Page last updated: 2024-10-30

metformin and Mucositis

metformin has been researched along with Mucositis in 2 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.

Mucositis: An INFLAMMATION of the MUCOSA with burning or tingling sensation. It is characterized by atrophy of the squamous EPITHELIUM, vascular damage, inflammatory infiltration, and ulceration. It usually occurs at the mucous lining of the MOUTH, the GASTROINTESTINAL TRACT or the airway due to chemical irritations, CHEMOTHERAPY, or radiation therapy (RADIOTHERAPY).

Research Excerpts

ExcerptRelevanceReference
"Nondiabetic patients with LAHNSCC were enrolled in the current study to receive escalating doses of metformin and CRT based on the modified toxicity probability interval design."2.94Phase 1 dose-finding study of metformin in combination with concurrent cisplatin and radiotherapy in patients with locally advanced head and neck squamous cell cancer. ( Desai, J; Desai, PB; Gulati, S; Gutkind, JS; Jandarov, R; Mierzwa, M; Molinolo, A; Morris, JC; Palackdharry, SM; Riaz, MK; Sadraei, NH; Takiar, V; Wise-Draper, TM; Zhu, Z, 2020)

Research

Studies (2)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's1 (50.00)24.3611
2020's1 (50.00)2.80

Authors

AuthorsStudies
Gulati, S1
Desai, J1
Palackdharry, SM1
Morris, JC1
Zhu, Z1
Jandarov, R1
Riaz, MK1
Takiar, V1
Mierzwa, M1
Gutkind, JS1
Molinolo, A1
Desai, PB1
Sadraei, NH1
Wise-Draper, TM1
Liu, X1
Lorusso, P1
Mita, M1
Piha-Paul, S1
Hong, DS1
Fu, S1
McQuinn, L1
Asatiani, E1
Doyle, LA1
Chen, HX1
Hess, KR1
Kurzrock, R1
Naing, A1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Phase I Study of Temsirolimus in Combination With Metformin in Patients With Advanced Cancers[NCT01529593]Phase 187 participants (Actual)Interventional2012-03-26Active, not recruiting
Phase I Dose Escalation Trial of MEK1/2 Inhibitor MSC1936369B Combined With Temsirolimus in Subjects With Advanced Solid Tumors[NCT01378377]Phase 133 participants (Actual)Interventional2011-05-27Terminated (stopped due to The trial was stopped due to the toxicities observed with the combination of pimasertib and temsirolimus.)
Phase I Study of IMC-A12 (NSC# 742460) in Combination With Temsirolimus CCI-779 (NSC# 683864) in Patients With Advanced Cancers[NCT00678769]Phase 172 participants (Actual)Interventional2008-05-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Number of Subjects With Dose Limiting Toxicities (DLTs)

DLT was defined as any of the following toxicities graded as per National Cancer Institute (NCI) common terminology criteria for adverse events (NCI CTCAE v4.0) encountered within cycle 1 of treatment at any dose level and judged not to be related to the underlying disease or concomitant medications. A treatment emergent adverse event (TEAE) of potential clinical significance such that further dose escalation would expose subjects to unacceptable risk; any Grade >=3 non-hematological toxicity except Grade 3 asymptomatic increases in liver function tests, diarrhea, nausea or vomiting with duration <= 48 hours and alopecia; Grade 4 neutropenia of >5 days duration or febrile neutropenia of >1 day duration; Grade 3 thrombocytopenia with bleeding or Grade 4 thrombocytopenia; any treatment interruption >2 weeks due to adverse events; any severe, impairing daily functions or life-threatening, complication or abnormality not defined in NCI-CTCAE that is attributable to the therapy. (NCT01378377)
Timeframe: Up to 21 Days (within Cycle 1)

Interventionsubjects (Number)
Pimasertib 45 mg+Temsirolimus 12.5 mg0
Pimasertib 45 mg+Temsirolimus 25 mg7
Pimasertib 75 mg+Temsirolimus 25 mg2

