Page last updated: 2024-10-30

metformin and ADPKD

metformin has been researched along with ADPKD in 18 studies

Metformin: A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289)
metformin : A member of the class of guanidines that is biguanide the carrying two methyl substituents at position 1.

Research Excerpts

ExcerptRelevanceReference
"Metformin inhibits cyclic AMP generation and activates AMP-activated protein kinase (AMPK), which inhibits the cystic fibrosis transmembrane conductance regulator and Mammalian Target of Rapamycin pathways."9.27A Randomized Clinical Trial of Metformin to Treat Autosomal Dominant Polycystic Kidney Disease. ( Abebe, KZ; Bae, KT; Hallows, KR; Miskulin, DC; Perrone, RD; Seliger, SL; Watnick, T, 2018)
"Metformin was administrated through daily intraperitoneal injection from postnatal day 35 for 4 weeks."7.11Metformin induces lactate accumulation and accelerates renal cyst progression in Pkd1-deficient mice. ( Chang, MY; Chou, LF; Hsu, SH; Hung, CC; Ong, ACM; Tian, YC; Tsai, CY; Yang, CW; Yang, HY, 2022)
"We found that 50% or more of the maximal metformin dose was safe and well tolerated over 12 months in patients with ADPKD."5.51Metformin Therapy in Autosomal Dominant Polycystic Kidney Disease: A Feasibility Study. ( Brosnahan, GM; Chonchol, MB; George, D; Gitomer, B; Klawitter, J; Nowak, KL; Struemph, T; Wang, W; You, Z, 2022)
"Metformin inhibits cyclic AMP generation and activates AMP-activated protein kinase (AMPK), which inhibits the cystic fibrosis transmembrane conductance regulator and Mammalian Target of Rapamycin pathways."5.27A Randomized Clinical Trial of Metformin to Treat Autosomal Dominant Polycystic Kidney Disease. ( Abebe, KZ; Bae, KT; Hallows, KR; Miskulin, DC; Perrone, RD; Seliger, SL; Watnick, T, 2018)
"This study showed that the combination of metformin and 2DG blocked the formation of renal cysts and improved the renal function in ADPKD miniature pigs."3.91The combination of metformin and 2-deoxyglucose significantly inhibits cyst formation in miniature pigs with polycystic kidney disease. ( Bai, XY; Cai, G; Chen, X; Li, Q; Li, Z; Lian, X; Lin, S; Song, K; Wu, X; Zhang, Y, 2019)
"We retrospectively examined the records of our ADPKD patients, selecting 7 diabetic ADPKD patients under metformin treatment and 7 matched non-diabetic ADPKD controls, to test the effect of metformin on renal progression during a 3 year follow-up."3.88Metformin in autosomal dominant polycystic kidney disease: experimental hypothesis or clinical fact? ( Bruzzese, D; Pisani, A; Riccio, E; Sabbatini, M, 2018)
"Metformin was administrated through daily intraperitoneal injection from postnatal day 35 for 4 weeks."3.11Metformin induces lactate accumulation and accelerates renal cyst progression in Pkd1-deficient mice. ( Chang, MY; Chou, LF; Hsu, SH; Hung, CC; Ong, ACM; Tian, YC; Tsai, CY; Yang, CW; Yang, HY, 2022)
"Since ADPKD is a complex disease with a high degree of interindividual heterogeneity, and the mechanisms involved in cyst growth also have important functions in various physiological processes, it may prove difficult to develop drugs that target cyst growth without causing major adverse events."2.82Drugs in Clinical Development to Treat Autosomal Dominant Polycystic Kidney Disease. ( Bais, T; Gansevoort, RT; Meijer, E, 2022)
"The current aim of ADPKD therapy is the inhibition of cyst development and retardation of chronic kidney disease progression."2.82Autosomic dominant polycystic kidney disease and metformin: Old knowledge and new insights on retarding progression of chronic kidney disease. ( Andreucci, M; Bolignano, D; Casarella, A; Coppolino, G; De Sarro, G; Deodato, F; Nicotera, R; Presta, P; Russo, E; Urso, A; Zicarelli, MT, 2022)
"Renal cyst development and expansion in autosomal dominant polycystic kidney disease (ADPKD) involves over-proliferation of cyst-lining epithelial cells and excessive cystic fluid secretion."1.72PF-06409577 inhibits renal cyst progression by concurrently inhibiting the mTOR pathway and CFTR channel activity. ( Fang, Q; Fu, K; Guo, D; Liu, H; Ren, Y; Su, L; Wang, J; Wang, R; Yin, L; Yuan, H; Zhang, H, 2022)
"Renal cyst development and expansion in autosomal dominant polycystic kidney disease (ADPKD) involves both fluid secretion and abnormal proliferation of cyst-lining epithelial cells."1.37Activating AMP-activated protein kinase (AMPK) slows renal cystogenesis. ( Caplan, MJ; Hallows, KR; Karihaloo, A; King, JD; Li, H; Nishio, S; Seo-Mayer, P; Somlo, S; Takiar, V; Zhang, L, 2011)

