NCT04943692

Brief Summary

Phase III study to evaluate the efficacy and safety of the treatment. Two-arm, prospective, longitudinal, double-blind, multicenter randomized clinical trial.

Trial Health

33
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Trial recruitment is currently suspended
Enrollment
500

participants targeted

Target at P50-P75 for phase_3 type-2-diabetes

Timeline
Completed

Started Aug 2021

Geographic Reach
1 country

1 active site

Status
suspended

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 21, 2021

Completed
8 days until next milestone

First Posted

Study publicly available on registry

June 29, 2021

Completed
1 month until next milestone

Study Start

First participant enrolled

August 1, 2021

Completed
Same day until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2021

Completed
Last Updated

June 29, 2021

Status Verified

June 1, 2021

Enrollment Period

Same day

First QC Date

June 21, 2021

Last Update Submit

June 21, 2021

Conditions

Keywords

DiabetesMetformin glycinateMetformin hydrochloridefasting glucose

Outcome Measures

Primary Outcomes (1)

  • Change in HbA1c

    Assess change in HbA1c

    Baseline, 6 and 12 months

Secondary Outcomes (12)

  • Changes in fasting glucose

    Baseline, 6 and 12 months

  • Change in the 2-hour oral glucose tolerance curve

    Baseline, 6 and 12 months

  • Changes to HOMA-IR (Homeostatic model assessment and Insulin resistance

    Baseline, 6 and 12 months

  • Changes in insulin levels

    Baseline, 6 and 12 months

  • Changes in leptin levels

    Baseline, 6 and 12 months

  • +7 more secondary outcomes

Study Arms (2)

Group A: Metformin glycinate 1050 mg

EXPERIMENTAL

Metformin glycinate 1050 mg Orally twice a day.

Drug: Metformin glycinate

Group B: Metformin hydrochloride 850 mg

ACTIVE COMPARATOR

Metformin hydrochloride 850mg Orally twice a day.

Drug: Metformin Hydrochloride

Interventions

1050 mg, tablets Administered orally, twice a day, for 12 months.

Also known as: MET GLY
Group A: Metformin glycinate 1050 mg

850 mg, tablets. Administered orally, twice a day, for 12 months.

Also known as: MET HYD
Group B: Metformin hydrochloride 850 mg

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Subjects ≥18 years old.
  • Type 2 diabetes according to ADA diagnostic criteria.
  • Naive to treatment or who have previously been under oral hypoglycemic treatment (whatever it may be), as long as it has been suspended for a period of ≥6 weeks prior to the start of the study. - HbA1c ≥7.5% and \<10.0%.
  • In the case of women of childbearing age and with an active sexual life, the use of birth control methods is required; any of the following are accepted: barrier (male or female condom), non-hormonal intrauterine device, or bilateral tubal obstruction.
  • That you agree to participate in the study and give written informed consent.

You may not qualify if:

  • Patients with known current abuse or dependence (last 2 months) to substances such as alcohol (weekly consumption\> 21 units of alcohol in men or\> 14 units of alcohol in women) or recreational drugs.
  • Body Mass Index \<20 kg / m2 and\> 35 kg / m2.
  • Glomerular filtration estimated with the MDRD (Modification of Diet in Renal Disease) procedure through serum creatinine \<60 ml / min / 1.72 m2.
  • History of chronic liver disease or ALT (alanine aminotransferase) and / or AST (aspartate aminotransferase) ≥ 2 times the upper limit of normal, or GGT (Gamma glutamyl transpeptidase) ≥3 times the upper limit of normal.
  • Chronic lung disease, causing dyspnea equivalent to a functional class ≥3 (NYHA) or requiring oxygen supplementation.
  • Use of drugs that interact with biguanides.
  • Other chronic diseases that limit survival or are associated with chronic inflammation such as: cancer, leukemia, lymphoma, lupus erythematosus, asthma, rheumatoid arthritis, or HIV (human immunodeficiency virus) infection.
  • Pregnancy or positive pregnancy test, as well as women who are breastfeeding.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Laboratorio Silanes, S.A. de C.V.

