Page last updated: 2024-10-30

metformin and Autism Spectrum Disorder

metformin has been researched along with Autism Spectrum Disorder in 15 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.

Autism Spectrum Disorder: Wide continuum of associated cognitive and neurobehavioral disorders, including, but not limited to, three core-defining features: impairments in socialization, impairments in verbal and nonverbal communication, and restricted and repetitive patterns of behaviors. (from DSM-V)

Research Excerpts

ExcerptRelevanceReference
"Although further study is needed to support these null effects, the overall impression is that metformin does not affect memory in overweight youth with ASD who were taking atypical antipsychotic medications."9.27Effects of Metformin on Spatial and Verbal Memory in Children with ASD and Overweight Associated with Atypical Antipsychotic Use. ( Aman, MG; Anagnostou, EA; Arnold, LE; Chan, J; Handen, BL; Hastie Adams, R; Hollway, JA; Macklin, E; Marler, S; Newsom, C; Peleg, N; Sanders, KB; Veenstra-VanderWeele, J; Wong, T, 2018)
"A previous study reported on a 16-week placebo-controlled, randomized clinical trial (RCT) of metformin for weight stabilization in 61 children and adolescents 6 to 17 years old with autism spectrum disorder who were prescribed atypical antipsychotics."9.24A Randomized, Placebo-Controlled Trial of Metformin for the Treatment of Overweight Induced by Antipsychotic Medication in Young People With Autism Spectrum Disorder: Open-Label Extension. ( Aman, MG; Anagnostou, E; Arnold, LE; Brian, J; Butter, E; Capano, L; Chan, J; Hadjiyannakis, S; Handen, BL; Hellings, JA; Hollway, JA; Kettel, J; Macklin, EA; Mankad, D; Marler, S; McAuliffe-Bellin, S; Newsom, CR; Odrobina, D; Peleg, N; Sanders, KB; Tumuluru, R; Veenstra-VanderWeele, J; Wagner, A; Williams, C; Wong, T, 2017)
"To evaluate the efficacy of metformin for weight gain associated with atypical antipsychotic medications in children and adolescents with ASD (defined in the protocol as DSM-IV diagnosis of autistic disorder, Asperger disorder, or pervasive developmental disorder not otherwise specified), aged 6 to 17 years."9.22Metformin for Treatment of Overweight Induced by Atypical Antipsychotic Medication in Young People With Autism Spectrum Disorder: A Randomized Clinical Trial. ( Aman, MG; Anagnostou, E; Arnold, LE; Brian, J; Butter, E; Capano, L; Hadjiyannakis, S; Handen, BL; Hellings, JA; Hollway, JA; Kettel, J; Macklin, EA; Mankad, D; Marler, S; McAuliffe-Bellin, S; Newsom, CR; Odrobina, D; Peleg, N; Sanders, KB; Shui, A; Tumuluru, R; Veenstra-VanderWeele, J; Wagner, A; Wong, T; Zakroysky, P, 2016)
" This study examined the effect of metformin on VPA-induced autism spectrum disorders in rats."7.96Novel potential of metformin on valproic acid-induced autism spectrum disorder in rats: involvement of antioxidant defence system. ( Adeyemi, OO; Balogun, AO; Ishola, IO, 2020)
"Although further study is needed to support these null effects, the overall impression is that metformin does not affect memory in overweight youth with ASD who were taking atypical antipsychotic medications."5.27Effects of Metformin on Spatial and Verbal Memory in Children with ASD and Overweight Associated with Atypical Antipsychotic Use. ( Aman, MG; Anagnostou, EA; Arnold, LE; Chan, J; Handen, BL; Hastie Adams, R; Hollway, JA; Macklin, E; Marler, S; Newsom, C; Peleg, N; Sanders, KB; Veenstra-VanderWeele, J; Wong, T, 2018)
"To evaluate the efficacy of metformin for weight gain associated with atypical antipsychotic medications in children and adolescents with ASD (defined in the protocol as DSM-IV diagnosis of autistic disorder, Asperger disorder, or pervasive developmental disorder not otherwise specified), aged 6 to 17 years."5.22Metformin for Treatment of Overweight Induced by Atypical Antipsychotic Medication in Young People With Autism Spectrum Disorder: A Randomized Clinical Trial. ( Aman, MG; Anagnostou, E; Arnold, LE; Brian, J; Butter, E; Capano, L; Hadjiyannakis, S; Handen, BL; Hellings, JA; Hollway, JA; Kettel, J; Macklin, EA; Mankad, D; Marler, S; McAuliffe-Bellin, S; Newsom, CR; Odrobina, D; Peleg, N; Sanders, KB; Shui, A; Tumuluru, R; Veenstra-VanderWeele, J; Wagner, A; Wong, T; Zakroysky, P, 2016)
"The purpose of this manuscript is to review the evidence generated by clinical trials of pharmaceuticals in autism spectrum disorder (ASD), describe challenges in the conduct of such trials, and discuss future directions RECENT FINDINGS: Clinical trials in ASD have produced several compounds to adequately support the pharmacological treatment of associated symptom domains: attention deficit hyperactivity disorder (methylphenidate, atomoxetine, and alpha agonists), irritability/aggression (risperidone and aripiprazole), sleep (melatonin), and weight gain associated with atypical antipsychotic use (metformin)."4.98Clinical trials in autism spectrum disorder: evidence, challenges and future directions. ( Anagnostou, E, 2018)
" Metformin has proven to be beneficial in the treatment of many syndromes, including autism spectrum disorder."4.12Metformin Alleviates Autistic-Like Behaviors Elicited by High-Fat Diet Consumption and Modulates the Crosstalk Between Serotonin and Gut Microbiota in Mice. ( Chen, Y; Deng, W; Ke, H; Li, F; Li, S; Li, Z; Lv, P; Wang, S, 2022)
" In this model, we also examined the medication effects of metformin (Met) which is known to ameliorate several symptoms of autism spectrum disorder (ASD)."4.12Effect of metformin in autistic BTBR T + Itpr3tf/J mice administered a high-fat diet. ( Chen, Y; Deng, W; Ke, H; Li, F; Li, Z; Lv, P; Wang, S, 2022)
" This study examined the effect of metformin on VPA-induced autism spectrum disorders in rats."3.96Novel potential of metformin on valproic acid-induced autism spectrum disorder in rats: involvement of antioxidant defence system. ( Adeyemi, OO; Balogun, AO; Ishola, IO, 2020)
" for their interest in our article on metformin and children with autism spectrum disorders (ASD) and for providing information about the MOBILITY study (a Patient-Centered Outcomes Research Institute (PCORI)-funded pragmatic clinical trial to examine the relative effectiveness of metformin plus healthy lifestyle instruction versus healthy lifestyle instruction alone)."3.88Dr. Handen et al. Reply. ( Aman, MG; Anagnostou, E; Handen, BL; Veenstra-VanderWeele, J, 2018)

