Last reviewed · How we verify
Metformin plus pioglitazone
Metformin plus pioglitazone is a Biguanide plus thiazolidinedione Small molecule drug developed by Nanjing First Hospital, Nanjing Medical University. It is currently in Phase 3 development for Type 2 diabetes mellitus.
Metformin reduces hepatic glucose production and improves insulin sensitivity, while pioglitazone enhances insulin sensitivity by activating peroxisome proliferator-activated receptor gamma (PPAR-γ) in adipose and muscle tissue.
Metformin reduces hepatic glucose production and improves insulin sensitivity, while pioglitazone enhances insulin sensitivity by activating peroxisome proliferator-activated receptor gamma (PPAR-γ) in adipose and muscle tissue. Used for Type 2 diabetes mellitus.
At a glance
| Generic name | Metformin plus pioglitazone |
|---|---|
| Sponsor | Nanjing First Hospital, Nanjing Medical University |
| Drug class | Biguanide plus thiazolidinedione |
| Target | PPAR-γ (pioglitazone component); metformin target not fully elucidated but involves mitochondrial function |
| Modality | Small molecule |
| Therapeutic area | Diabetes |
| Phase | Phase 3 |
Mechanism of action
This combination targets type 2 diabetes through complementary pathways: metformin acts primarily on the liver to decrease gluconeogenesis and improve peripheral glucose uptake, while pioglitazone increases insulin sensitivity in peripheral tissues by promoting glucose uptake and reducing hepatic glucose output. Together, they provide synergistic glycemic control by addressing both hepatic and peripheral insulin resistance.
Approved indications
- Type 2 diabetes mellitus
Common side effects
- Hypoglycemia
- Weight gain
- Fluid retention / edema
- Gastrointestinal disturbance (metformin component)
- Heart failure exacerbation
Key clinical trials
- The Effect of Alogliptin Combined With Actoplus Met on Glucose and Lipid Metabolism and Pancreatic Function in Patients With T2DM Complicated With MAFLD (PHASE4)
- A Study to Evaluate the Effect of add-on Pioglitazone or Dapagliflozin in Participants With Type 2 Diabetes Mellitus Inadequately Controlled by DPP-4 Inhibitor and Metformin Therapy (PHASE4)
- Comparative Effectiveness of Two Initial Combination Therapies in Patients With Recent Onset Diabetes (PHASE3)
- Oral Anti Diabetic Agents in the Hospital (PHASE4)
- Impact of Pharmacogenetic-Guided Treatment on Type 2 Diabetes. (PHASE4)
- A Pragmatic Randomized Trial to Evaluate the Comparative Effectiveness Between Dapagliflozin and Standard of Care in Type 2 Diabetes Patients (PHASE4)
- Pioglitazone-Metformin Combination Treatment for High Risk Oral Preneoplasia (PHASE2)
- Efficacy and Safety of Pioglitazone Combination Therapy in Type 2 Diabetes Patients on a Background of Empagliflozin With Metformin (PHASE3)
Primary sources
Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.
| Source | Used for |
|---|---|
| ClinicalTrials.gov | Trial enrolment, design, endpoints, results |
Competitive intelligence
For the full competitive landscape — auto-detected comparators, recent regulatory actions across the set, upcoming PDUFA, patent timeline, sponsor landscape:
- Metformin plus pioglitazone CI brief — competitive landscape report
- Metformin plus pioglitazone updates RSS · CI watch RSS
- Nanjing First Hospital, Nanjing Medical University portfolio CI
Frequently asked questions about Metformin plus pioglitazone
What is Metformin plus pioglitazone?
How does Metformin plus pioglitazone work?
What is Metformin plus pioglitazone used for?
Who makes Metformin plus pioglitazone?
What drug class is Metformin plus pioglitazone in?
What development phase is Metformin plus pioglitazone in?
What are the side effects of Metformin plus pioglitazone?
What does Metformin plus pioglitazone target?
Related
- Drug class: All Biguanide plus thiazolidinedione drugs
- Target: All drugs targeting PPAR-γ (pioglitazone component); metformin target not fully elucidated but involves mitochondrial function
- Manufacturer: Nanjing First Hospital, Nanjing Medical University — full pipeline
- Therapeutic area: All drugs in Diabetes
- Indication: Drugs for Type 2 diabetes mellitus
- Compare: Metformin plus pioglitazone vs similar drugs
- Pricing: Metformin plus pioglitazone cost, discount & access