Page last updated: 2024-10-30

metformin and Acute Lymphoid Leukemia

metformin has been researched along with Acute Lymphoid Leukemia in 16 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
"We reviewed patients with acute lymphoblastic leukemia treated with corticosteroids and asparaginase who received metformin for control of hyperglycemia."7.79Safety and efficacy of metformin for therapy-induced hyperglycemia in children with acute lymphoblastic leukemia. ( Bostrom, B; Chu, J; Gandrud, L; McEvoy, R; Messinger, Y; Uppal, P, 2013)
" Hyperglycemia was determined without any clinical sign and metformin was started for steroid-induced insulin resistance."3.80Metformin-induced hemolytic anemia. ( Arman Bilir, O; Kirkiz, S; Tunc, B; Yarali, N, 2014)
"We reviewed patients with acute lymphoblastic leukemia treated with corticosteroids and asparaginase who received metformin for control of hyperglycemia."3.79Safety and efficacy of metformin for therapy-induced hyperglycemia in children with acute lymphoblastic leukemia. ( Bostrom, B; Chu, J; Gandrud, L; McEvoy, R; Messinger, Y; Uppal, P, 2013)
"Metformin was administered twice daily for 28 days in addition to vincristine, dexamethasone, PEG-asparaginase and doxorubicin (VXLD)."2.87A phase I window, dose escalating and safety trial of metformin in combination with induction chemotherapy in relapsed refractory acute lymphoblastic leukemia: Metformin with induction chemotherapy of vincristine, dexamethasone, PEG-asparaginase, and doxo ( Barredo, JC; Gill, J; Goldberg, J; Hale, GA; Leclerc, GM; Lee, JK; Lush, R; Reed, DR; Setty, B; Smith, T; Trucco, M, 2018)
"In acute lymphoblastic leukemia (ALL), high ABCB1 gene expression has been associated with treatment resistance, which affects patient prognosis."2.87Effect of metformin on the survival of patients with ALL who express high levels of the ABCB1 drug resistance gene. ( Cerón-Maldonado, R; Collazo-Jaloma, J; Kassack-Ipiña, JJ; Martínez-Tovar, A; Meléndez-Mier, G; Olarte-Carrillo, I; Ramos-Peñafiel, C; Rozen-Fuller, E, 2018)
"Acute lymphoblastic leukemia (ALL) is one of the most common type of leukemia in children."1.62Metformin dampens cisplatin cytotoxicity on leukemia cells after incorporation into cubosomal nanoformulation. ( Al-Mahallawi, AM; Saber, MM; Stork, B, 2021)
"Metformin has antineoplastic and cancer protective effects in vitro, sensitizing leukemia cells to chemotherapeutic agents, inducing apoptosis and cell cycle arrest."1.48[Effect of metformin added to chemotherapy on the survival of patients with acute lymphoblastic leukemia]. ( Centeno Cruz, F; Ceron Maldonado, R; Collazo Jaloma, J; Kassack Ipiña, JJ; Martínez Tovar, A; Miranda Peralta, E; Olarte Carrillo, I; Ramos Peñafiel, C; Rozen Fuller, E, 2018)

Research

Studies (16)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's1 (6.25)29.6817
2010's13 (81.25)24.3611
2020's2 (12.50)2.80