Mexico City, 11000, Mexico

Location

Related Publications (28)

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    PMID: 18955637BACKGROUND
  • U.K. prospective diabetes study. II. Reduction in HbA1c with basal insulin supplement, sulfonylurea, or biguanide therapy in maturity-onset diabetes. A multicenter study. Diabetes. 1985 Aug;34(8):793-8.

    PMID: 2862087BACKGROUND
  • Kahn SE, Haffner SM, Heise MA, Herman WH, Holman RR, Jones NP, Kravitz BG, Lachin JM, O'Neill MC, Zinman B, Viberti G; ADOPT Study Group. Glycemic durability of rosiglitazone, metformin, or glyburide monotherapy. N Engl J Med. 2006 Dec 7;355(23):2427-43. doi: 10.1056/NEJMoa066224. Epub 2006 Dec 4.

    PMID: 17145742BACKGROUND
  • Hermann LS, Schersten B, Melander A. Antihyperglycaemic efficacy, response prediction and dose-response relations of treatment with metformin and sulphonylurea, alone and in primary combination. Diabet Med. 1994 Dec;11(10):953-60. doi: 10.1111/j.1464-5491.1994.tb00253.x.

    PMID: 7895460BACKGROUND
  • Phung OJ, Scholle JM, Talwar M, Coleman CI. Effect of noninsulin antidiabetic drugs added to metformin therapy on glycemic control, weight gain, and hypoglycemia in type 2 diabetes. JAMA. 2010 Apr 14;303(14):1410-8. doi: 10.1001/jama.2010.405.

    PMID: 20388897BACKGROUND
  • Effect of intensive blood-glucose control with metformin on complications in overweight patients with type 2 diabetes (UKPDS 34). UK Prospective Diabetes Study (UKPDS) Group. Lancet. 1998 Sep 12;352(9131):854-65.

    PMID: 9742977BACKGROUND
  • Holman RR, Paul SK, Bethel MA, Matthews DR, Neil HA. 10-year follow-up of intensive glucose control in type 2 diabetes. N Engl J Med. 2008 Oct 9;359(15):1577-89. doi: 10.1056/NEJMoa0806470. Epub 2008 Sep 10.

    PMID: 18784090BACKGROUND
  • Tzoulaki I, Molokhia M, Curcin V, Little MP, Millett CJ, Ng A, Hughes RI, Khunti K, Wilkins MR, Majeed A, Elliott P. Risk of cardiovascular disease and all cause mortality among patients with type 2 diabetes prescribed oral antidiabetes drugs: retrospective cohort study using UK general practice research database. BMJ. 2009 Dec 3;339:b4731. doi: 10.1136/bmj.b4731.

    PMID: 19959591BACKGROUND
  • Selvin E, Bolen S, Yeh HC, Wiley C, Wilson LM, Marinopoulos SS, Feldman L, Vassy J, Wilson R, Bass EB, Brancati FL. Cardiovascular outcomes in trials of oral diabetes medications: a systematic review. Arch Intern Med. 2008 Oct 27;168(19):2070-80. doi: 10.1001/archinte.168.19.2070.

    PMID: 18955635BACKGROUND
  • Johnson JA, Simpson SH, Toth EL, Majumdar SR. Reduced cardiovascular morbidity and mortality associated with metformin use in subjects with Type 2 diabetes. Diabet Med. 2005 Apr;22(4):497-502. doi: 10.1111/j.1464-5491.2005.01448.x.

    PMID: 15787679BACKGROUND
  • Kooy A, de Jager J, Lehert P, Bets D, Wulffele MG, Donker AJ, Stehouwer CD. Long-term effects of metformin on metabolism and microvascular and macrovascular disease in patients with type 2 diabetes mellitus. Arch Intern Med. 2009 Mar 23;169(6):616-25. doi: 10.1001/archinternmed.2009.20.

    PMID: 19307526BACKGROUND
  • Tucker GT, Casey C, Phillips PJ, Connor H, Ward JD, Woods HF. Metformin kinetics in healthy subjects and in patients with diabetes mellitus. Br J Clin Pharmacol. 1981 Aug;12(2):235-46. doi: 10.1111/j.1365-2125.1981.tb01206.x.

