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NCT02285855

Metformin in Non Small Cell Lung Cancer (NSCLC)

Terminated Phase 2 Results posted Last updated 6 January 2020
What this trial tests

Phase 2 trial testing Metformin in Lung Cancer in 27 participants. Terminated before completion.

Timeline
20 February 2015
Primary endpoint
5 January 2019
5 January 2019

Quick facts

Lead sponsorM.D. Anderson Cancer Center
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment27
Start date20 February 2015
Primary completion5 January 2019
Estimated completion5 January 2019
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

M.D. Anderson Cancer Center — full company profile →

Who can join

18 and older, any sex, with Lung Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

RECIST and PERCIST Tumor Response Primary · From baseline (prior to metformin start) to Post-Radiotherapy (RT) Treatment, assessed up to 6 months

The primary objective is the effect of metformin on response in NSCLC patients treated with hypofractionated RT. All patients will receive FDG-PET/CT scan at baseline (prior to metformin start), prior to RT and at 6 months (+/- 30 days) following RT. PET/CT imaging using \[18F\]-2-fluoro-2-deoxyglucose positron emission tomography (18F-FDG), using a standard approved radiopharmaceutical dose and administration selected by the nuclear medicine physician (120 min). Response will be determined at 6 months post-treatment via relative change from pre-treatment tumor by Response Evaluation Criteria

Mid-treatment RECIST tumor response (SD)
GroupValue95% CI
Metformin Arm14
Placebo Arm1
Post-treatment (6 mo.) RECIST tumor response(CR)
GroupValue95% CI
Metformin Arm7
Placebo Arm1
Post-treatment (6 mo.) RECIST tumor response(PR)
GroupValue95% CI
Metformin Arm3
Placebo Arm0
Post-treatment (6 mo.) RECIST tumor response(SD)
GroupValue95% CI
Metformin Arm3
Placebo Arm0
Mid-treamtment PERCIST tumor response: (SMD)
GroupValue95% CI
Metformin Arm6
Placebo Arm1
Mid-treamtment PERCIST tumor response: (PMD)
GroupValue95% CI
Metformin Arm6
Placebo Arm0
Mid-treamtment PERCIST tumor response: (PMR)
GroupValue95% CI
Metformin Arm2
Placebo Arm0
Post- treatment (6 mo.) PERCIST (CMR)
GroupValue95% CI
Metformin Arm9
Placebo Arm1

Adverse events — posted to ClinicalTrials.gov

Time frame: From the time of registration through study completion and follow up, assessed up to 6 months. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Metformin Arm
Serious: 1/14 (7%)
Deaths: 1/14
Placebo Arm
Serious: 0/1 (0%)
Deaths: 0/1

Serious adverse events (1 terms)

ReactionSystemMetformin ArmPlacebo Arm
DiarrheaGastrointestinal disorders

Most-reported serious reactions: Diarrhea.

Data from ClinicalTrials.gov NCT02285855 adverse events section.

Sponsor's own description

The goal of this clinical research study is to learn if giving metformin in combination with radiation therapy is more effective than radiation therapy alone. In this study, participants will receive either metformin or a placebo. A placebo is not a drug. It looks like the study drug but is not designed to treat any disease or illness. It is designed to be compared with a study drug to learn if the study drug has any real effect. This is an investigational study. Metformin is FDA approved for the treatment of diabetes. Its use in this study to be given with radiation therapy to treat lung cancer is investigational. The study doctor can explain how the study drug is designed to work. Up to 70 participants will be enrolled in this study. All will take part at MD Anderson.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Metabolism, metabolites, and macrophages in cancer.
    Li M, Yang Y, Xiong L, Jiang P, et al · · 2023 · cited 305× · PMID 37491279 · DOI 10.1186/s13045-023-01478-6
  2. Repurposing metformin for cancer treatment: current clinical studies.
    Chae YK, Arya A, Malecek MK, Shin DS, et al · · 2016 · cited 233× · PMID 27004404 · DOI 10.18632/oncotarget.8194
  3. Targeting Cancer Metabolism: Dietary and Pharmacologic Interventions.
    Vernieri C, Casola S, Foiani M, Pietrantonio F, et al · · 2016 · cited 155× · PMID 27872127 · DOI 10.1158/2159-8290.cd-16-0615
  4. New drugs are not enough‑drug repositioning in oncology: An update.
    Armando RG, Mengual Gómez DL, Gomez DE. · · 2020 · cited 72× · PMID 32124955 · DOI 10.3892/ijo.2020.4966
  5. LKB1 and Tumor Metabolism: The Interplay of Immune and Angiogenic Microenvironment in Lung Cancer.
    Bonanno L, Zulato E, Pavan A, Attili I, et al · · 2019 · cited 44× · PMID 30995715 · DOI 10.3390/ijms20081874
  6. Cardio-oncology Related to Heart Failure: Common Risk Factors Between Cancer and Cardiovascular Disease.
    Blaes A, Prizment A, Koene RJ, Konety S. · · 2017 · cited 42× · PMID 28279422 · DOI 10.1016/j.hfc.2016.12.006
  7. Targeting metabolism and AMP-activated kinase with metformin to sensitize non-small cell lung cancer (NSCLC) to cytotoxic therapy: translational biology and rationale for current clinical trials.
    Troncone M, Cargnelli SM, Villani LA, Isfahanian N, et al · · 2017 · cited 37× · PMID 28915708 · DOI 10.18632/oncotarget.17496
  8. Advances in metformin‑based metabolic therapy for non‑small cell lung cancer (Review).
    Chen N, Zhou YS, Wang LC, Huang JB. · · 2022 · cited 18× · PMID 35039878 · DOI 10.3892/or.2022.8266

Verify or expand the search:

Other trials of Metformin

Trials testing the same drug.

Other recruiting trials for Lung Cancer

Currently open trials in the same condition.

Other M.D. Anderson Cancer Center trials

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