Research

Studies (18)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's1 (5.56)29.6817
2010's10 (55.56)24.3611
2020's7 (38.89)2.80

Authors

AuthorsStudies
Chang, MY2
Tsai, CY1
Chou, LF1
Hsu, SH1
Yang, HY1
Hung, CC2
Tian, YC2
Ong, ACM2
Yang, CW2
Su, L1
Yuan, H1
Zhang, H1
Wang, R1
Fu, K1
Yin, L1
Ren, Y1
Liu, H1
Fang, Q1
Wang, J1
Guo, D1
Bais, T1
Gansevoort, RT2
Meijer, E1
Leonhard, WN1
Song, X1
Kanhai, AA1
Iliuta, IA1
Bozovic, A1
Steinberg, GR1
Peters, DJM1
Pei, Y1
Mahendran, R1
Lim, SK1
Ong, KC1
Chua, KH1
Chai, HC1
Casarella, A1
Nicotera, R1
Zicarelli, MT1
Urso, A1
Presta, P1
Deodato, F1
Bolignano, D1
De Sarro, G1
Andreucci, M1
Russo, E1
Coppolino, G1
Brosnahan, GM1
Wang, W1
Gitomer, B1
Struemph, T1
George, D1
You, Z1
Nowak, KL1
Klawitter, J1
Chonchol, MB1
Ma, TL1
Chen, YC1
Cheng, YC1
Seliger, SL1
Abebe, KZ1
Hallows, KR2
Miskulin, DC1
Perrone, RD1
Watnick, T1
Bae, KT1
Pisani, A2
Riccio, E2
Bruzzese, D1
Sabbatini, M1
Lian, X1
Wu, X1
Li, Z1
Zhang, Y1
Song, K1
Cai, G1
Li, Q1
Lin, S1
Chen, X1
Bai, XY1
Capuano, I1
Caccavallo, S1
De Simone, I1
Mekahli, D1
Decuypere, JP1
Sammels, E1
Welkenhuyzen, K1
Schoeber, J1
Audrezet, MP1
Corvelyn, A1
Dechênes, G1
Ong, AC1
Wilmer, MJ1
van den Heuvel, L1
Bultynck, G1
Parys, JB1
Missiaen, L1
Levtchenko, E1
De Smedt, H1
McCarty, MF1
Barroso-Aranda, J1
Contreras, F1
Takiar, V1
Nishio, S1
Seo-Mayer, P1
King, JD1
Li, H1
Zhang, L1
Karihaloo, A1
Somlo, S1
Caplan, MJ1
Burtey, S1
Steinman, TI1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Feasibility Study of Metformin Therapy in Autosomal Dominant Polycystic Kidney Disease.[NCT02903511]Phase 256 participants (Actual)Interventional2016-11-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in Kidney Function

Estimated glomerular filtration rate (eGFR) will be calculated from serum creatinine measurements at baseline and after 3, 6, 9 and 12 months. Change from baseline at 12 months is reported. (NCT02903511)
Timeframe: 12 months

InterventionmL/min/1.73 m^2 (Mean)
Metformin-0.41
Placebo-3.35

Change in Total Kidney Volume

Total kidney volume will be measured by MRI (magnetic resonance imaging) at baseline and at 12 months. Percentage change from baseline in height-adjusted total kidney volume is reported. (NCT02903511)
Timeframe: 12 months

Interventionpercent change (Mean)
Metformin3.45
Placebo3.15

Rate of Serious Adverse Events (SAE)

Serious adverse events occurring from the time of signing informed consent until the end of the study will be monitored in both treatment arms (NCT02903511)
Timeframe: 12 months

InterventionParticipants (Count of Participants)
Metformin2
Placebo0

Safety and Tolerability of Metformin

Percentage of participants who at the end of 12 months are still prescribed the full randomized dose of metformin or placebo, and the percentage of participants who are prescribed at least 50% of the randomized dose (NCT02903511)
Timeframe: 12 months

,
Interventionpercentage of participants (Number)
Full Dose50% Dose
Metformin5082
Placebo100100

Reviews

5 reviews available for metformin and ADPKD

ArticleYear
Drugs in Clinical Development to Treat Autosomal Dominant Polycystic Kidney Disease.
    Drugs, 2022, Volume: 82, Issue:10

    Topics: Cysts; Disease Progression; Humans; Metformin; Polycystic Kidney, Autosomal Dominant; Somatostatin

2022
Natural-derived compounds and their mechanisms in potential autosomal dominant polycystic kidney disease (ADPKD) treatment.
    Clinical and experimental nephrology, 2021, Volume: 25, Issue:11

    Topics: Antioxidants; Chalcones; Curcumin; Diterpenes; Diterpenes, Kaurane; Emodin; Epoxy Compounds; Estroge

2021
Autosomic dominant polycystic kidney disease and metformin: Old knowledge and new insights on retarding progression of chronic kidney disease.
    Medicinal research reviews, 2022, Volume: 42, Issue:1

    Topics: Diabetes Mellitus, Type 2; Humans; Kidney; Metformin; Mutation; Polycystic Kidney, Autosomal Dominan

