Page last updated: 2024-10-30

metformin and Hypertrophy, Left Ventricular

metformin has been researched along with Hypertrophy, Left Ventricular in 11 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.

Hypertrophy, Left Ventricular: Enlargement of the LEFT VENTRICLE of the heart. This increase in ventricular mass is attributed to sustained abnormal pressure or volume loads and is a contributor to cardiovascular morbidity and mortality.

Research Excerpts

ExcerptRelevanceReference
"Metformin treatment significantly reduced LVMI, LVM, office systolic BP, body weight, and oxidative stress."9.30A randomized controlled trial of metformin on left ventricular hypertrophy in patients with coronary artery disease without diabetes: the MET-REMODEL trial. ( Al-Talabany, S; Baig, F; Bhalraam, U; Choy, AM; Gandy, SJ; George, J; Houston, JG; Hussain, MS; Khan, F; Lang, CC; Matthew, S; McKinnie, A; Mohan, M; Mordi, IR; Singh, JSS; Struthers, AD, 2019)
" The diabetic medication, Metformin, reduces IR and aids weight loss and may therefore regress LVH."9.20Metformin and its effects on myocardial dimension and left ventricular hypertrophy in normotensive patients with coronary heart disease (the MET-REMODEL study): rationale and design of the MET-REMODEL study. ( Baig, F; Lang, CC; McSwiggan, S; Mohan, M; Rutherford, L, 2015)
"Metformin treatment significantly reduced LVMI, LVM, office systolic BP, body weight, and oxidative stress."5.30A randomized controlled trial of metformin on left ventricular hypertrophy in patients with coronary artery disease without diabetes: the MET-REMODEL trial. ( Al-Talabany, S; Baig, F; Bhalraam, U; Choy, AM; Gandy, SJ; George, J; Houston, JG; Hussain, MS; Khan, F; Lang, CC; Matthew, S; McKinnie, A; Mohan, M; Mordi, IR; Singh, JSS; Struthers, AD, 2019)
" The diabetic medication, Metformin, reduces IR and aids weight loss and may therefore regress LVH."5.20Metformin and its effects on myocardial dimension and left ventricular hypertrophy in normotensive patients with coronary heart disease (the MET-REMODEL study): rationale and design of the MET-REMODEL study. ( Baig, F; Lang, CC; McSwiggan, S; Mohan, M; Rutherford, L, 2015)
"Left ventricular hypertrophy is a common finding in patients with ischemic heart disease and is associated with mortality in patients with cardiovascular disease (CVD)."1.72Effect of metformin on left ventricular mass and functional parameters in non-diabetic patients: a meta-analysis of randomized clinical trials. ( Farid, S; Kamel, AM; Sabry, N, 2022)
"Treatment with metformin improved haemodynamic function and significantly attenuated ventricular hypertrophy."1.37Metformin attenuates ventricular hypertrophy by activating the AMP-activated protein kinase-endothelial nitric oxide synthase pathway in rats. ( Chen, BL; Chen, GQ; Chen, YL; Dong, YG; Ma, YD; Meng, RS; Pan, SN; Peng, CQ; Xiong, ZJ; Yao, FJ; Zhang, CX, 2011)

Research

Studies (11)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's9 (81.82)24.3611
2020's2 (18.18)2.80

Authors

AuthorsStudies
Kamel, AM1
Sabry, N1
Farid, S1
Li, J2
Minćzuk, K1
Massey, JC1
Howell, NL1
Roy, RJ1
Paul, S1
Patrie, JT1
Kramer, CM1
Epstein, FH1
Carey, RM1
Taegtmeyer, H2
Keller, SR2
Kundu, BK2
Mohan, M2
Al-Talabany, S1
McKinnie, A1
Mordi, IR1
Singh, JSS1
Gandy, SJ1
Baig, F2
Hussain, MS1
Bhalraam, U1
Khan, F1
Choy, AM1
Matthew, S1
Houston, JG1
Struthers, AD1
George, J1
Lang, CC2
Abbasi, J1
Rajagopalan, S1
Rashid, I1
Xu, X1
Lu, Z1
Fassett, J1
Zhang, P1
Hu, X1
Liu, X1
Kwak, D1
Zhu, G1
Tao, Y1
Hou, M1
Wang, H1
Guo, H1
Viollet, B1
McFalls, EO1
Bache, RJ1
Chen, Y1
Levitt Katz, L1
Gidding, SS1
Bacha, F1
Hirst, K1
McKay, S1
Pyle, L1
Lima, JA1
McSwiggan, S1
Rutherford, L1
Zhong, M1
Sen, S1
Davogustto, G1
Zhang, CX1
Pan, SN1
Meng, RS1
Peng, CQ1
Xiong, ZJ1
Chen, BL1
Chen, GQ1
Yao, FJ1
Chen, YL1
Ma, YD1
Dong, YG1
Yin, M1
van der Horst, IC1
van Melle, JP1
Qian, C1
van Gilst, WH1
Silljé, HH1
de Boer, RA1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Efficacy of Metformin as add-on Therapy in Non-Diabetic Heart Failure Patients[NCT05177588]Phase 470 participants (Actual)Interventional2021-07-21Completed
Studies to Treat Or Prevent Pediatric Type 2 Diabetes (STOPP-T2D) Treatment Options for Type 2 Diabetes in Adolescents and Youth (TODAY) Clinical Trial[NCT00081328]Phase 3699 participants (Actual)Interventional2004-05-31Completed
MetfoRmin and Its Effects on Myocardial Dimension and Left Ventricular Hypertrophy in Normotensive Patients With Coronary Artery Disease[NCT02226510]Phase 468 participants (Actual)Interventional2015-03-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Body Composition -- BMI

