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Metformin

Phase 4FDA approved

Undisclosed | Small molecule | Other |Merck KGaA|Trials Updated: Jul 16, 2019

Metformin development status

FDA approval on record Oct 13, 2000
Approval holderEmd Serono Inc
ApplicationNDA021202
Highest phase Phase 4 run by GlaxoSmithKline (NCT00367055)
Phase scored for MKGAFPhase 1
Registered trials 260+ across 64 sponsors since Nov 2004

Metformin target and mechanism

Molecular targetMT-ND6, NDUFA10, NDUFS8, MT-ND4L, NDUFA6, MT-ND1
Target classInhibitor
ModalitySmall molecule

Also known as Test GIR, Reference GIR

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLED
Total Trials2
Total Enrollment84

FDA Designations

No designations recorded

Metformin clinical trials

Metformin · 2 trials · 1 indication

Phase 1 2
NCT03467945Bioequivalence and Drug - Drug Interaction Study of Metformin/Gliclazide in Healthy ParticipantsHealthy
COMPLETED40 Analytics
NCT03393208Glucophage Immediate Release (GIR) China Bioequivalence StudyHealthy
COMPLETED44 Analytics
PHASE1COMPLETED
Bioequivalence and Drug - Drug Interaction Study of Metformin/Gliclazide in Healthy Participants
HealthyUnlock trial analytics
PHASE1COMPLETED
Glucophage Immediate Release (GIR) China Bioequivalence Study
HealthyUnlock trial analytics

Study Endpoints

Primary Endpoints

Area Under the Plasma Concentration-Time Curve From Time Zero to Last Measurable Concentration (AUC0-t) of Metformin
Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 16, 24, 28, 32, 48, 72, 96, 120, 144 and 168 hours post-dose
Area Under the Plasma Concentration-Time Curve From Time Zero to Last Measurable Concentration (AUC0-t) of Gliclazide
Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 16, 24, 28, 32, 48, 72, 96, 120, 144 and 168 hours post-dose
Maximum Observed Plasma Concentration (Cmax) of Metformin
Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 16, 24, 28, 32, 48, 72, 96, 120, 144 and 168 hours post-dose
Maximum Observed Plasma Concentration (Cmax) of Gliclazide
Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 16, 24, 28, 32, 48, 72, 96, 120, 144 and 168 hours post-dose
Area Under the Plasma Concentration-time Curve From Time Zero to Infinity (AUC0-inf) of Metformin
Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 16, 24, 28, 32, 48, 72, 96, 120, 144 and 168 hours post-dose

AUC (0-inf) is defined as the area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-inf).

Area Under the Plasma Concentration-time Curve From Time Zero to Infinity (AUC0-inf) of Gliclazide
Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 16, 24, 28, 32, 48, 72, 96, 120, 144 and 168 hours post-dose

AUC (0-inf) is defined as the area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-inf).

Area Under the Plasma Concentration-Time Curve From Time Zero to the Last Sampling Time (AUC 0-t) of Metformin (GIR Tablet Active Ingredient)
Pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 14 hours post-dose on Day 1; 24 and 36 hours post-dose on Day 2; 48 hours post-dose on Day 3

Area under the plasma concentration vs time curve from time zero to the last sampling time t at which the concentration was at or above the lower limit of quantification (LLQ). AUC0-t was to be calculated according to the mixed log-linear trapezoidal rule.

Maximum Observed Plasma Concentration (Cmax) of Metformin (GIR Tablet Active Ingredient)
Pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 14 hours post-dose on Day 1; 24 and 36 hours post-dose on Day 2; 48 hours post-dose on Day 3

Pharmacokinetic (PK) parameter Cmax was obtained directly from the concentration versus time curve.

Secondary Endpoints

Apparent Volume of Distribution (Vz/f) of Metformin
Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 16, 24, 28, 32, 48, 72, 96, 120, 144 and 168 hours post-dose
Apparent Volume of Distribution (Vz/f) of Gliclazide
Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 16, 24, 28, 32, 48, 72, 96, 120, 144 and 168 hours post-dose
Elimination Half Life (t1/2) of Metformin
Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 16, 24, 28, 32, 48, 72, 96, 120, 144 and 168 hours post-dose
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelCROSSOVER
PurposeOTHER

