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Metformin up-titration — Competitive Intelligence Brief
marketed
Biguanide
AMP-activated protein kinase (AMPK), mitochondrial respiratory chain complex I
Diabetes
Small molecule
Live · refreshed every 30 min
Target snapshot
Metformin up-titration (Metformin up-titration) — Research Clinical Centre of the Russian Railways, JSC. Metformin reduces hepatic glucose production and improves insulin sensitivity by activating AMP-activated protein kinase (AMPK).
Comparator set (6 drugs)
| Drug | Generic | Sponsor | Phase | Class | Target | Approval / PDUFA |
|---|---|---|---|---|---|---|
| Metformin up-titration TARGET | Metformin up-titration | Research Clinical Centre of the Russian Railways, JSC | marketed | Biguanide | AMP-activated protein kinase (AMPK), mitochondrial respiratory chain complex I | |
| Placebo plus metformin | Placebo plus metformin | University Magna Graecia | marketed | Biguanide | AMP-activated protein kinase (AMPK), mitochondrial glycerophosphate dehydrogenase | |
| CSII followed by MET | CSII followed by MET | Sun Yat-sen University | marketed | Insulin + Biguanide combination regimen | Insulin receptor (insulin); AMP-activated protein kinase pathway (metformin) | |
| SGLT2i+Metformin+Linagliptin | SGLT2i+Metformin+Linagliptin | Huazhong University of Science and Technology | marketed | Combination antidiabetic agent (SGLT2 inhibitor + biguanide + DPP-4 inhibitor) | SGLT2 transporter, mitochondrial complex I (metformin), dipeptidyl peptidase-4 | |
| GLIMEPIRIDE + METFORMIN | GLIMEPIRIDE + METFORMIN | Sanofi | marketed | Sulfonylurea + biguanide combination | ATP-sensitive potassium channel (Kir6.2/SUR1); mitochondrial respiratory chain complex I | |
| or Metformin HCl alone | or Metformin HCl alone | Bristol-Myers Squibb | marketed | Biguanide | AMP-activated protein kinase (AMPK); mitochondrial glycerophosphate dehydrogenase | |
| Metformin + Clomiphene | Metformin + Clomiphene | University of Auckland, New Zealand | marketed | Combination therapy: biguanide + selective estrogen receptor modulator (SERM) | Metformin: AMP-activated protein kinase (AMPK); Clomiphene: estrogen receptor (ER) |
Recent regulatory actions (last 90 days)
Upcoming PDUFA dates (next 180 days)
Patent timeline (forward window)
Sponsor landscape (Biguanide class)
- AstraZeneca · 4 drugs in this class
- Merck Sharp & Dohme LLC · 3 drugs in this class
- University of Texas Southwestern Medical Center · 2 drugs in this class
- Mount Sinai Hospital, Canada · 2 drugs in this class
- GlaxoSmithKline · 2 drugs in this class
- Eli Lilly and Company · 2 drugs in this class
- University Magna Graecia · 2 drugs in this class
- First Affiliated Hospital of Wenzhou Medical University · 1 drug in this class
- Ente Ospedaliero Ospedali Galliera · 1 drug in this class
- Daewoong Pharmaceutical Co. LTD. · 1 drug in this class
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Cite this brief
Drug Landscape (2026). Metformin up-titration — Competitive Intelligence Brief. https://druglandscape.com/ci/metformin-up-titration. Accessed 2026-05-16.
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