiring pharmacologic treatment.
- History of excessive alcohol abuse, defined by a habitual intake of more than three drinks daily.
- +3 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Arkansas for Medical Sciences
Little Rock, Arkansas, 72205, United States
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Beth Scanlan
- Organization
- University of Arkansas for Medical Sciences
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 11, 2013
First Posted
June 13, 2013
Study Start
August 29, 2013
Primary Completion
August 10, 2016
Study Completion
July 10, 2017
Last Updated
October 25, 2017
Results First Posted
October 25, 2017
Record last verified: 2017-09