Authors

AuthorsStudies
Saber, MM1
Al-Mahallawi, AM1
Stork, B1
Zhou, Y1
Du, B1
Kan, M1
Chen, S1
Tang, BH1
Nie, AQ1
Ye, PP1
Shi, HY1
Hao, GX1
Guo, XL1
Han, QJ1
Zheng, Y1
Zhao, W1
Trucco, M1
Barredo, JC2
Goldberg, J1
Leclerc, GM2
Hale, GA1
Gill, J1
Setty, B1
Smith, T1
Lush, R1
Lee, JK1
Reed, DR1
Ramos-Peñafiel, C1
Olarte-Carrillo, I1
Cerón-Maldonado, R1
Rozen-Fuller, E1
Kassack-Ipiña, JJ1
Meléndez-Mier, G1
Collazo-Jaloma, J1
Martínez-Tovar, A1
Ramos Peñafiel, C1
Olarte Carrillo, I1
Ceron Maldonado, R1
Miranda Peralta, E1
Rozen Fuller, E1
Kassack Ipiña, JJ1
Centeno Cruz, F1
Collazo Jaloma, J1
Martínez Tovar, A1
Bostrom, B1
Uppal, P1
Chu, J1
Messinger, Y1
Gandrud, L1
McEvoy, R1
Leclerc, GJ1
Kuznetsov, JN1
DeSalvo, J1
Kirkiz, S1
Yarali, N1
Arman Bilir, O1
Tunc, B1
Mendivil-Perez, M1
Jimenez-Del-Rio, M1
Velez-Pardo, C1
Wang, ES1
Wetzler, M1
Shi, R1
Lin, J1
Gong, Y1
Yan, T1
Shi, F1
Yang, X1
Liu, X1
Naren, D1
Vakana, E1
Platanias, LC1
Vu, K1
Busaidy, N1
Cabanillas, ME1
Konopleva, M2
Faderl, S1
Thomas, DA1
O'Brien, S1
Broglio, K1
Ensor, J1
Escalante, C1
Andreeff, M2
Kantarjian, H1
Lavis, V1
Yeung, SC2
Pan, J1
Chen, C1
Jin, Y1
Fuentes-Mattei, E1
Velazquez-Tores, G1
Benito, JM1
Lee, MH1
Wędrychowicz, A1
Ciechanowska, M1
Stelmach, M1
Starzyk, J1
Rooney, DP1
Ryan, MF1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Effect of Metformin on ABCB1 and AMPK Expression in Adolescents With Newly Diagnosed Acute Lymphoblastic Leukemia[NCT05326984]20 participants (Anticipated)Interventional2021-02-09Recruiting
Effect of the Addition of Metformin Hydrochloride on the Prognosis of Patients With B-cell Precursor (Ph+ Negative) Acute Lymphoblastic Leukemia With High Expression of ABCB1 Gene[NCT03118128]102 participants (Actual)Interventional2015-01-01Completed
Efficacy of metfOrmin in PrevenTIng Glucocorticoid-induced Diabetes in Melanoma, breAst or Lung Cancer Patients With Brain Metastases: the Phase II OPTIMAL Study[NCT04001725]Phase 2110 participants (Anticipated)Interventional2019-10-15Recruiting
Effect of Tight Control of Blood Glucose During Hyper-CVAD Chemotherapy For Acute Lymphocytic Leukemia[NCT00500240]Phase 352 participants (Actual)Interventional2004-04-30Terminated (stopped due to Terminated early due to futility.)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

1-Year Overall Survival Rate

The overall survival rate defined as percentage of participants in each treatment group who are still alive at 12 months. (NCT00500240)
Timeframe: 1 year

Interventionpercentage of participants (Number)
Conventional Care80.8
Intensive Insulin63.5

Overall Survival

Overall survival (OS) defined as the interval between the date of randomization and the date of death. Calculation of period was from baseline (date of randomization) to the death or last follow-up. (NCT00500240)
Timeframe: Baseline (date of randomization) to date of death or last follow-up (weekly during treatment then every 2 months post study treatment) up to 6 years

InterventionMonths (Median)
Conventional Care44
Intervention Group62.2

Progression Free Survival (PFS)

PFS was defined as the time interval between the date of complete remission and the date of relapse detection or death. Complete Remission (CR) defined as granulocyte count >1.0 × 10^9/L, platelet count >100 × 10^9/L, no abnormal peripheral blasts, and <5% blasts in normocellular or hypercellular bone marrow. (NCT00500240)
Timeframe: Date of complete remission to disease progression, assessed for approximately 6 years

InterventionMonths (Median)
Conventional Care38.8
Intensive Insulin24

Reviews

1 review available for metformin and Acute Lymphoid Leukemia

ArticleYear
AMPK in BCR-ABL expressing leukemias. Regulatory effects and therapeutic implications.
    Oncotarget, 2011, Volume: 2, Issue:12

    Topics: AMP-Activated Protein Kinase Kinases; Genes, abl; Hematologic Neoplasms; Humans; Leukemia; Metformin

2011

Trials

3 trials available for metformin and Acute Lymphoid Leukemia

ArticleYear
A phase I window, dose escalating and safety trial of metformin in combination with induction chemotherapy in relapsed refractory acute lymphoblastic leukemia: Metformin with induction chemotherapy of vincristine, dexamethasone, PEG-asparaginase, and doxo
    Pediatric blood & cancer, 2018, Volume: 65, Issue:9

    Topics: Adolescent; AMP-Activated Protein Kinases; Antineoplastic Combined Chemotherapy Protocols; Asparagin

2018
Effect of metformin on the survival of patients with ALL who express high levels of the ABCB1 drug resistance gene.
    Journal of translational medicine, 2018, 09-03, Volume: 16, Issue:1