    PMID: 7306436BACKGROUND
  • Wang DS, Jonker JW, Kato Y, Kusuhara H, Schinkel AH, Sugiyama Y. Involvement of organic cation transporter 1 in hepatic and intestinal distribution of metformin. J Pharmacol Exp Ther. 2002 Aug;302(2):510-5. doi: 10.1124/jpet.102.034140.

    PMID: 12130709BACKGROUND
  • Wilcock C, Bailey CJ. Accumulation of metformin by tissues of the normal and diabetic mouse. Xenobiotica. 1994 Jan;24(1):49-57. doi: 10.3109/00498259409043220.

    PMID: 8165821BACKGROUND
  • Scheen AJ. Clinical pharmacokinetics of metformin. Clin Pharmacokinet. 1996 May;30(5):359-71. doi: 10.2165/00003088-199630050-00003.

    PMID: 8743335BACKGROUND
  • Dunn CJ, Peters DH. Metformin. A review of its pharmacological properties and therapeutic use in non-insulin-dependent diabetes mellitus. Drugs. 1995 May;49(5):721-49. doi: 10.2165/00003495-199549050-00007.

    PMID: 7601013BACKGROUND
  • Vidon N, Chaussade S, Noel M, Franchisseur C, Huchet B, Bernier JJ. Metformin in the digestive tract. Diabetes Res Clin Pract. 1988 Feb 19;4(3):223-9. doi: 10.1016/s0168-8227(88)80022-6.

    PMID: 3359923BACKGROUND
  • Marathe PH, Wen Y, Norton J, Greene DS, Barbhaiya RH, Wilding IR. Effect of altered gastric emptying and gastrointestinal motility on metformin absorption. Br J Clin Pharmacol. 2000 Oct;50(4):325-32. doi: 10.1046/j.1365-2125.2000.00264.x.

    PMID: 11012555BACKGROUND
  • Pacanowski MA, Hopley CW, Aquilante CL. Interindividual variability in oral antidiabetic drug disposition and response: the role of drug transporter polymorphisms. Expert Opin Drug Metab Toxicol. 2008 May;4(5):529-44. doi: 10.1517/17425255.4.5.529.

    PMID: 18484913BACKGROUND
  • Wiernsperger NF, Bailey CJ. The antihyperglycaemic effect of metformin: therapeutic and cellular mechanisms. Drugs. 1999;58 Suppl 1:31-9; discussion 75-82. doi: 10.2165/00003495-199958001-00009.

    PMID: 10576523BACKGROUND
  • Hoffmann J, Spengler M. Efficacy of 24-week monotherapy with acarbose, metformin, or placebo in dietary-treated NIDDM patients: the Essen-II Study. Am J Med. 1997 Dec;103(6):483-90. doi: 10.1016/s0002-9343(97)00252-0.

    PMID: 9428831BACKGROUND
  • Schimmack G, Defronzo RA, Musi N. AMP-activated protein kinase: Role in metabolism and therapeutic implications. Diabetes Obes Metab. 2006 Nov;8(6):591-602. doi: 10.1111/j.1463-1326.2005.00561.x.

    PMID: 17026483BACKGROUND
  • Standeven KF, Ariens RA, Whitaker P, Ashcroft AE, Weisel JW, Grant PJ. The effect of dimethylbiguanide on thrombin activity, FXIII activation, fibrin polymerization, and fibrin clot formation. Diabetes. 2002 Jan;51(1):189-97. doi: 10.2337/diabetes.51.1.189.

    PMID: 11756340BACKGROUND
  • Gregorio F, Ambrosi F, Manfrini S, Velussi M, Carle F, Testa R, Merante D, Filipponi P. Poorly controlled elderly Type 2 diabetic patients: the effects of increasing sulphonylurea dosages or adding metformin. Diabet Med. 1999 Dec;16(12):1016-24. doi: 10.1046/j.1464-5491.1999.00201.x.