Body mass index (BMI) measured in kg per meters squared. The analysis sample includes only participants with 24 month data who had not experienced the primary outcome by that time. (NCT00081328)
Timeframe: 24 months

Interventionkg per meters squared (Mean)
1 Metformin Alone36.7
2 Metformin + Rosliglitazone38.2
3 Metformin + Lifestyle Program35.3

Body Composition -- Bone Density

Measured by DXA, both whole body scan and AP-spine scan. The analysis sample includes only participants with 24 month data who had not experienced the primary outcome by that time. In addition, in about 1/3 of participants DXA scans could not be obtained on participants weighing more than 300 pounds (136 kg), the upper limit in size set by the machine manufacturers. Scans were considered invalid if a body part (e.g., arm, leg) was completely off or partially off the scanner, there was hand-hip overlap, or there was motion or movement during the scan. (NCT00081328)
Timeframe: 24 months

Interventiong/cm squared (Mean)
1 Metformin Alone1.15
2 Metformin + Rosliglitazone1.15
3 Metformin + Lifestyle Program1.15

Body Composition -- Fat Mass

Determined by DXA whole body scan. The analysis sample includes only participants with 24 month data who had not experienced the primary outcome by that time. In addition, in about 1/3 of participants DXA scans could not be obtained on participants weighing more than 300 pounds (136 kg), the upper limit in size set by the machine manufacturers. Scans were considered invalid if a body part (e.g., arm, leg) was completely off or partially off the scanner, there was hand-hip overlap, or there was motion or movement during the scan. (NCT00081328)
Timeframe: 24 months

Interventionkg (Mean)
1 Metformin Alone36.1
2 Metformin + Rosliglitazone39.7
3 Metformin + Lifestyle Program32.2

Body Composition -- Waist Circumference

Waist circumference (cm) measured at the iliac crest at its outermost point with the measuring tape placed around the participant in a horizontal plane parallel to the floor at the mark and the measurement teken at the end of normal expiration without the tape compressing the skin. The analysis sample includes only participants with 24 month data who had not experienced the primary outcome by that time. (NCT00081328)
Timeframe: 24 months

Interventioncm (Mean)
1 Metformin Alone110.8
2 Metformin + Rosliglitazone114.0
3 Metformin + Lifestyle Program108.6

Comorbidity -- Hypertension

A diagnosis was made by an out-of-range value >=95th percentile or systolic >=130 or diastolic >=80 sustained over 6 months or on an anti-hypertensive medication. (NCT00081328)
Timeframe: Data collected at baseline and during follow-up - 2 years to 6.5 years from randomization.

Interventionparticipants (Number)
1 Metformin Alone57
2 Metformin + Rosliglitazone53
3 Metformin + Lifestyle Program45

Comorbidity -- LDL Dyslipidemia

A diagnosis was made from out-of-range value >= 130 mg/dL sustained over 6 months or put on lipid lowering medication. (NCT00081328)
Timeframe: Data collected at baseline and during follow-up - 2 years to 6.5 years from randomization.

Interventionparticipants (Number)
1 Metformin Alone18
2 Metformin + Rosliglitazone16
3 Metformin + Lifestyle Program15

Comorbidity -- Triglycerides Dyslipidemia

A diagnosis was made by an out-of-range value >=150 mg/dL sustained over 6 months or on appropriate lipid lowering medication. (NCT00081328)
Timeframe: Data collected at baseline and during follow-up - 2 years to 6.5 years from randomization.

Interventionparticipants (Number)
1 Metformin Alone20
2 Metformin + Rosliglitazone28
3 Metformin + Lifestyle Program22

Insulin Secretion

Insulinogenic index determined from OGTT as difference in insulin at 30 minutes minus 0 minutes divided by difference in glucose at 30 minutes minus 0 minutes. The analysis sample includes only participants with 24 month data who had not experienced the primary outcome by that time. (NCT00081328)
Timeframe: 24 months

InterventionuU/mL divided by mg/dL (Median)
1 Metformin Alone.75
2 Metformin + Rosliglitazone.83
3 Metformin + Lifestyle Program.71

Insulin Sensitivity

All participants were followed to 24 months. Insulin sensitivity is measured from OGTT as inverse of fasting insulin (mL/uU). The analysis sample includes only participants with 24 month data who had not experienced the primary outcome by that time. (NCT00081328)
Timeframe: 24 months

InterventionmL/uU (Median)
1 Metformin Alone0.037
2 Metformin + Rosiglitazone0.049
3 Metformin + Lifestyle Program0.039

Number of Serious Adverse Events

Number of serious adverse events reported during the trial. Participant could have multiple episodes reported. (NCT00081328)
Timeframe: Reported as occurred during study follow-up - 2 years to 6.5 years from randomization.

