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Phase 4 Completed N=47 Randomized Single-blind Basic Science

Metformin and Its Impact on the Substances Associated With NO Production in Prediabetes Patients.

Prediabetes · Impaired Fasting Glucose (IFG) · Impaired Glucose Tolerance (IGT)
Source: ClinicalTrials.gov NCT03398356 ↗
Enrolled (actual)
47
Serious AEs
0.0%
Results posted
Aug 2020
Primary outcomePrimary: Serum Levels of Metformin at Different Time Points — 4.36; 4.25; 5.09; 7.42 µM
◆ Published Evidence
Emerging
16citations · ~3 / year
Low metformin dose and its therapeutic serum concentration in prediabetes.
Scientific reports · 2021 · Open access · High-confidence link

Summary

This study evaluates the effect of different doses of metformin on the function of endothelium in people with pre-diabetes. One group of the patients will receive metformin in dose: 1500 mg, the second one will receive 3000 mg/day. The parameters from healthy volunteers will be taken only at the study beginning to compare the test results with the parameters from patients with pre-diabetes. This group will be not treated with metformin (no intervention)

Linked Publications (3)

  • Low metformin dose and its therapeutic serum concentration in prediabetes.
    Scientific reports · 2021 · 16 citations · Open access · High-confidence link
  • Metformin has no impact on nitric oxide production in patients with pre-diabetes.
    Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2021 · 7 citations · Open access · High-confidence link
  • The impact of Sample Handling Time on metformin serum concentration.
    Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2021 · 2 citations · Open access · High-confidence link

Outcome Measures

OutcomeResultp-value
PRIMARY
Serum Levels of Metformin at Different Time Points
4.36; 4.25; 5.09; 7.42; 4.66; 4.01
PRIMARY
Serum Levels of Arginine at Different Time Points
112.18; 111.72; 107.72; 97.69; 104.72; 103.76
PRIMARY
Serum Levels of ADMA at Different Time Points
0.51; 0.57; 0.52; 0.55; 0.50; 0.52
PRIMARY
Serum Levels of SDMA at Different Time Points
0.40; 0.45; 0.41; 0.42; 0.39; 0.39
PRIMARY
Serum Levels of Citrulline at Different Time Points
21.73; 28.08; 25.95; 27.01; 26.93; 29.77
PRIMARY
Serum Levels of DMA at Different Time Points
1.71; 2.07; 1.63; 1.89; 1.62; 1.84

Eligibility Criteria

Inclusion Criteria for treated groups ( A or B):

  • age: 40-65 years;
  • pre-diabetic status based on fasting plasma glucose (FPG) and / or OGTT;
  • without metformin before;
  • without ischemic heart disease in history;
  • without a stroke in a history;
  • without PAOD (peripheral arterial occlusive disease) in a history;
  • without active cancer in a history

Exclusion Criteria for treated groups (A or B):

  • age 65;
  • diabetes;
  • taking metformin before study;
  • active cancer;
  • history of macro-angiopathy (ischemic heart disease, stroke or TIA, PAOD);
  • serious gastrointestinal disease that may affect metformin tolerance;
  • renal failure with GFR 3 x ULN

Inclusion criteria for healthy volunteers:

  • age: 40-65 years;
  • no carbo-hydrates disturbances (based on fasting plasma glucose (FPG) and/or OGTT);
  • without metformin before;
  • without ischemic heart disease in history;
  • without a stroke in a history;
  • without PAOD (peripheral arterial occlusive disease) in a history;
  • without active cancer in a history
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03398356) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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