A Clinical Trial for Analysis of Intestinal Microbiome Affecting PK, PD, and Safety of Metformin

NCT ID: NCT03809260

Last Updated: 2020-10-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-12-01

Study Completion Date

2019-02-28

Brief Summary

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This clinical trial is intended to evaluate the effects of the changes in intestinal microbiome by antibiotics (PO vancomycin) on the pharmacokinetic /pharmacodynamic and safety profiles of metformin in healthy male volunteers.

Detailed Description

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Conditions

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Human Microbiome

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Part 1

Metformin/Vancomycin

Group Type EXPERIMENTAL

Metformin (part 1)

Intervention Type DRUG

1\~4d: Metformin 1000 mg bid (Except for 500 mg after 1d lunch), 16d\~19d: Metformin 1000 mg bid (Except for 500 mg after 16d lunch).

Vancomycin

Intervention Type DRUG

11d: Vancomycin 250 mg bid, 12\~17d: Vancomycin 500 mg bid

Part 2

Metformin

Group Type EXPERIMENTAL

Metformin (part 2)

Intervention Type DRUG

1\~4d: Metformin 1000 mg bid (Except for 500 mg after 1d lunch)

Interventions

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Metformin (part 1)

1\~4d: Metformin 1000 mg bid (Except for 500 mg after 1d lunch), 16d\~19d: Metformin 1000 mg bid (Except for 500 mg after 16d lunch).

Intervention Type DRUG

Vancomycin

11d: Vancomycin 250 mg bid, 12\~17d: Vancomycin 500 mg bid

Intervention Type DRUG

Metformin (part 2)

1\~4d: Metformin 1000 mg bid (Except for 500 mg after 1d lunch)

Intervention Type DRUG

Other Intervention Names

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Diabex Tab., 500 mg Vancozin cap., 250 mg Diabex Tab., 500 mg

Eligibility Criteria

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Inclusion Criteria

* Age between 19 to 45, healthy male subjects(at screening)
* Body weight between 50.0 kg - 100.0 kg, BMI between 18.0 - 28.0 kg/m2
* Subject who totally understand the progress of this clinical trials, make decision by his free will, and signed a consent form to follow the progress.

Exclusion Criteria

* Subject who has a past or present history of any diseases following below.(liver, kidney, neurology, immunology, pulmonary, endocrine, hematology, oncology, cardiology, mental disorder)
* Subject who had GI tract disease(Crohn's disease, ulcer, acute or chronic pancreatitis) or surgery (appendectomy, hernioplasty are excluded)
* Serum AST(SGOT), ALT(SGPT)\>1.5 times upper limit of normal range
* MDRD eGFR \<80mL/min/1.73m2
* Subject who had drug (Aspirin, antibiotics) hypersensitivity reaction
* Subject who already participated in other trials in 3 months
* Subject who had whole blood donation in 2 months, or component blood donation in 1 month or transfusion in 1 month currently.
Minimum Eligible Age

19 Years

Maximum Eligible Age

45 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

Yes

Sponsors

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Seoul National University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Jae Yong Chung, MD, PhD

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jae-Yong Chung

Role: PRINCIPAL_INVESTIGATOR

Seoul National University Bundang Hospital

Locations

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SNUBH Clinical trial centor

Seongnam-si, Gyeonggi-do, South Korea

Site Status

Countries

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South Korea

References

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Kim E, Kim AH, Lee Y, Ji SC, Cho JY, Yu KS, Chung JY. Effects of vancomycin-induced gut microbiome alteration on the pharmacodynamics of metformin in healthy male subjects. Clin Transl Sci. 2021 Sep;14(5):1955-1966. doi: 10.1111/cts.13051. Epub 2021 May 31.

Reference Type DERIVED
PMID: 33982376 (View on PubMed)

Other Identifiers

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MMP

Identifier Type: -

Identifier Source: org_study_id

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