Treatment Arms

ArmTypeDescription
Treatment Sequence 1EXPERIMENTALParticipants received single oral dose of metformin 1000 milligram (mg) and gliclazide 30 mg fixed combination tablet in treatment period 1 followed by concomitant oral dosing of metformin 1000 mg and gliclazide 30 mg in treatment period 2 followed by single oral dose of metformin 1000 mg in treatment period 3 and then a single oral dose of gliclazide 30 mg in treatment period 4. Each treatment period was separated by a 14-day wash-out period.
Treatment Sequence 2EXPERIMENTALParticipants received concomitant oral dosing of metformin 1000 mg and gliclazide 30 mg in treatment period 1 followed by single oral dose of gliclazide 30 mg in treatment period 2 followed by single oral dose of metformin 1000 mg and gliclazide 30 mg fixed combination tablet in treatment period 3 and then single oral dose of metformin 1000 mg in treatment period 4. Each treatment period was separated by a 14-day wash-out period.
Treatment Sequence 3EXPERIMENTALParticipants received single oral dose of metformin 1000 mg in treatment period 1 followed by single oral dose of metformin 1000 mg and gliclazide 30 mg fixed combination tablet in treatment period 2 followed by single oral dose of gliclazide 30 mg in treatment period 3 and then concomitant oral dosing of metformin 1000 mg and gliclazide 30 mg in treatment period 4. Each treatment period was separated by a 14-day wash-out period.
Treatment Sequence 4EXPERIMENTALParticipants received single oral dose of gliclazide 30 mg in treatment period 1 followed by single oral dose of metformin 1000 mg in treatment period 2 followed by concomitant oral dosing of metformin 1000 mg and gliclazide 30 mg in treatment period 3 and then single oral dose of metformin 1000 mg and gliclazide 30 mg fixed combination tablet in treatment period 4. Each treatment period was separated by a 14-day wash-out period.
First Test GIR (Fasting), Then Reference GIR (Fasting)EXPERIMENTALParticipants received a single oral dose of 500 milligram (mg) of test Glucophage Immediate Release (GIR) tablet Sino-American Shanghai Squibb (SASS)/China) on Day 1 in treatment period 1 followed by a single oral dose of 500 mg reference GIR (Merck Santé in Semoy (MSS)/France) on Day 8 in treatment period 2 under fasting condition. There was a wash-out period of 7 days between each treatment period.
First Reference GIR (Fasting), Then Test GIR (Fasting)EXPERIMENTALParticipants received a single oral dose of 500 mg of reference GIR tablet (MSS/France) on Day 1 in treatment period 1 followed by a single oral dose of 500 mg test GIR (SASS/China) on Day 8 in treatment period 2 under fasting condition. There was a wash-out period of 7 days between each treatment period.
First Test GIR (Fed), Then Reference GIR (Fed)EXPERIMENTALParticipants received a single oral dose of 500 mg of test GIR tablet (SASS/ China) on Day 1 in treatment period 1 followed by a single oral dose of 500 mg reference GIR (MSS/France) on Day 8 in treatment period 2 under fed condition. There was a wash-out period of 7 days between each treatment period.
First Reference GIR (Fed), Then Test GIR (Fed)EXPERIMENTALParticipants received a single oral dose of 500 mg of reference GIR tablet (MSS/ France) on Day 1 in treatment period 1 followed by a single oral dose of 500 mg test GIR (SASS/China) on Day 8 in treatment period 2 under fed condition. There was a wash-out period of 7 days between each treatment period.

Interventions

NameTypeDescription
Metformin/Gliclazide Fixed CombinationDRUGParticipants received single oral dose of Metformin and Gliclazide fixed combination tablet in treatment period 1, 2, 3 or 4.
MetforminDRUGParticipants received single oral dose of Metformin tablet in treatment period 1, 2, 3 or 4.
GliclazideDRUGParticipants received single oral dose of Gliclazide tablet in treatment period 1, 2, 3 or 4.
Test GIRDRUGParticipants received 500 milligrams (mg) test GIR in fasting or fed state on either Day 1 (Treatment Period 1) or Day 8 (Treatment Period 2).
Reference GIRDRUGParticipants received 500 mg reference GIR in fasting or fed state on either Day 1 (Treatment Period 1) or Day 8 (Treatment Period 2).
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Eligibility Criteria

Age Range18 Years to 55 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * Participants has given written informed consent before any study-related activities were carried out * Ethnic origin: Mexicans * Weight between 55 and 95 kilogram (kg) * Body mass index between 18.5 and 27 kilogram per meter square (kg/m\^2) * Not smoking more than 5 cigarette...

Countries:GermanyChina
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Frequently asked questions about Metformin

What is Metformin/Gliclazide Fixed Combination?

Metformin/Gliclazide Fixed Combination is an investigational small molecule drug candidate developed by Merck KGaA. It combines metformin and gliclazide into a single fixed-dose formulation. The specific therapeutic indication for this combination has not been disclosed. It is currently in Phase 1 clinical development.

What does Metformin/Gliclazide Fixed Combination target?

Metformin/Gliclazide Fixed Combination targets the mitochondrial proteins MT-ND6, NDUFA10, NDUFS8, MT-ND4L, NDUFA6, and MT-ND1. It acts as an inhibitor of these targets. These proteins are components of the mitochondrial respiratory chain complex I.

Who is developing Metformin/Gliclazide Fixed Combination?

Metformin/Gliclazide Fixed Combination is being developed by Merck KGaA, which trades under the ticker MKGAF. Merck KGaA is the sponsor of the clinical program for this fixed-dose combination.

What phase is Metformin/Gliclazide Fixed Combination in?

Metformin/Gliclazide Fixed Combination is in Phase 1 clinical development. It is an investigational drug and has not been approved by the FDA. The Phase 1 program includes one completed trial.

What clinical trials is Metformin/Gliclazide Fixed Combination in?

Metformin/Gliclazide Fixed Combination has been studied in one completed Phase 1 trial, NCT03467945, titled Bioequivalence and Drug-Drug Interaction Study of Metformin/Gliclazide in Healthy Participants. The trial enrolled 40 healthy volunteers in Germany and was randomized and controlled.

Is Metformin/Gliclazide Fixed Combination the same as Metformin?

Metformin/Gliclazide Fixed Combination is also known as Metformin (10mg) and Metformin. It is a fixed-dose combination product that contains metformin along with gliclazide, so it is not the same as metformin alone.