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)

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

146 participants

Primary outcome timeframe

Measured at the last study visit

Results posted on

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

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

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 visit

Population: 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

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 weeks

Population: randomized participants who took assigned treatment

Total cholesterol

Outcome measures

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 weeks

Population: randomized participants who took assigned treatment

high-density lipoprotein

Outcome measures

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 weeks

Population: participants who took assigned treatment

low-density lipoprotein

Outcome measures

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 weeks

Population: participants who took assigned treatment

serum triglycerides

Outcome measures

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 weeks

Population: participants who took assigned treatment

fasting blood glucose

Outcome measures

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 weeks

Population: participants who took assigned treatment

Fasting insulin

Outcome measures

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 weeks

Population: participants who took assigned treatment

glycosylated hemoglobin

Outcome measures

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

Serious events: 7 serious events
Other events: 33 other events
Deaths: 0 deaths

Metformin

Serious events: 3 serious events
Other events: 40 other events
Deaths: 0 deaths

Serious adverse events

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

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

Dr. Scott Stroup

Columbia University

Phone: 212-543-5676

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place