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NCT04659915: Gluco-Met

Counteracting Deleterious Metabolic Glucocorticoid Effects With Metformin

Completed Phase 4 Last updated 23 September 2021
What this trial tests

Phase 4 trial testing Metformin 500 mg Oral Tablets + Prednisone 20mg Tablets in Glucocorticoid Effect in 19 participants. Completed in 18 August 2021.

Timeline
25 February 2021
Primary endpoint
18 August 2021
18 August 2021

Quick facts

Lead sponsorEleonora Seelig
PhasePhase 4
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designcrossover
Maskingdouble
Primary purposeprevention
Enrollment19
Start date25 February 2021
Primary completion18 August 2021
Estimated completion18 August 2021
Sites1 location across Switzerland

Drugs / interventions tested

Conditions studied

Sponsor

Eleonora Seelig — full company profile →

Who can join

Adults 18 to 40, male only, with Glucocorticoid Effect. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Supraphysiological doses of glucocorticoids (GCs) are widely prescribed as immunosuppressants and metabolic side effects such as obesity and diabetes are extremely common. Efforts to investigate and prevent these side effects are lacking. The antidiabetic drug metformin was shown in previous studies to prevent deterioration of glucose homeostasis during GC therapy in patients. However, mechanisms of metformin counteracting GC-induced side effects remain poorly understood. In a randomized, placebo-controlled, cross-over study, 18 healthy volunteers will receive a 7-day course of prednisone with metformin or placebo. Established methods will be used to assess systemic changes in energy homeostasis and novel techniques such as metabolomics will identify underlying pathways. This will advance the understanding of energy homeostasis during GC excess, may prevent thousands of patients from GC-induced side effects and also offers a model for targeting disrupted endogenous GCs secretion.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Short-term Metformin Protects Against Glucocorticoid-Induced Toxicity in Healthy Individuals: A Randomized, Double-Blind, Placebo-Controlled Trial.
    Thierry S, Peterson CJ, Pfammatter S, Tardio PA, et al · · 2025 · cited 3× · PMID 39899467 · DOI 10.2337/dc24-2039

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