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. 2021 Nov 15;11(11):5625–5643.

Table 1.

Masked clinical studies completed after 2015

STUDY A Randomized Phase II, Double Blind Trial of Standard Chemotherapy With Metformin (vs. Placebo) in Women With Metastatic Breast Cancer Receiving First to Fourth Line Chemotherapy

NCT NUMBER NCT01310231
STATUS Completed
PARTICIPANTS 40 participants, 18-75 years, sex: female
PERIOD February 2011-March 2021
INTERVENTION Drug: Metformin
Metformin vs. placebo 850 mg bid in addition to standard chemotherapy (containing anthracyclines, platinum, taxanes or capecitabine; first or second line).
CANCER TYPE Metastatic breast cancer
OUTCOME In this population metformin showed no significant effect on RR, PFS or OS. These results do not support the use of metformin with chemotherapy in non-diabetic MBC patients.

STUDY Phase II Study of Metformin in a Pre-prostatectomy Prostate Cancer Cohort

NCT NUMBER NCT01433913
STATUS Completed
PARTICIPANTS 20 participants, sex: male
PERIOD Sep 2011-May 2018
INTERVENTION Metformin hydrochloride vs. placebo both PO 4-12 weeks
CANCER TYPE Adenocarcinoma of the Prostate: Recurrent Prostate Cancer, Stage I Prostate Cancer, Stage IIA Prostate Cancer, Stage IIB Prostate Cancer
OUTCOME No differences between the biomarker expression in the prostatectomy tissue or pre to postintervention changes in serum biomarkers (prostate-specific antigen, insulin, insulin-like growth factor-1, insulin-like growth factor binding protein 3, sex hormone-binding globulin, and testosterone) or tissue biomarkers of proliferation apoptosis, cell cycle regulation, and mTOR inhibition

STUDY A Phase II, Randomized, Placebo Controlled Study to Evaluate the Efficacy of the Combination of Gefitinib and Metformin in Patients With Locally Advanced and Metastatic Non-Small-Cell-Lung-Cancer

NCT NUMBER NCT01864681
STATUS Completed
PARTICIPANTS 97 participants, 18-75 years, sex: all
PERIOD May 2013-June 2018
INTERVENTION Gefitinib + metformin vs. gefitinb + placebo
CANCER TYPE Treatment-naïve stage IIIB-IV with EGFR mutation in NSCLC
OUTCOME incorporation of metformin into standard gefitinib therapy did not prolong PFS or OS in treatment naïve nondiabetic patients with EGFRm NSCLC, neither did it elicit an increase in response to gefitinib

STUDY Placebo Controlled Double Blind Crossover Trial of Metformin for Brain Repair in Children With Cranial-Spinal Radiation for MedulloblaStoma

NCT NUMBER NCT02040376
STATUS Completed
PARTICIPANTS 30 participants, 5-21 years, sex: all
PERIOD January 2014-May 2019
INTERVENTION Metformin and placebo doses will be 500 mg/m2 po daily given in 2 doses for one week and if there are no concerns increased to 1000 mg/m2 po daily given in 2 doses for the rest of the 12 week trial. The investigators will use the closest dose according to body surface area (250-500-750-1000) BID.
CANCER TYPE Brain tumor
OUTCOME Evidence that a clinical trial examining the effects of metformin on cognition and brain structure is feasible in long-term survivors of pediatric brain tumors and that metformin is safe to use and tolerable in this population

STUDY A Randomized, Phase II, Double-blind, Placebo-controlled, Multicenter, 2x2 Factorial Design Biomarker Tertiary Prevention Trial of Low-dose Aspirin and Metformin in Stage I-III Colorectal Cancer Patients. The ASAMET Trial

NCT NUMBER NCT03047837
STATUS Unknown
PARTICIPANTS 180 participants, 18-80 years, sex: all
PERIOD March 2017-February 2019
INTERVENTION Drug: Aspirin (ASA) + Metformin (MET)
Arm D (experimental arm) Treatment: active ASA + active MET Dose: 100 mg, 1 tablet daily + 850 mg, 1 tablet twice a day (BID) Duration: 12 months
Drug: ASA
Arm C (experimental arm) Treatment: active ASA + placebo MET Dose: 100 mg, 1 tablet daily + 1 tablet twice a day (BID) Duration: 12 months
Drug: MET
Arm B (experimental arm) Treatment: placebo ASA + active MET Dose: 1 tablet daily + 850 mg, 1 tablet twice a day (BID) Duration: 12 Arm A (control arm) Treatment: placebo ASA + placebo MET Doses: 1 tablet daily + 1 tablet twice a day (BID) Duration: 12 months
CANCER TYPE Stage I, II, or III primary colorectal cancer
OUTCOME A favorable biomarker modulation by aspirin and metformin may provide important clues for a subsequent phase III adjuvant trial aimed at preventing second primary cancer, delaying recurrence and improving prognosis in patients with CRC.

STUDY Effect of Metformin for Deceasing Proliferative Marker in Endometrial Cancer Cells: A Randomized Double Blind Placebo-controlled Trial

NCT NUMBER NCT03618472
STATUS Completed
PARTICIPANTS 50 participants, child, adult,older adult, sex: female
PERIOD August 2018-January 2020
INTERVENTION Drug: Metformin Hydrochloride 850 MG
Regular strength metformin (850 mg/tab) vs. placebo
CANCER TYPE Endometrial cancer who undergoing complete surgical staging
OUTCOME Metformin administration reduced Ki-67 expression and reduced grade in endometrial tumor when given for 4 weeks before hysterectomy