Research

Studies (15)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's11 (73.33)24.3611
2020's4 (26.67)2.80

Authors

AuthorsStudies
Elnahas, EM1
Abuelezz, SA1
Mohamad, MI1
Nabil, MM1
Abdelraouf, SM1
Bahaa, N1
Hassan, GAM1
Aboul-Fotouh, S1
Deng, W2
Ke, H2
Wang, S2
Li, Z2
Li, S1
Lv, P2
Li, F2
Chen, Y2
Ishola, IO1
Balogun, AO1
Adeyemi, OO1
Wink, LK1
Adams, R1
Pedapati, EV1
Dominick, KC1
Fox, E1
Buck, C1
Erickson, CA1
Walkup, JT2
Cottingham, E2
Handen, BL5
Anagnostou, E4
Aman, MG5
Sanders, KB4
Chan, J3
Hollway, JA3
Brian, J2
Arnold, LE3
Capano, L2
Williams, C1
Hellings, JA2
Butter, E2
Mankad, D2
Tumuluru, R2
Kettel, J2
Newsom, CR2
Peleg, N3
Odrobina, D2
McAuliffe-Bellin, S2
Marler, S3
Wong, T3
Wagner, A2
Hadjiyannakis, S2
Macklin, EA3
Veenstra-VanderWeele, J5
Macklin, E1
Newsom, C1
Hastie Adams, R1
Anagnostou, EA2
Higdon, C1
Correll, CU1
Crystal, S1
Patel, N1
DelBello, MP1
Garfunkel, D1
Salau, M1
Adam, B1
Coffey, BJ1
Shui, A1
Zakroysky, P1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Feasibility and Acceptability Study of Elevated Protein Dietary Intake for Children Diagnosed With Autism Spectrum Disorder (ASD) While on Atypical Antipsychotic Medication[NCT03708614]10 participants (Anticipated)Interventional2018-12-07Recruiting
Treatment of Overweight Induced by Antipsychotic Medication in Young People With Autism Spectrum Disorders (ASD)[NCT01825798]Phase 360 participants (Actual)Interventional2013-04-30Completed
A Multi-center, Prospective, Cohort Study to Elucidate the Effects of Metformin Treatment on Steroid Hormones and Social Behavior. Linking Autistic Behaviorial Symptoms to Changes in Steroid Hormone Availability[NCT04930471]45 participants (Anticipated)Observational2021-06-30Not yet recruiting
Efficacy of Pharmacologic Management of ADHD in Children and Youth With Autism Spectrum Disorder[NCT05916339]Phase 4500 participants (Anticipated)Interventional2023-10-01Not yet recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in Body Mass Index Z-score

