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NCT04659915: Gluco-Met
Counteracting Deleterious Metabolic Glucocorticoid Effects With Metformin
Phase 4 trial testing Metformin 500 mg Oral Tablets + Prednisone 20mg Tablets in Glucocorticoid Effect in 19 participants. Completed in 18 August 2021.
18 August 2021
Quick facts
| Lead sponsor | Eleonora Seelig |
|---|---|
| Phase | Phase 4 |
| Status | Completed |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | crossover |
| Masking | double |
| Primary purpose | prevention |
| Enrollment | 19 |
| Start date | 25 February 2021 |
| Primary completion | 18 August 2021 |
| Estimated completion | 18 August 2021 |
| Sites | 1 location across Switzerland |
Drugs / interventions tested
- Metformin 500 mg Oral Tablets + Prednisone 20mg Tablets — full drug profile →
- Placebo 500 mg Tablets + Prednisone 20mg Tablets — full drug profile →
Conditions studied
- Glucocorticoid Effect — all drugs for Glucocorticoid Effect →
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):
-
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
Verify or expand the search:
- PubMed search for NCT04659915
- Europe PMC full search
- ASCO Meeting Library
- ESMO Meeting Library
- bioRxiv preprints
- medRxiv preprints
- Google Scholar
Related trials
Other Eleonora Seelig trials
Trials by the same sponsor.
- NCT06724692 — Acute Effects of Ultra-processed Versus Unprocessed Foods on Glucocorticoid Secretion in Healthy Individuals · NA · completed
- NCT06556277 — Acute Consequences of Glucocorticoid Secretion in Overweight and Obese Individuals During Maximum Calorie Intake · NA · completed
- NCT05919992 — The Role of Glucocorticoids to Maintain Energy Homeostasis During Starvation (Gluco-Starve) · EARLY_PHASE1 · completed
- NCT05167084 — Acute Consequences Of Food-induced Glucocorticoid Secretion In Healthy Individuals · EARLY_PHASE1 · completed
- NCT04482738 — Study of the Effects of Overfeeding on Glucocorticoids in Lean and Obese Subjects · completed
Verify against primary sources
- ClinicalTrials.gov — authoritative US registry record
- WHO ICTRP — international registry index
- EU Clinical Trials Register
- Sponsor press releases (Google)
- Trial protocol + status: ClinicalTrials.gov NCT04659915 (US National Library of Medicine, public domain)
- Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
- Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
- Sponsor: as reported to ClinicalTrials.gov by Eleonora Seelig
- Last refreshed: 23 September 2021
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04659915.
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