Interventionepisodes of serious adverse event (Number)
1 Metformin Alone42
2 Metformin + Rosiglitazone34
3 Metformin + Lifestyle Program58

Treatment Failure (Loss of Glycemic Control)

Defined as A1c persistently >=8% over a 6-month period or persistent metabolic decompensation (inability to wean insulin within 3 months of initiation or the occurrence of a second episode within three months of discontinuing insulin) (NCT00081328)
Timeframe: Study duration - 2 years to 6.5 years of follow up from randomization

,,
Interventionparticipants (Number)
Treatment failureDid not fail treatment during trial
1 Metformin Alone120112
2 Metformin + Rosliglitazone90143
3 Metformin + Lifestyle Program109125

Reviews

1 review available for metformin and Hypertrophy, Left Ventricular

ArticleYear
Remodeling of glucose metabolism precedes pressure overload-induced left ventricular hypertrophy: review of a hypothesis.
    Cardiology, 2015, Volume: 130, Issue:4

    Topics: 3-O-Methylglucose; Animals; Disease Models, Animal; Endoplasmic Reticulum Stress; Fatty Acids; Gluco

2015

Trials

3 trials available for metformin and Hypertrophy, Left Ventricular

ArticleYear
A randomized controlled trial of metformin on left ventricular hypertrophy in patients with coronary artery disease without diabetes: the MET-REMODEL trial.
    European heart journal, 2019, 11-01, Volume: 40, Issue:41

    Topics: Aged; Body Weight; Coronary Artery Disease; Female; Heart Ventricles; Humans; Hypertrophy, Left Vent

2019
Alterations in left ventricular, left atrial, and right ventricular structure and function to cardiovascular risk factors in adolescents with type 2 diabetes participating in the TODAY clinical trial.
    Pediatric diabetes, 2015, Volume: 16, Issue:1

    Topics: Adolescent; Atrial Function, Left; Cardiovascular Diseases; Child; Diabetes Mellitus, Type 2; Diabet

2015
Metformin and its effects on myocardial dimension and left ventricular hypertrophy in normotensive patients with coronary heart disease (the MET-REMODEL study): rationale and design of the MET-REMODEL study.
    Cardiovascular therapeutics, 2015, Volume: 33, Issue:1

    Topics: Adolescent; Adult; Biomarkers; Cardiac Output; Coronary Artery Disease; Delayed-Action Preparations;

2015

Other Studies

7 other studies available for metformin and Hypertrophy, Left Ventricular

ArticleYear
Effect of metformin on left ventricular mass and functional parameters in non-diabetic patients: a meta-analysis of randomized clinical trials.
    BMC cardiovascular disorders, 2022, 09-10, Volume: 22, Issue:1

    Topics: Cardiovascular Diseases; Heart Failure; Humans; Hypertrophy, Left Ventricular; Hypoglycemic Agents;

2022
Metformin Improves Cardiac Metabolism and Function, and Prevents Left Ventricular Hypertrophy in Spontaneously Hypertensive Rats.
    Journal of the American Heart Association, 2020, 04-07, Volume: 9, Issue:7

    Topics: AMP-Activated Protein Kinases; Animals; Arterial Pressure; Cardiovascular Agents; Disease Models, An

2020
Cardiovascular Corner: Low Lipids, Metformin, and Plant-Based Diets.
    JAMA, 2019, Jul-02, Volume: 322, Issue:1

    Topics: Cardiovascular Diseases; Diet, Vegetarian; Humans; Hypertrophy, Left Ventricular; Lipids; Metformin;

2019
Regression therapy for cardiovascular disease.
    European heart journal, 2019, 11-01, Volume: 40, Issue:41

    Topics: Cardiovascular Diseases; Coronary Artery Disease; Diabetes Mellitus; Humans; Hypertrophy, Left Ventr

2019
Metformin protects against systolic overload-induced heart failure independent of AMP-activated protein kinase α2.
    Hypertension (Dallas, Tex. : 1979), 2014, Volume: 63, Issue:4

    Topics: AMP-Activated Protein Kinases; Animals; Aorta; Disease Models, Animal; Heart Failure, Systolic; Hype

2014
Metformin attenuates ventricular hypertrophy by activating the AMP-activated protein kinase-endothelial nitric oxide synthase pathway in rats.
    Clinical and experimental pharmacology & physiology, 2011, Volume: 38, Issue:1

    Topics: AMP-Activated Protein Kinases; Animals; Animals, Newborn; Blood Pressure; Cells, Cultured; Down-Regu

2011
Metformin improves cardiac function in a nondiabetic rat model of post-MI heart failure.
    American journal of physiology. Heart and circulatory physiology, 2011, Volume: 301, Issue:2

    Topics: AMP-Activated Protein Kinases; Animals; Atrial Natriuretic Factor; Blood Glucose; Cardiotonic Agents

2011