Number of Subjects With Treatment-emergent Adverse Events (TEAEs)

An AE was defined as any new untoward medical occurrences/worsening of pre-existing medical condition, whether or not related to study drug. The TEAEs were those events that occur between first dose of trial treatment and up to 30 days after last dose of the trial treatment that were absent before treatment or that worsened relative to pretreatment state. (NCT01378377)
Timeframe: From the start of the trial treatment until data cut-off date (23 February 2012)

Interventionsubjects (Number)
Pimasertib 45 mg+Temsirolimus 12.5 mg4
Pimasertib 45 mg+Temsirolimus 25 mg23
Pimasertib 75 mg+Temsirolimus 25 mg6

Apparent Clearance From Plasma Following Oral Administration (CL/f) of Pimasertib

Clearance (CL) of a drug was a measure of the rate at which a drug was metabolized or eliminated by normal biological processes. The CL obtained after oral dose (CL/F) was influenced by the fraction of the dose absorbed (bioavailability). Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. (NCT01378377)
Timeframe: DDI cohorts: Days 1 and 9 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1

,
Interventionliter/hour (Median)
Non-DDI: Day 8
Pimasertib 45 mg+Temsirolimus 25 mg (Non-DDI)64.31
Pimasertib 75 mg+Temsirolimus 25 mg (Non-DDI)53.6

Apparent Clearance From Plasma Following Oral Administration (CL/f) of Pimasertib

Clearance (CL) of a drug was a measure of the rate at which a drug was metabolized or eliminated by normal biological processes. The CL obtained after oral dose (CL/F) was influenced by the fraction of the dose absorbed (bioavailability). Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. (NCT01378377)
Timeframe: DDI cohorts: Days 1 and 9 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1

,
Interventionliter/hour (Median)
DDI: Day 1DDI: Day 9
Pimasertib 45 mg+Temsirolimus 12.5 mg (DDI)81.2571.99
Pimasertib 45 mg+Temsirolimus 25 mg (DDI)54.3655.9

Apparent Terminal Half-life (t1/2) of Pimasertib

The t1/2 was defined as the time required for the plasma concentration of drug to decrease 50% in the final stage of its elimination. Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. (NCT01378377)
Timeframe: DDI cohorts: Days 1 and 9 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1

,
Interventionhour (Median)
Non-DDI: Day 8
Pimasertib 45 mg+Temsirolimus 25 mg (Non-DDI)7.746
Pimasertib 75 mg+Temsirolimus 25 mg (Non-DDI)5.712

Apparent Terminal Half-life (t1/2) of Pimasertib

The t1/2 was defined as the time required for the plasma concentration of drug to decrease 50% in the final stage of its elimination. Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. (NCT01378377)
Timeframe: DDI cohorts: Days 1 and 9 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1

,
Interventionhour (Median)
DDI: Day 1DDI: Day 9
Pimasertib 45 mg+Temsirolimus 12.5 mg (DDI)5.9156.08
Pimasertib 45 mg+Temsirolimus 25 mg (DDI)5.8865.896

Apparent Terminal Half-life (t1/2) of Temsirolimus

The t1/2 was defined as the time required for the plasma concentration of drug to decrease 50% in the final stage of its elimination. Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. (NCT01378377)
Timeframe: DDI cohorts: Days 9 and 16 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1

,
Interventionhour (Median)
Non-DDI: Day 8
Pimasertib 45 mg+Temsirolimus 25 mg (Non-DDI)29.08
Pimasertib 75 mg+Temsirolimus 25 mg (Non-DDI)10.42

Apparent Terminal Half-life (t1/2) of Temsirolimus

The t1/2 was defined as the time required for the plasma concentration of drug to decrease 50% in the final stage of its elimination. Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. (NCT01378377)
Timeframe: DDI cohorts: Days 9 and 16 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1

,
Interventionhour (Median)
DDI: Day 9DDI: Day 16
Pimasertib 45 mg+Temsirolimus 12.5 mg (DDI)25.5720.62
Pimasertib 45 mg+Temsirolimus 25 mg (DDI)13.219.14