(NCT01825798)
Timeframe: Baseline, 16 Weeks

Intervention16-wk change in BMI z-score (Mean)
Placebo Hydrochloride Oral Solution0.02
Metformin-0.08

Changes in Additional Body Composition Parameters (Abdominal Circumference)

(NCT01825798)
Timeframe: Baseline, 16 Weeks

Interventioncentimetres (Mean)
Placebo Hydrochloride Oral Solution1.45
Metformin-0.21

Changes in Additional Body Composition Parameters (Absolute BMI)

(NCT01825798)
Timeframe: Baseline, 16 Weeks

Intervention16-wk change in BMI (kg/m2) (Mean)
Placebo Hydrochloride Oral Solution0.52
Metformin-0.43

Changes in Additional Body Composition Parameters (Absolute Change in Weight)

(NCT01825798)
Timeframe: Baseline, 16 Weeks

Intervention16-wk change in weight (kg) (Mean)
Placebo Hydrochloride Oral Solution2.80
Metformin0.07

Changes in Additional Body Composition Parameters (Hip Circumference)

(NCT01825798)
Timeframe: Baseline, 16 Weeks

Interventioncentimetres (Mean)
Placebo Hydrochloride Oral Solution1.06
Metformin-0.63

Changes in Additional Body Composition Parameters (Relative Change in Weight)

(NCT01825798)
Timeframe: Baseline, 16 Weeks

Intervention16-wk change in weight (z-score) (Mean)
Placebo Hydrochloride Oral Solution0.04
Metformin-0.10

Changes in Fasting Metabolic Parameters (Glucose)

(NCT01825798)
Timeframe: Baseline, 16 Weeks

Intervention16-week change in gluclose (mg/dL) (Mean)
Placebo Hydrochloride Oral Solution-2.41
Metformin-3.06

Changes in Fasting Metabolic Parameters (HDL)

(NCT01825798)
Timeframe: Baseline, 16 Weeks

Intervention16-week change in HDL (mg/dL) (Mean)
Placebo Hydrochloride Oral Solution-0.98
Metformin3.27

Changes in Fasting Metabolic Parameters (Insulin)

(NCT01825798)
Timeframe: Baseline, 16 Weeks

Intervention16-week change insulin fasting (µIU/mL) (Mean)
Placebo Hydrochloride Oral Solution2.95
Metformin1.97

Changes in Fasting Metabolic Parameters (LDL)

(NCT01825798)
Timeframe: Baseline, 16 Weeks

Intervention16-week change in LDL (mg/dL) (Mean)
Placebo Hydrochloride Oral Solution-0.41
Metformin-4.41

Changes in Fasting Metabolic Parameters (Total Cholesterol)

(NCT01825798)
Timeframe: Baseline, 16 Weeks

Intervention16-week change total cholesterol (mg/dL) (Mean)
Placebo Hydrochloride Oral Solution-3.29
Metformin-1.05

Changes in Fasting Metabolic Parameters (Triglycerides)

(NCT01825798)
Timeframe: Baseline, 16 Weeks

Intervention16-week change in triglycerides (mg/dL) (Mean)
Placebo Hydrochloride Oral Solution6.18
Metformin5.74

Reviews

1 review available for metformin and Autism Spectrum Disorder

ArticleYear
Clinical trials in autism spectrum disorder: evidence, challenges and future directions.
    Current opinion in neurology, 2018, Volume: 31, Issue:2

    Topics: Adrenergic alpha-Agonists; Adrenergic Uptake Inhibitors; Aggression; Antipsychotic Agents; Aripipraz

2018

Trials

4 trials available for metformin and Autism Spectrum Disorder

ArticleYear
A Randomized, Placebo-Controlled Trial of Metformin for the Treatment of Overweight Induced by Antipsychotic Medication in Young People With Autism Spectrum Disorder: Open-Label Extension.
    Journal of the American Academy of Child and Adolescent Psychiatry, 2017, Volume: 56, Issue:10

