NCT06296836

Brief Summary

A randomized study of continuing versus holding metformin during hospitalizations to internal medicine services to determine the effects on glucose control, acidosis, abdominal symptoms, length of stay, and mortality.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
300

participants targeted

Target at P50-P75 for phase_4 diabetes-mellitus-type-2

Timeline
2mo left

Started Jan 2025

Geographic Reach
1 country

1 active site

Status
recruiting

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

Study Progress93%
Jan 2025Jun 2026

First Submitted

Initial submission to the registry

February 29, 2024

Completed
6 days until next milestone

First Posted

Study publicly available on registry

March 6, 2024

Completed
11 months until next milestone

Study Start

First participant enrolled

January 21, 2025

Completed
1.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 31, 2026

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2026

Expected
Last Updated

February 27, 2025

Status Verified

February 1, 2025

Enrollment Period

1.2 years

First QC Date

February 29, 2024

Last Update Submit

February 25, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • Mean glucose levels

    Average of daily glucose levels during hospitalization

    During hospitalization

Secondary Outcomes (12)

  • Incidence of hyperglycemia greater than 300 mg/dl.

    During hospitalization

  • Incidence of hypoglycemia (Glu = 54 - 70).

    During hospitalization

  • Incidence of moderate hypoglycemia (Glu < 54)

    During hospitalization

  • Incidence of severe hypoglycemia (Glu < 54 with symptoms)

    During hospitalization

  • Mean lactic acid levels.

    During hospitalization

  • +7 more secondary outcomes

Other Outcomes (1)

  • Mean glucose levels while receiving metformin in the continuation arm and while not receiving metformin in the discontinuation arm

    During hospitalization

Study Arms (2)

Metformin continuation

ACTIVE COMPARATOR

Continuation of home metformin regimen during hospitalization to an internal medicine service

Drug: Metformin

Metformin discontinuation

NO INTERVENTION

Holding home metformin regimen during hospitalization to an internal medicine service

Interventions

Continuation of home metformin

Also known as: Glucophage
Metformin continuation

Eligibility Criteria

Age18 Years - 110 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Adult (18+ years of age)
  • Admitted to an internal medicine service.
  • On Metformin prior to admission.

You may not qualify if:

  • Inability to take oral medications
  • eGFR \< 30 ml/min/1.73 m2
  • Dialysis
  • Current Acidosis (pH \< 7.35) including diabetic ketoacidosis
  • Child-Turcotte-Pugh class C hepatic cirrhosis
  • Acute Decompensated Heart Failure
  • Cognitively impaired and/or unable to consent
  • Lack of or unwillingness to share contact information
  • Pregnant women

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Illinois at Chicago

Chicago, Illinois, 60612, United States

RECRUITING

MeSH Terms

Conditions

Diabetes Mellitus, Type 2

Interventions

Metformin

Condition Hierarchy (Ancestors)

Diabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Intervention Hierarchy (Ancestors)

BiguanidesGuanidinesAmidinesOrganic Chemicals

Central Study Contacts

Mathew Thambi, PharmD, MPH

CONTACT

Emily Hanners, PharmD

CONTACT

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Randomized, parallel, prospective trial.
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 29, 2024

First Posted

March 6, 2024

Study Start

January 21, 2025

Primary Completion

March 31, 2026

Study Completion (Estimated)

June 30, 2026

Last Updated

February 27, 2025

Record last verified: 2025-02

Data Sharing

IPD Sharing
Will not share

Locations