    PMID: 10656230BACKGROUND
  • Pavlovic D, Kocic R, Kocic G, Jevtovic T, Radenkovic S, Mikic D, Stojanovic M, Djordjevic PB. Effect of four-week metformin treatment on plasma and erythrocyte antioxidative defense enzymes in newly diagnosed obese patients with type 2 diabetes. Diabetes Obes Metab. 2000 Aug;2(4):251-6. doi: 10.1046/j.1463-1326.2000.00089.x.

    PMID: 11225659BACKGROUND
  • Beisswenger P, Ruggiero-Lopez D. Metformin inhibition of glycation processes. Diabetes Metab. 2003 Sep;29(4 Pt 2):6S95-103. doi: 10.1016/s1262-3636(03)72793-1.

    PMID: 14502106BACKGROUND
  • Yamanouchi T, Sakai T, Igarashi K, Ichiyanagi K, Watanabe H, Kawasaki T. Comparison of metabolic effects of pioglitazone, metformin, and glimepiride over 1 year in Japanese patients with newly diagnosed Type 2 diabetes. Diabet Med. 2005 Aug;22(8):980-5. doi: 10.1111/j.1464-5491.2005.01656.x.

    PMID: 16026361BACKGROUND
  • Brown JB, Conner C, Nichols GA. Secondary failure of metformin monotherapy in clinical practice. Diabetes Care. 2010 Mar;33(3):501-6. doi: 10.2337/dc09-1749. Epub 2009 Dec 29.

    PMID: 20040656BACKGROUND

MeSH Terms

Conditions

Diabetes Mellitus, Type 2Diabetes Mellitus

Interventions

methionylglycineMetformin

Condition Hierarchy (Ancestors)

Glucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Intervention Hierarchy (Ancestors)

BiguanidesGuanidinesAmidinesOrganic Chemicals

Study Officials

  • Guillermo Fanghänel Salmón, M.D

    Clinica integral del paciente diabético y obeso

    PRINCIPAL INVESTIGATOR
  • Manuel González Ortiz, M.D

    Instituto de terapéutica experimental y clínica (INTEC)

    PRINCIPAL INVESTIGATOR
  • Joel Rodríguez Saldaña, M.D

    Resultados médicos, desarrollo e investigación SC. (REMEDI)

    PRINCIPAL INVESTIGATOR
  • María L Sánchez Aldana Robles, M.D

    Investigación Biomédica para el Desarrollo de Fármacos, S.A de C.V. (IBIOMED-GDL)

    PRINCIPAL INVESTIGATOR
  • Francisco G Padilla Padilla, M.D

    Independent

    PRINCIPAL INVESTIGATOR
  • Jorge V Yamamoto Cuevas, M.D

    Clínica Villa Coapa La Vereda S.C.

    PRINCIPAL INVESTIGATOR
  • Edmundo D Ríos Mejía, M.D

    Investigación Biomédica para el Desarrollo de Fármacos S.A. de C.V. (IBIOMED-AGS)

    PRINCIPAL INVESTIGATOR
  • Luis M Román Pintos, M.D

    Hospital Hispanos S.A. de C.V.

    PRINCIPAL INVESTIGATOR
  • Víctor Bohórquez López, M.D

    Oaxaca Site Management Organization SC. (Red OSMO)

    PRINCIPAL INVESTIGATOR
  • Santiago P Ramírez Díaz, M..D

    Centro de Investigación Médica Aguascalientes (Red OSMO)

    PRINCIPAL INVESTIGATOR
  • José De la Cruz Tun Pech, M.D

    Mérida Investigación Clínica (Red OSMO)

    PRINCIPAL INVESTIGATOR
  • Fernando J Lavalle González, M.D

    Servicio de endocrinología Hospital Univertsitario, UANL

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 21, 2021

First Posted

June 29, 2021

Study Start

August 1, 2021

Primary Completion

August 1, 2021

Study Completion

August 1, 2021

Last Updated

June 29, 2021

Record last verified: 2021-06

Data Sharing

IPD Sharing
Will not share

Locations