Page last updated: 2024-10-30

metformin and Barrett Esophagus

metformin has been researched along with Barrett Esophagus in 7 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.

Barrett Esophagus: A condition with damage to the lining of the lower ESOPHAGUS resulting from chronic acid reflux (ESOPHAGITIS, REFLUX). Through the process of metaplasia, the squamous cells are replaced by a columnar epithelium with cells resembling those of the INTESTINE or the salmon-pink mucosa of the STOMACH. Barrett's columnar epithelium is a marker for severe reflux and precursor to ADENOCARCINOMA of the esophagus.

Research Excerpts

ExcerptRelevanceReference
"To stimulate EC carcinogenesis, chronic gastroduodenal reflux esophagitis via esophagojejunostomy was induced in 120 rats in metformin-treated and non-treated (control) groups."5.72Dynamic switch of immunity and antitumor effects of metformin in rat spontaneous esophageal carcinogenesis. ( Fushida, S; Harashima, A; Inaki, N; Miyashita, T; Munesue, S; Ninomiya, I; Ohta, T; Tajima, H; Takada, S; Takamura, H; Takei, R; Yagi, S; Yamamoto, Y, 2022)
"Metformin use was neither associated with an increased nor a decreased risk of esophageal cancer."5.40Metformin use and the risk of esophageal cancer in Barrett esophagus. ( Agrawal, A; Agrawal, S; Deidrich, W; Makhijani, N; Markert, R; Patel, P, 2014)
"Metformin was associated with an almost significant reduction in serum levels of insulin (median -4."2.80Metformin does not reduce markers of cell proliferation in esophageal tissues of patients with Barrett's esophagus. ( Buttar, NS; Chak, A; Cruz-Correa, MR; Falk, GW; Foster, NR; Hur, C; Katzka, DA; Limburg, PJ; Mandrekar, SJ; Marcon, NE; Richmond, E; Rodriguez, LM; Schoen, R; Seisler, DK; Sharma, AN; Sharma, P; Smyrk, TC, 2015)
"Candidates for chemoprevention in Barrett's esophagus have long been suggested and there has been observational data to support many drugs, including statins, hormone replacement therapy, metformin, proton pump inhibitor therapy, and aspirin."2.72Current Status of Chemoprevention in Barrett's Esophagus. ( El-Serag, HB; Moayyedi, P, 2021)
"Chemoprevention in Barrett's esophagus is currently applied only in research settings."2.52Chemoprevention in Barrett's Esophagus: Current Status. ( Baruah, A; Buttar, NS; Kossak, SK; Zeb, MH, 2015)
"To stimulate EC carcinogenesis, chronic gastroduodenal reflux esophagitis via esophagojejunostomy was induced in 120 rats in metformin-treated and non-treated (control) groups."1.72Dynamic switch of immunity and antitumor effects of metformin in rat spontaneous esophageal carcinogenesis. ( Fushida, S; Harashima, A; Inaki, N; Miyashita, T; Munesue, S; Ninomiya, I; Ohta, T; Tajima, H; Takada, S; Takamura, H; Takei, R; Yagi, S; Yamamoto, Y, 2022)
" Chronic use of other common drugs, namely, statins nonsteroidal anti-inflammatory drugs (NSAIDs) and metformin, may also interfere with BE carcinogenesis, but confirmatory evidence is lacking."1.62Association of Common Use Pharmaceuticals in Reducing Risk of Esophageal Adenocarcinoma: A SEER-Medicare Analysis. ( Chaloux, M; Loomans-Kropp, HA; Richmond, E; Umar, A, 2021)
"BE subjects developing esophageal cancer (EC) 12 months after their index BE diagnosis were defined as progressors."1.43Rates and predictors of progression to esophageal carcinoma in a large population-based Barrett's esophagus cohort. ( Borah, B; Chak, A; Das, A; Heien, H; Iyer, PG; Krishnamoorthi, R, 2016)
"Metformin use was neither associated with an increased nor a decreased risk of esophageal cancer."1.40Metformin use and the risk of esophageal cancer in Barrett esophagus. ( Agrawal, A; Agrawal, S; Deidrich, W; Makhijani, N; Markert, R; Patel, P, 2014)

Research

Studies (7)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's4 (57.14)24.3611
2020's3 (42.86)2.80

