Trial Outcomes & Findings for The Use of Metformin in the Treatment of Antipsychotic-Induced Weight Gain in Schizophrenia (The METS Study) (NCT NCT00816907)
NCT ID: NCT00816907
Last Updated: 2013-03-27
Results Overview
Mean difference in body weight change between participants assigned to metformin and participants assigned to placebo from baseline to last study visit (up to 16 weeks)
COMPLETED
PHASE4
146 participants
Measured at the last study visit
2013-03-27
Participant Flow
A randomized, double-blind, placebo-controlled multicenter trial conducted between March 2009 and February 2010 at 17 academic, veterans affairs, and private research clinics. 146 clinically stable overweight outpatients with chronic schizophrenia and schizoaffective disorder were enrolled.
Prior to randomization prospective participants were screened for eligibility
Participant milestones
| Measure |
Placebo
Matching over-encapsulated placebo pills
|
Metformin
Metformin 500 mg pills over-encapsulated up to 4 pills daily as tolerated
|
|---|---|---|
|
Overall Study
STARTED
|
71
|
75
|
|
Overall Study
COMPLETED
|
58
|
58
|
|
Overall Study
NOT COMPLETED
|
13
|
17
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
The Use of Metformin in the Treatment of Antipsychotic-Induced Weight Gain in Schizophrenia (The METS Study)
Baseline characteristics by cohort
| Measure |
Placebo
n=71 Participants
Matching over-encapsulated placebo pills
|
Metformin
n=75 Participants
Metformin 500 mg pills over-encapsulated up to 4 pills daily as tolerated
|
Total
n=146 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age Continuous
|
45.0 years
STANDARD_DEVIATION 10.3 • n=5 Participants
|
41.4 years
STANDARD_DEVIATION 11.5 • n=7 Participants
|
43.2 years
STANDARD_DEVIATION 11.1 • n=5 Participants
|
|
Sex: Female, Male
Female
|
22 Participants
n=5 Participants
|
23 Participants
n=7 Participants
|
45 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
49 Participants
n=5 Participants
|
52 Participants
n=7 Participants
|
101 Participants
n=5 Participants
|
PRIMARY outcome
Timeframe: Measured at the last study visitPopulation: Evaluable population that took assigned study treatment
Mean difference in body weight change between participants assigned to metformin and participants assigned to placebo from baseline to last study visit (up to 16 weeks)
Outcome measures
| Measure |
Placebo
n=71 Participants
Matching over-encapsulated placebo pills
|
Metformin
n=75 Participants
Metformin 500 mg pills over-encapsulated up to 4 pills daily as tolerated
|
|---|---|---|
|
Mean Difference in Body Weight Change Between Participants Assigned to Metformin and Participants Assigned to Placebo
|
-1.0 kilograms
Interval -2.0 to 0.0
|
-3.0 kilograms
Interval -4.0 to -2.0
|
SECONDARY outcome
Timeframe: 16 weeksPopulation: randomized participants who took assigned treatment
Total cholesterol
Outcome measures
| Measure |
Placebo
n=71 Participants
Matching over-encapsulated placebo pills
|
Metformin
n=75 Participants
Metformin 500 mg pills over-encapsulated up to 4 pills daily as tolerated
|
|---|---|---|
|
Change in Total Cholesterol From Baseline to 16 Weeks
|
0.2 mg/dL
Interval -6.5 to 6.9
|
-8.9 mg/dL
Interval -15.6 to -2.3
|
SECONDARY outcome
Timeframe: 16 weeksPopulation: randomized participants who took assigned treatment
high-density lipoprotein
Outcome measures
| Measure |
Placebo
n=71 Participants
Matching over-encapsulated placebo pills
|
Metformin
n=75 Participants
Metformin 500 mg pills over-encapsulated up to 4 pills daily as tolerated
|
|---|---|---|
|
Change in HDL Cholesterol From Baseline to 16 Weeks
|
-0.4 mg/dL
Interval -2.3 to 1.4
|
-0.6 mg/dL
Interval -2.4 to 1.2
|
SECONDARY outcome
Timeframe: 16 weeksPopulation: participants who took assigned treatment
low-density lipoprotein
Outcome measures
| Measure |
Placebo
n=71 Participants
Matching over-encapsulated placebo pills
|
Metformin
n=75 Participants
Metformin 500 mg pills over-encapsulated up to 4 pills daily as tolerated
|
|---|---|---|
|
Change in LDL Cholesterol From Baseline to 16 Weeks
|