    Topics: Adolescent; Adult; ATP Binding Cassette Transporter, Subfamily B; Drug Resistance, Neoplasm; Female;

2018
A randomized controlled trial of an intensive insulin regimen in patients with hyperglycemic acute lymphoblastic leukemia.
    Clinical lymphoma, myeloma & leukemia, 2012, Volume: 12, Issue:5

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Antineoplastic Combined Chemotherapy Protocols; Blood Gl

2012

Other Studies

12 other studies available for metformin and Acute Lymphoid Leukemia

ArticleYear
Metformin dampens cisplatin cytotoxicity on leukemia cells after incorporation into cubosomal nanoformulation.
    Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie, 2021, Volume: 143

    Topics: Antineoplastic Combined Chemotherapy Protocols; Apoptosis; Cell Line, Tumor; Cisplatin; Dose-Respons

2021
Drug Elimination Alteration in Acute Lymphoblastic Leukemia Mediated by Renal Transporters and Glomerular Filtration.
    Pharmaceutical research, 2020, Aug-02, Volume: 37, Issue:8

    Topics: Animals; ATP Binding Cassette Transporter, Subfamily B, Member 1; Chromatography, High Pressure Liqu

2020
[Effect of metformin added to chemotherapy on the survival of patients with acute lymphoblastic leukemia].
    Revista medica de Chile, 2018, Volume: 146, Issue:7

    Topics: Acute Disease; Adolescent; Adult; Aged; Antineoplastic Combined Chemotherapy Protocols; Apoptosis; D

2018
Safety and efficacy of metformin for therapy-induced hyperglycemia in children with acute lymphoblastic leukemia.
    Journal of pediatric hematology/oncology, 2013, Volume: 35, Issue:7

    Topics: Adolescent; Antineoplastic Combined Chemotherapy Protocols; Child; Child, Preschool; Female; Humans;

2013
Metformin induces apoptosis through AMPK-dependent inhibition of UPR signaling in ALL lymphoblasts.
    PloS one, 2013, Volume: 8, Issue:8

    Topics: AMP-Activated Protein Kinases; Apoptosis; Cell Line; Cell Proliferation; Cell Survival; Endoplasmic

2013
Metformin-induced hemolytic anemia.
    Medical principles and practice : international journal of the Kuwait University, Health Science Centre, 2014, Volume: 23, Issue:2

    Topics: Adolescent; Anemia, Hemolytic; Glucosephosphate Dehydrogenase; Hemoglobins; Humans; Hyperglycemia; H

2014
Response to rotenone is glucose-sensitive in a model of human acute lymphoblastic leukemia: involvement of oxidative stress mechanism, DJ-1, Parkin, and PINK-1 proteins.
    Oxidative medicine and cellular longevity, 2014, Volume: 2014

    Topics: Apoptosis; Biomarkers; Caspase 3; Cell Nucleus Shape; Enzyme Activation; Glucose; Humans; Hydrogen P

2014
An oncologist's perspective on metformin use and acute lymphoblastic leukemia outcomes.
    Journal of pharmacy practice, 2015, Volume: 28, Issue:1

    Topics: Diabetes Mellitus; Humans; Hypoglycemic Agents; Medical Oncology; Metformin; Precursor Cell Lymphobl

2015
The antileukemia effect of metformin in the Philadelphia chromosome-positive leukemia cell line and patient primary leukemia cell.
    Anti-cancer drugs, 2015, Volume: 26, Issue:9

    Topics: Antineoplastic Agents; Autophagy; Benzamides; Drug Resistance, Neoplasm; Drug Synergism; Humans; Ima

2015
Differential impact of structurally different anti-diabetic drugs on proliferation and chemosensitivity of acute lymphoblastic leukemia cells.
    Cell cycle (Georgetown, Tex.), 2012, Jun-15, Volume: 11, Issue:12

    Topics: Adolescent; Apoptosis; Cell Line, Tumor; Cell Proliferation; Child; Child, Preschool; Daunorubicin;

2012
Diabetes mellitus after allogeneic hematopoietic stem cell transplantation.
    Hormone research in paediatrics, 2013, Volume: 79, Issue:1

    Topics: Adolescent; Comorbidity; Diabetes Mellitus; Drug Therapy, Combination; Female; Graft vs Host Disease

2013
Diabetes with partial lipodystrophy following sclerodermatous chronic graft vs. host disease.
    Diabetic medicine : a journal of the British Diabetic Association, 2006, Volume: 23, Issue:4

    Topics: Adolescent; Bone Marrow Transplantation; Diabetes Mellitus, Type 2; Female; Graft vs Host Disease; H

2006