2022
[Slow the pace of renal failure in autosomal dominant polycystic kidney disease: hopes and disappointments].
    Presse medicale (Paris, France : 1983), 2011, Volume: 40, Issue:11

    Topics: Animals; Antidiuretic Hormone Receptor Antagonists; Benzazepines; Chromosomes, Human, Pair 16; Clini

2011
Polycystic kidney disease: a 2011 update.
    Current opinion in nephrology and hypertension, 2012, Volume: 21, Issue:2

    Topics: Antineoplastic Agents; Benzazepines; Curcumin; Everolimus; Gastrointestinal Agents; Glomerular Filtr

2012

Trials

3 trials available for metformin and ADPKD

ArticleYear
Metformin induces lactate accumulation and accelerates renal cyst progression in Pkd1-deficient mice.
    Human molecular genetics, 2022, 05-19, Volume: 31, Issue:10

    Topics: Animals; Cysts; Disease Models, Animal; Female; Kidney; Lactic Acid; Male; Metformin; Mice; Mice, Tr

2022
Metformin Therapy in Autosomal Dominant Polycystic Kidney Disease: A Feasibility Study.
    American journal of kidney diseases : the official journal of the National Kidney Foundation, 2022, Volume: 79, Issue:4

    Topics: Adult; Disease Progression; Feasibility Studies; Glomerular Filtration Rate; Humans; Kidney; Metform

2022
A Randomized Clinical Trial of Metformin to Treat Autosomal Dominant Polycystic Kidney Disease.
    American journal of nephrology, 2018, Volume: 47, Issue:5

    Topics: Adolescent; Adult; Clinical Trials, Phase II as Topic; Cysts; Disease Progression; Dose-Response Rel

2018

Other Studies

10 other studies available for metformin and ADPKD

ArticleYear
PF-06409577 inhibits renal cyst progression by concurrently inhibiting the mTOR pathway and CFTR channel activity.
    FEBS open bio, 2022, Volume: 12, Issue:10

    Topics: Adenosine Monophosphate; AMP-Activated Protein Kinases; Animals; Cystic Fibrosis Transmembrane Condu

2022
Salsalate, but not metformin or canagliflozin, slows kidney cyst growth in an adult-onset mouse model of polycystic kidney disease.
    EBioMedicine, 2019, Volume: 47

    Topics: AMP-Activated Protein Kinases; Animals; Anti-Inflammatory Agents, Non-Steroidal; Biopsy; Cyclic AMP;

2019
TAMEing ADPKD with metformin: safe and effective?
    Kidney international, 2021, Volume: 100, Issue:3

    Topics: Diabetes Mellitus, Type 2; Humans; Hypoglycemic Agents; Metformin; Polycystic Kidney, Autosomal Domi

2021
Metformin Inhibits Cyst Formation in a Zebrafish Model of Polycystin-2 Deficiency.
    Scientific reports, 2017, 08-02, Volume: 7, Issue:1

    Topics: AMP-Activated Protein Kinases; Animals; Autophagy; Cell Proliferation; Cloaca; Cysts; Disease Models

2017
Metformin in autosomal dominant polycystic kidney disease: experimental hypothesis or clinical fact?
    BMC nephrology, 2018, 10-22, Volume: 19, Issue:1

    Topics: Adult; Female; Follow-Up Studies; Glomerular Filtration Rate; Humans; Hypoglycemic Agents; Male; Met

2018
The combination of metformin and 2-deoxyglucose significantly inhibits cyst formation in miniature pigs with polycystic kidney disease.
    British journal of pharmacology, 2019, Volume: 176, Issue:5

    Topics: Animals; Deoxyglucose; Disease Models, Animal; Drug Therapy, Combination; Kidney; MAP Kinase Signali

2019
ADPKD and metformin: from bench to bedside.
    Clinical and experimental nephrology, 2019, Volume: 23, Issue:11

    Topics: Adult; Diabetes Mellitus; Disease Progression; Female; Glomerular Filtration Rate; Humans; Hypoglyce

2019
Polycystin-1 but not polycystin-2 deficiency causes upregulation of the mTOR pathway and can be synergistically targeted with rapamycin and metformin.
    Pflugers Archiv : European journal of physiology, 2014, Volume: 466, Issue:8

    Topics: Animals; Drug Synergism; Gene Knockdown Techniques; Humans; Metformin; Mice; Mutation; Polycystic Ki

2014
Activation of AMP-activated kinase as a strategy for managing autosomal dominant polycystic kidney disease.
    Medical hypotheses, 2009, Volume: 73, Issue:6

    Topics: AMP-Activated Protein Kinases; Animals; Berberine; Cystic Fibrosis Transmembrane Conductance Regulat

2009
Activating AMP-activated protein kinase (AMPK) slows renal cystogenesis.
    Proceedings of the National Academy of Sciences of the United States of America, 2011, Feb-08, Volume: 108, Issue:6

    Topics: AMP-Activated Protein Kinases; Animals; Cell Line; Cell Proliferation; Cystic Fibrosis Transmembrane

2011