    Topics: Adolescent; Antipsychotic Agents; Autism Spectrum Disorder; Child; Female; Humans; Hypoglycemic Agen

2017
A Randomized, Placebo-Controlled Trial of Metformin for the Treatment of Overweight Induced by Antipsychotic Medication in Young People With Autism Spectrum Disorder: Open-Label Extension.
    Journal of the American Academy of Child and Adolescent Psychiatry, 2017, Volume: 56, Issue:10

    Topics: Adolescent; Antipsychotic Agents; Autism Spectrum Disorder; Child; Female; Humans; Hypoglycemic Agen

2017
A Randomized, Placebo-Controlled Trial of Metformin for the Treatment of Overweight Induced by Antipsychotic Medication in Young People With Autism Spectrum Disorder: Open-Label Extension.
    Journal of the American Academy of Child and Adolescent Psychiatry, 2017, Volume: 56, Issue:10

    Topics: Adolescent; Antipsychotic Agents; Autism Spectrum Disorder; Child; Female; Humans; Hypoglycemic Agen

2017
A Randomized, Placebo-Controlled Trial of Metformin for the Treatment of Overweight Induced by Antipsychotic Medication in Young People With Autism Spectrum Disorder: Open-Label Extension.
    Journal of the American Academy of Child and Adolescent Psychiatry, 2017, Volume: 56, Issue:10

    Topics: Adolescent; Antipsychotic Agents; Autism Spectrum Disorder; Child; Female; Humans; Hypoglycemic Agen

2017
Effects of Metformin on Spatial and Verbal Memory in Children with ASD and Overweight Associated with Atypical Antipsychotic Use.
    Journal of child and adolescent psychopharmacology, 2018, Volume: 28, Issue:4

    Topics: Adolescent; Antipsychotic Agents; Autism Spectrum Disorder; Child; Double-Blind Method; Female; Huma

2018
Pharmacogenetics of Metformin for Medication-Induced Weight Gain in Autism Spectrum Disorder.
    Journal of child and adolescent psychopharmacology, 2019, Volume: 29, Issue:6

    Topics: Adolescent; Ataxia Telangiectasia Mutated Proteins; Autism Spectrum Disorder; Child; Double-Blind Me

2019
Metformin for Treatment of Overweight Induced by Atypical Antipsychotic Medication in Young People With Autism Spectrum Disorder: A Randomized Clinical Trial.
    JAMA psychiatry, 2016, Sep-01, Volume: 73, Issue:9

    Topics: Adolescent; Antipsychotic Agents; Autism Spectrum Disorder; Body Mass Index; Child; Dose-Response Re

2016
Metformin for Treatment of Overweight Induced by Atypical Antipsychotic Medication in Young People With Autism Spectrum Disorder: A Randomized Clinical Trial.
    JAMA psychiatry, 2016, Sep-01, Volume: 73, Issue:9

    Topics: Adolescent; Antipsychotic Agents; Autism Spectrum Disorder; Body Mass Index; Child; Dose-Response Re

2016
Metformin for Treatment of Overweight Induced by Atypical Antipsychotic Medication in Young People With Autism Spectrum Disorder: A Randomized Clinical Trial.
    JAMA psychiatry, 2016, Sep-01, Volume: 73, Issue:9

    Topics: Adolescent; Antipsychotic Agents; Autism Spectrum Disorder; Body Mass Index; Child; Dose-Response Re

2016
Metformin for Treatment of Overweight Induced by Atypical Antipsychotic Medication in Young People With Autism Spectrum Disorder: A Randomized Clinical Trial.
    JAMA psychiatry, 2016, Sep-01, Volume: 73, Issue:9

    Topics: Adolescent; Antipsychotic Agents; Autism Spectrum Disorder; Body Mass Index; Child; Dose-Response Re

2016
Metformin for Treatment of Overweight Induced by Atypical Antipsychotic Medication in Young People With Autism Spectrum Disorder: A Randomized Clinical Trial.
    JAMA psychiatry, 2016, Sep-01, Volume: 73, Issue:9

    Topics: Adolescent; Antipsychotic Agents; Autism Spectrum Disorder; Body Mass Index; Child; Dose-Response Re

2016
Metformin for Treatment of Overweight Induced by Atypical Antipsychotic Medication in Young People With Autism Spectrum Disorder: A Randomized Clinical Trial.
    JAMA psychiatry, 2016, Sep-01, Volume: 73, Issue:9

    Topics: Adolescent; Antipsychotic Agents; Autism Spectrum Disorder; Body Mass Index; Child; Dose-Response Re