Authors

AuthorsStudies
Loomans-Kropp, HA1
Chaloux, M1
Richmond, E2
Umar, A1
Moayyedi, P1
El-Serag, HB1
Takei, R1
Miyashita, T1
Takada, S1
Tajima, H1
Ninomiya, I1
Takamura, H1
Fushida, S1
Harashima, A1
Munesue, S1
Yagi, S1
Inaki, N1
Ohta, T1
Yamamoto, Y1
Chak, A2
Buttar, NS2
Foster, NR1
Seisler, DK1
Marcon, NE1
Schoen, R1
Cruz-Correa, MR1
Falk, GW1
Sharma, P1
Hur, C1
Katzka, DA1
Rodriguez, LM1
Sharma, AN1
Smyrk, TC1
Mandrekar, SJ1
Limburg, PJ1
Agrawal, S1
Patel, P1
Agrawal, A1
Makhijani, N1
Markert, R1
Deidrich, W1
Zeb, MH1
Baruah, A1
Kossak, SK1
Krishnamoorthi, R1
Borah, B1
Heien, H1
Das, A1
Iyer, PG1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Randomized Double Blind Placebo Controlled Trial of Barrett's Esophagus Chemoprevention With Metformin[NCT01447927]Phase 293 participants (Actual)Interventional2012-06-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Percent Change in Median pS6K1 Immunostaining Among Participants With Barrett Esophagus

The percent change in pS6K1 was calculated as month 3 pS6k1 values minus baseline pS6k1 values, then divide by baseline pS6k1 values and multiply by 100. (NCT01447927)
Timeframe: Baseline to 3 months

Interventionpercentage of change (Median)
Metformin1.4
Placebo-14.7

Overall Adverse Event Rates

"Number of patients that experienced adverse events (grade 1 or above) as measured by NCI CTCAE (Common Terminology Criteria for Adverse Events) v. 4.0.~The data reported in the table include only the commonly occurring adverse events (3 or more events)." (NCT01447927)
Timeframe: Up to 30 days

,
Interventionparticipants (Number)
Abdominal PainCoughDiarrheaDyspepsiaFatigueFlatulenceFlu like symptomsGastrointestinal disorders - other, specifyHeadacheNausea
Metformin60102421235
Placebo0353122223

Reviews

2 reviews available for metformin and Barrett Esophagus

ArticleYear
Current Status of Chemoprevention in Barrett's Esophagus.
    Gastrointestinal endoscopy clinics of North America, 2021, Volume: 31, Issue:1

    Topics: Adenocarcinoma; Aspirin; Barrett Esophagus; Chemoprevention; Drug Therapy, Combination; Esophageal N

2021
Chemoprevention in Barrett's Esophagus: Current Status.
    Gastroenterology clinics of North America, 2015, Volume: 44, Issue:2

    Topics: Adenocarcinoma; Anti-Inflammatory Agents, Non-Steroidal; Barrett Esophagus; Bile Acids and Salts; Cy

2015

Trials

1 trial available for metformin and Barrett Esophagus

ArticleYear
Metformin does not reduce markers of cell proliferation in esophageal tissues of patients with Barrett's esophagus.
    Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2015, Volume: 13, Issue:4

    Topics: Adult; Aged; Aged, 80 and over; Barrett Esophagus; Cell Proliferation; Double-Blind Method; Endoscop

2015

Other Studies

4 other studies available for metformin and Barrett Esophagus

ArticleYear
Association of Common Use Pharmaceuticals in Reducing Risk of Esophageal Adenocarcinoma: A SEER-Medicare Analysis.
    Cancer prevention research (Philadelphia, Pa.), 2021, Volume: 14, Issue:2

    Topics: Adenocarcinoma; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Barrett Esophagus;

2021
Dynamic switch of immunity and antitumor effects of metformin in rat spontaneous esophageal carcinogenesis.
    Cancer immunology, immunotherapy : CII, 2022, Volume: 71, Issue:4

    Topics: Adenocarcinoma; Animals; Barrett Esophagus; Carcinogenesis; Esophageal Neoplasms; Metformin; Rats; T

2022
Metformin use and the risk of esophageal cancer in Barrett esophagus.
    Southern medical journal, 2014, Volume: 107, Issue:12

    Topics: Adenocarcinoma; Adult; Aged; Aged, 80 and over; Barrett Esophagus; Case-Control Studies; Diabetes Me

2014
Rates and predictors of progression to esophageal carcinoma in a large population-based Barrett's esophagus cohort.
    Gastrointestinal endoscopy, 2016, Volume: 84, Issue:1

    Topics: Adenocarcinoma; Age Factors; Aged; Anti-Inflammatory Agents, Non-Steroidal; Barrett Esophagus; Body

2016