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NCT03510390: HEAD-MET

Metformin in Head and Neck Squamous Cell Carcinoma: Effect on Tissue Oxygenation

Completed NA Last updated 18 November 2021
What this trial tests

NA trial testing Metformin in Head and Neck Cancer in 17 participants. Completed in 15 November 2021.

Timeline
13 June 2018
Primary endpoint
15 September 2021
15 November 2021

Quick facts

Lead sponsorInsel Gruppe AG, University Hospital Bern
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposeother
Enrollment17
Start date13 June 2018
Primary completion15 September 2021
Estimated completion15 November 2021
Sites1 location across Switzerland

Drugs / interventions tested

Conditions studied

Sponsor

Insel Gruppe AG, University Hospital Bern

Who can join

18 and older, any sex, with Head and Neck Cancer or Oral Cavity Squamous Cell Carcinoma. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

The study evaluates the effects of the drug Metformin on the oxygen content in cancer tissue. Low oxygen concentration in cancer tissue accelerates cancer growth. Moreover, the response to radiation therapy is worse when tissue oxygen is low, because radiation therapy depends on oxygen to unfold therapeutic effects. Metformin has been used to treat type II diabetes for over 50 years and features additional properties that could slow down cancer growth. One of these properties is the improved oxygen concentration in cancer tissue. This effect has been proven for various cancers. This study was planned to verify this effect in head and neck cancer. Patients who suffer from cancer of the mouth and are planned for surgical removal of the cancer will be given Metformin for 9 to 14 days. The tissue removed in the subsequent surgery will be compared to a tissue sample that had been taken from the same patient prior to Metformin intake. To evaluate the oxygen content in the tissue samples, the expression of genes that react to oxygen levels will be measured and compared between the samples taken before and after treatment with Metformin. A secondary aim is to evaluate whether changes in the oxygen content within the tumor can be visualized by means of magnetic resonance imaging (MRI). Therefore, participants undergo an MRI scan, before and after Treatment with Metformin. The changes in the MRI will be correlated to the changes measured in gene expression.

Publications & conference data

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

  1. Targeting Tumor Microenvironment for Cancer Therapy.
    Roma-Rodrigues C, Mendes R, Baptista PV, Fernandes AR. · · 2019 · cited 865× · PMID 30781344 · DOI 10.3390/ijms20040840
  2. Tumor microenvironment: barrier or opportunity towards effective cancer therapy.
    Tiwari A, Trivedi R, Lin SY. · · 2022 · cited 257× · PMID 36253762 · DOI 10.1186/s12929-022-00866-3
  3. Targeting AKT/mTOR in Oral Cancer: Mechanisms and Advances in Clinical Trials.
    Harsha C, Banik K, Ang HL, Girisa S, et al · · 2020 · cited 152× · PMID 32384682 · DOI 10.3390/ijms21093285
  4. Adaptive Mechanisms of Tumor Therapy Resistance Driven by Tumor Microenvironment.
    Wu P, Gao W, Su M, Nice EC, et al · · 2021 · cited 136× · PMID 33732706 · DOI 10.3389/fcell.2021.641469
  5. Tumor hypoxia: From basic knowledge to therapeutic implications.
    Liao C, Liu X, Zhang C, Zhang Q. · · 2023 · cited 123× · PMID 36603793 · DOI 10.1016/j.semcancer.2022.12.011
  6. Interfering with Tumor Hypoxia for Radiotherapy Optimization.
    Telarovic I, Wenger RH, Pruschy M. · · 2021 · cited 119× · PMID 34154610 · DOI 10.1186/s13046-021-02000-x
  7. Metabolic requirements of pulmonary fibrosis: role of fibroblast metabolism.
    Hamanaka RB, Mutlu GM. · · 2021 · cited 69× · PMID 33393204 · DOI 10.1111/febs.15693
  8. Immunometabolism: new insights and lessons from antigen-directed cellular immune responses.
    Ramalho R, Rao M, Zhang C, Agrati C, et al · · 2020 · cited 39× · PMID 32519148 · DOI 10.1007/s00281-020-00798-w

Verify or expand the search:

Other trials of Metformin

Trials testing the same drug.

Other recruiting trials for Head and Neck Cancer

Currently open trials in the same condition.

Other Insel Gruppe AG, University Hospital Bern trials

Trials by the same sponsor.

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Data sources for this page

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