Trial Outcomes & Findings for Effects of Metformin on Hepatic FFA Metabolism (NCT NCT01729156)

NCT ID: NCT01729156

Last Updated: 2019-10-15

Results Overview

Hepatic fatty acid oxidation assessed by dynamic C11-palmitate PET

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

36 participants

Primary outcome timeframe

90 days

Results posted on

2019-10-15

Participant Flow

Participant milestones

Participant milestones
Measure
Healthy Controls
Healthy controls receiving 1000 mg metformin twice daily for 3 months Metformin: 1000 mg metformin twice daily in 3 months
Placebo
Placebo Placebo: 2 tablets twice daily in 3 months
Metformin
Metformin "Teva", 1000 mg twice daily for 3 months Metformin: 1000 mg metformin twice daily in 3 months
Overall Study
STARTED
12
12
12
Overall Study
COMPLETED
11
12
12
Overall Study
NOT COMPLETED
1
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Healthy Controls
Healthy controls receiving 1000 mg metformin twice daily for 3 months Metformin: 1000 mg metformin twice daily in 3 months
Placebo
Placebo Placebo: 2 tablets twice daily in 3 months
Metformin
Metformin "Teva", 1000 mg twice daily for 3 months Metformin: 1000 mg metformin twice daily in 3 months
Overall Study
Withdrawal by Subject
1
0
0

Baseline Characteristics

Effects of Metformin on Hepatic FFA Metabolism

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Healthy Controls
n=12 Participants
Healthy controls receiving 1000 mg metformin twice daily for 3 months Metformin: 1000 mg metformin twice daily in 3 months
Placebo
n=12 Participants
Placebo Placebo: 2 tablets twice daily in 3 months
Metformin
n=12 Participants
Metformin "Teva", 1000 mg twice daily for 3 months Metformin: 1000 mg metformin twice daily in 3 months
Total
n=36 Participants
Total of all reporting groups
Age, Continuous
62 years
STANDARD_DEVIATION 6 • n=93 Participants
60 years
STANDARD_DEVIATION 5 • n=4 Participants
64 years
STANDARD_DEVIATION 5 • n=27 Participants
62 years
STANDARD_DEVIATION 5 • n=483 Participants
Sex: Female, Male
Female
6 Participants
n=93 Participants
3 Participants
n=4 Participants
6 Participants
n=27 Participants
15 Participants
n=483 Participants
Sex: Female, Male
Male
6 Participants
n=93 Participants
9 Participants
n=4 Participants
6 Participants
n=27 Participants
21 Participants
n=483 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
White
12 Participants
n=93 Participants
12 Participants
n=4 Participants
12 Participants
n=27 Participants
36 Participants
n=483 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
BMI
27.3 kg/m2
STANDARD_DEVIATION 4.1 • n=93 Participants
31.2 kg/m2
STANDARD_DEVIATION 4.3 • n=4 Participants
30.3 kg/m2
STANDARD_DEVIATION 5.7 • n=27 Participants
29.6 kg/m2
STANDARD_DEVIATION 4.7 • n=483 Participants
HbA1C
37 mmol/mmol
STANDARD_DEVIATION 3 • n=93 Participants
45 mmol/mmol
STANDARD_DEVIATION 6 • n=4 Participants
51 mmol/mmol
STANDARD_DEVIATION 6 • n=27 Participants
44 mmol/mmol
STANDARD_DEVIATION 5 • n=483 Participants

PRIMARY outcome

Timeframe: 90 days

Hepatic fatty acid oxidation assessed by dynamic C11-palmitate PET

Outcome measures

Outcome measures
Measure
Healthy Controls
n=10 Participants
Healthy controls receiving 1000 mg metformin twice daily for 3 months Metformin: 1000 mg metformin twice daily in 3 months
Placebo
n=11 Participants
Placebo Placebo: 2 tablets twice daily in 3 months
Metformin
n=10 Participants
Metformin "Teva", 1000 mg twice daily for 3 months Metformin: 1000 mg metformin twice daily in 3 months
Hepatic Fatty Acid Oxidation
0.052 micromol/ml/min
Standard Deviation 0.024
0.045 micromol/ml/min
Standard Deviation 0.024
0.042 micromol/ml/min
Standard Deviation 0.017

PRIMARY outcome

Timeframe: 90 days

Hepatic fatty acid reesterification assessed by C11-palmitate PET

Outcome measures

Outcome measures
Measure
Healthy Controls
n=10 Participants
Healthy controls receiving 1000 mg metformin twice daily for 3 months Metformin: 1000 mg metformin twice daily in 3 months
Placebo
n=11 Participants
Placebo Placebo: 2 tablets twice daily in 3 months
Metformin
n=10 Participants
Metformin "Teva", 1000 mg twice daily for 3 months Metformin: 1000 mg metformin twice daily in 3 months
Hepatic Fatty Acid Reesterification
0.134 micromol/ml/min
Standard Deviation 0.056
0.091 micromol/ml/min
Standard Deviation 0.035
0.113 micromol/ml/min
Standard Deviation 0.025