2016
Metformin for Treatment of Overweight Induced by Atypical Antipsychotic Medication in Young People With Autism Spectrum Disorder: A Randomized Clinical Trial.
    JAMA psychiatry, 2016, Sep-01, Volume: 73, Issue:9

    Topics: Adolescent; Antipsychotic Agents; Autism Spectrum Disorder; Body Mass Index; Child; Dose-Response Re

2016
Metformin for Treatment of Overweight Induced by Atypical Antipsychotic Medication in Young People With Autism Spectrum Disorder: A Randomized Clinical Trial.
    JAMA psychiatry, 2016, Sep-01, Volume: 73, Issue:9

    Topics: Adolescent; Antipsychotic Agents; Autism Spectrum Disorder; Body Mass Index; Child; Dose-Response Re

2016
Metformin for Treatment of Overweight Induced by Atypical Antipsychotic Medication in Young People With Autism Spectrum Disorder: A Randomized Clinical Trial.
    JAMA psychiatry, 2016, Sep-01, Volume: 73, Issue:9

    Topics: Adolescent; Antipsychotic Agents; Autism Spectrum Disorder; Body Mass Index; Child; Dose-Response Re

2016

Other Studies

10 other studies available for metformin and Autism Spectrum Disorder

ArticleYear
Novel role of peroxisome proliferator activated receptor-α in valproic acid rat model of autism: Mechanistic study of risperidone and metformin monotherapy versus combination.
    Progress in neuro-psychopharmacology & biological psychiatry, 2022, 06-08, Volume: 116

    Topics: Animals; Autism Spectrum Disorder; Autistic Disorder; Behavior, Animal; Disease Models, Animal; Fema

2022
Metformin Alleviates Autistic-Like Behaviors Elicited by High-Fat Diet Consumption and Modulates the Crosstalk Between Serotonin and Gut Microbiota in Mice.
    Behavioural neurology, 2022, Volume: 2022

    Topics: Animals; Autism Spectrum Disorder; Autistic Disorder; Diet, High-Fat; Gastrointestinal Microbiome; M

2022
Effect of metformin in autistic BTBR T + Itpr3tf/J mice administered a high-fat diet.
    Brain research bulletin, 2022, 06-01, Volume: 183

    Topics: Animals; Autism Spectrum Disorder; Autistic Disorder; Diet, High-Fat; Disease Models, Animal; Metfor

2022
Novel potential of metformin on valproic acid-induced autism spectrum disorder in rats: involvement of antioxidant defence system.
    Fundamental & clinical pharmacology, 2020, Volume: 34, Issue:6

    Topics: Animals; Anticonvulsants; Antioxidants; Autism Spectrum Disorder; Disease Models, Animal; Female; Hy

2020
Brief Report: Metformin for Antipsychotic-Induced Weight Gain in Youth with Autism Spectrum Disorder.
    Journal of autism and developmental disorders, 2017, Volume: 47, Issue:7

    Topics: Adolescent; Antipsychotic Agents; Autism Spectrum Disorder; Child; Female; Humans; Hypoglycemic Agen

2017
Antipsychotic-Induced Weight Gain and Metformin.
    Journal of the American Academy of Child and Adolescent Psychiatry, 2017, Volume: 56, Issue:10

    Topics: Adolescent; Antipsychotic Agents; Autism Spectrum Disorder; Humans; Metformin; Overweight; Weight Ga

2017
Mobility for All?
    Journal of the American Academy of Child and Adolescent Psychiatry, 2018, Volume: 57, Issue:10

    Topics: Adolescent; Antipsychotic Agents; Autism Spectrum Disorder; Child; Double-Blind Method; Humans; Metf

2018
Dr. Handen et al. Reply.
    Journal of the American Academy of Child and Adolescent Psychiatry, 2018, Volume: 57, Issue:10

    Topics: Adolescent; Antipsychotic Agents; Autism Spectrum Disorder; Child; Humans; Metformin; Overweight; We

2018
Drs. Walkup and Cottingham Reply.
    Journal of the American Academy of Child and Adolescent Psychiatry, 2018, Volume: 57, Issue:10

    Topics: Adolescent; Antipsychotic Agents; Autism Spectrum Disorder; Humans; Metformin; Overweight; Weight Ga

2018
Metformin in an Adolescent with Significant Weight Gain.
    Journal of child and adolescent psychopharmacology, 2015, Volume: 25, Issue:7

    Topics: Adolescent; Aggression; Antipsychotic Agents; Autism Spectrum Disorder; Humans; Hypoglycemic Agents;

2015