-2.0 mg/dL
Interval -7.7 to 3.7
|
-7.1 mg/dL
Interval -12.6 to -1.5
|
SECONDARY outcome
Timeframe: 16 weeksPopulation: participants who took assigned treatment
serum triglycerides
Outcome measures
| Measure |
Placebo
n=71 Participants
Matching over-encapsulated placebo pills
|
Metformin
n=75 Participants
Metformin 500 mg pills over-encapsulated up to 4 pills daily as tolerated
|
|---|---|---|
|
Change in Triglycerides From Baseline to 16 Weeks
|
13.2 mg/dL
Interval -0.3 to 26.7
|
-7.0 mg/dL
Interval -20.4 to 6.3
|
SECONDARY outcome
Timeframe: 16 weeksPopulation: participants who took assigned treatment
fasting blood glucose
Outcome measures
| Measure |
Placebo
n=71 Participants
Matching over-encapsulated placebo pills
|
Metformin
n=75 Participants
Metformin 500 mg pills over-encapsulated up to 4 pills daily as tolerated
|
|---|---|---|
|
Change in Fasting Glucose From Baseline to 16 Weeks
|
-1.6 mg/dL
Interval -4.3 to 1.2
|
-2.3 mg/dL
Interval -5.0 to 0.5
|
SECONDARY outcome
Timeframe: 16 weeksPopulation: participants who took assigned treatment
Fasting insulin
Outcome measures
| Measure |
Placebo
n=71 Participants
Matching over-encapsulated placebo pills
|
Metformin
n=75 Participants
Metformin 500 mg pills over-encapsulated up to 4 pills daily as tolerated
|
|---|---|---|
|
Change in Fasting Insulin From Baseline to 16 Weeks
|
5.5 mU/L
Interval -1.7 to 12.6
|
1.6 mU/L
Interval -5.5 to 8.6
|
SECONDARY outcome
Timeframe: 16 weeksPopulation: participants who took assigned treatment
glycosylated hemoglobin
Outcome measures
| Measure |
Placebo
n=71 Participants
Matching over-encapsulated placebo pills
|
Metformin
n=75 Participants
Metformin 500 mg pills over-encapsulated up to 4 pills daily as tolerated
|
|---|---|---|
|
Change in Hemoglobin A1c From Baseline to 16 Weeks
|
0.01 percent
Interval -0.04 to 0.06
|
-0.06 percent
Interval -0.11 to -0.01
|
Adverse Events
Placebo
Metformin
Serious adverse events
| Measure |
Placebo
n=71 participants at risk
Matching over-encapsulated placebo pills
|
Metformin
n=75 participants at risk
Metformin 500 mg pills over-encapsulated up to 4 pills daily as tolerated
|
|---|---|---|
|
Respiratory, thoracic and mediastinal disorders
pneumonia
|
0.00%
0/71
|
1.3%
1/75 • Number of events 1
|
|
Psychiatric disorders
Suicidality
|
1.4%
1/71 • Number of events 1
|
1.3%
1/75 • Number of events 1
|
|
Nervous system disorders
rule-out seizure
|
0.00%
0/71
|
1.3%
1/75 • Number of events 1
|
|
Musculoskeletal and connective tissue disorders
elective knee-surgery
|
1.4%
1/71 • Number of events 1
|
0.00%
0/75
|
|
Psychiatric disorders
Exacerbation of schizophrenia
|
2.8%
2/71 • Number of events 2
|
0.00%
0/75
|
|
Cardiac disorders
rule-out myocardial infarction
|
1.4%
1/71 • Number of events 1
|
0.00%
0/75
|
|
Cardiac disorders
myocardial infarction
|
1.4%
1/71 • Number of events 1
|
0.00%
0/75
|
|
Gastrointestinal disorders
abdominal pain
|
1.4%
1/71 • Number of events 1
|
0.00%
0/75
|
Other adverse events
| Measure |
Placebo
n=71 participants at risk
Matching over-encapsulated placebo pills
|
Metformin
n=75 participants at risk
Metformin 500 mg pills over-encapsulated up to 4 pills daily as tolerated
|
|---|---|---|
|
Gastrointestinal disorders
diarrhea
|
16.9%
12/71 • Number of events 12
|
33.3%
25/75 • Number of events 25
|
|
Nervous system disorders
headache
|
23.9%
17/71 • Number of events 17
|
14.7%
11/75 • Number of events 11
|
|
Gastrointestinal disorders
nausea
|
11.3%
8/71 • Number of events 8
|
16.0%
12/75 • Number of events 12
|
|
Musculoskeletal and connective tissue disorders
Muscle pain
|
14.1%
10/71 • Number of events 10
|
17.3%
13/75 • Number of events 13
|
|
Gastrointestinal disorders
abdominal discomfort
|
12.7%
9/71 • Number of events 9
|
16.0%
12/75 • Number of events 12
|
|
Musculoskeletal and connective tissue disorders
weakness
|
8.5%
6/71 • Number of events 6
|
10.7%
8/75 • Number of events 8
|
|
Gastrointestinal disorders
vomiting
|
4.2%
3/71 • Number of events 3
|
10.7%
8/75 • Number of events 8
|
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place