PRIMARY outcome

Timeframe: 90 days

Hepatic fatty acid uptake assessed by C11-palmitate PET

Outcome measures

Outcome measures
Measure
Healthy Controls
n=10 Participants
Healthy controls receiving 1000 mg metformin twice daily for 3 months Metformin: 1000 mg metformin twice daily in 3 months
Placebo
n=11 Participants
Placebo Placebo: 2 tablets twice daily in 3 months
Metformin
n=10 Participants
Metformin "Teva", 1000 mg twice daily for 3 months Metformin: 1000 mg metformin twice daily in 3 months
Hepatic Fatty Acid Uptake
0.186 micromol/ml/min
Standard Deviation 0.067
0.137 micromol/ml/min
Standard Deviation 0.051
0.155 micromol/ml/min
Standard Deviation 0.029

PRIMARY outcome

Timeframe: 90 days

Hepatic VLDL-TG secretion assessed by \[1-14C\] VLDL tracer

Outcome measures

Outcome measures
Measure
Healthy Controls
n=11 Participants
Healthy controls receiving 1000 mg metformin twice daily for 3 months Metformin: 1000 mg metformin twice daily in 3 months
Placebo
n=11 Participants
Placebo Placebo: 2 tablets twice daily in 3 months
Metformin
n=11 Participants
Metformin "Teva", 1000 mg twice daily for 3 months Metformin: 1000 mg metformin twice daily in 3 months
VLDL-TG Secretion
48 micromol/min
Standard Deviation 30
83 micromol/min
Standard Deviation 49
71 micromol/min
Standard Deviation 31

PRIMARY outcome

Timeframe: 90 days

Whole body basal glucose metabolism assessed by \[3-3H\]glucose tracer kinetics

Outcome measures

Outcome measures
Measure
Healthy Controls
n=11 Participants
Healthy controls receiving 1000 mg metformin twice daily for 3 months Metformin: 1000 mg metformin twice daily in 3 months
Placebo
n=12 Participants
Placebo Placebo: 2 tablets twice daily in 3 months
Metformin
n=11 Participants
Metformin "Teva", 1000 mg twice daily for 3 months Metformin: 1000 mg metformin twice daily in 3 months
Whole Body Glucose Rd
1.74 mg/kg/min
Standard Deviation 0.29
1.30 mg/kg/min
Standard Deviation 0.31
1.78 mg/kg/min
Standard Deviation 0.43

SECONDARY outcome

Timeframe: 90 days

Fatty acid turnover assessed as whole body C11-palmitate turnover

Outcome measures

Outcome measures
Measure
Healthy Controls
n=10 Participants
Healthy controls receiving 1000 mg metformin twice daily for 3 months Metformin: 1000 mg metformin twice daily in 3 months
Placebo
n=11 Participants
Placebo Placebo: 2 tablets twice daily in 3 months
Metformin
n=11 Participants
Metformin "Teva", 1000 mg twice daily for 3 months Metformin: 1000 mg metformin twice daily in 3 months
Fatty Acid Turnover
464 micromol/min
Standard Deviation 127
476 micromol/min
Standard Deviation 149
559 micromol/min
Standard Deviation 295

SECONDARY outcome

Timeframe: 90 days

VLDL-TG oxidation assessed by 14C carbon dioxide (CO2) in exhaled breath

Outcome measures

Outcome measures
Measure
Healthy Controls
n=11 Participants
Healthy controls receiving 1000 mg metformin twice daily for 3 months Metformin: 1000 mg metformin twice daily in 3 months
Placebo
n=12 Participants
Placebo Placebo: 2 tablets twice daily in 3 months
Metformin
n=11 Participants
Metformin "Teva", 1000 mg twice daily for 3 months Metformin: 1000 mg metformin twice daily in 3 months
VLDL-TG Oxidation
29 percentage of 14C-VLDL
Standard Deviation 5
30 percentage of 14C-VLDL
Standard Deviation 7
27 percentage of 14C-VLDL
Standard Deviation 9

Adverse Events

Healthy Controls

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Metformin

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Healthy Controls
n=12 participants at risk
Healthy controls receiving 1000 mg metformin twice daily for 3 months Metformin: 1000 mg metformin twice daily in 3 months
Placebo
n=12 participants at risk
Placebo Placebo: 2 tablets twice daily in 3 months
Metformin
n=12 participants at risk
Metformin "Teva", 1000 mg twice daily for 3 months Metformin: 1000 mg metformin twice daily in 3 months
Gastrointestinal disorders
Gastrointestinal uncomfort
8.3%
1/12 • Number of events 1 • During the 90 days trial
0.00%
0/12 • During the 90 days trial
0.00%
0/12 • During the 90 days trial
Musculoskeletal and connective tissue disorders
Fractured vertebral column
0.00%
0/12 • During the 90 days trial
8.3%
1/12 • Number of events 1 • During the 90 days trial
0.00%
0/12 • During the 90 days trial

Additional Information

Lars C. Gormsen, Consultant

Department of Nuclear Medicine & PET Centre, Aarhus University Hospital

Phone: 004578456260

Results disclosure agreements

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