Apparent Volume of Distribution (Vz/F) of Pimasertib

Volume of distribution (Vz) was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired serum concentration of a drug. The Vz after oral dose (Vz/F) was influenced by the fraction absorbed. Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. (NCT01378377)
Timeframe: DDI cohorts: Days 1 and 9 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1

,
Interventionliter (Median)
Non-DDI: Day 8
Pimasertib 45 mg+Temsirolimus 25 mg (Non-DDI)760.6
Pimasertib 75 mg+Temsirolimus (TEM) 25 mg (Non-DDI)416.5

Apparent Volume of Distribution (Vz/F) of Pimasertib

Volume of distribution (Vz) was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired serum concentration of a drug. The Vz after oral dose (Vz/F) was influenced by the fraction absorbed. Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. (NCT01378377)
Timeframe: DDI cohorts: Days 1 and 9 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1

,
Interventionliter (Median)
DDI: Day 1DDI: Day 9
Pimasertib 45 mg+Temsirolimus 12.5 mg (DDI)691.3517.6
Pimasertib 45 mg+Temsirolimus 25 mg (DDI)536.5519.5

Area Under Plasma Concentration Time Curve From Time Zero to Infinity (AUC0-inf) of Temsirolimus

The AUC(0-inf) was estimated by determining the total area under the curve of the concentration versus time curve extrapolated to infinity. Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. (NCT01378377)
Timeframe: DDI cohorts: Days 9 and 16 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1

,
Interventionhour*nanogram/milliliter (Median)
Non-DDI: Day 8
Pimasertib 45 mg+Temsirolimus 25 mg (Non-DDI)4026
Pimasertib 75 mg+Temsirolimus 25 mg (Non-DDI)2194

Area Under Plasma Concentration Time Curve From Time Zero to Infinity (AUC0-inf) of Temsirolimus

The AUC(0-inf) was estimated by determining the total area under the curve of the concentration versus time curve extrapolated to infinity. Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. (NCT01378377)
Timeframe: DDI cohorts: Days 9 and 16 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1

,
Interventionhour*nanogram/milliliter (Median)
DDI: Day 9DDI: Day 16
Pimasertib 45 mg+Temsirolimus 12.5 mg (DDI)24522006
Pimasertib 45 mg+Temsirolimus 25 mg (DDI)21302743

Area Under the Concentration Time Curve During a Dosing Interval (AUCtau) and Area Under the Concentration Time Curve From Time Zero to Infinity (AUC0-inf) of Pimasertib

The AUCtau was defined as the area under the concentration curve divided by the dosing interval. AUC(0-inf) was estimated by determining the total area under the curve of the concentration versus time curve extrapolated to infinity. Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. (NCT01378377)
Timeframe: DDI cohorts: Days 9 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1 for AUCtau; DDI cohorts: Day 1 of Cycle 1 AUC0-inf

,
Interventionhour*nanogram/milliliter (Median)
Non-DDI: AUCtau: Day 8
Pimasertib 45 mg+Temsirolimus 25 mg (Non-DDI)706
Pimasertib 75 mg+Temsirolimus 25 mg (Non-DDI)1402

Area Under the Concentration Time Curve During a Dosing Interval (AUCtau) and Area Under the Concentration Time Curve From Time Zero to Infinity (AUC0-inf) of Pimasertib

The AUCtau was defined as the area under the concentration curve divided by the dosing interval. AUC(0-inf) was estimated by determining the total area under the curve of the concentration versus time curve extrapolated to infinity. Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. (NCT01378377)
Timeframe: DDI cohorts: Days 9 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1 for AUCtau; DDI cohorts: Day 1 of Cycle 1 AUC0-inf

,
Interventionhour*nanogram/milliliter (Median)
DDI: AUCtau: Day 9DDI: AUC0-inf: Day 1
Pimasertib 45 mg+Temsirolimus 12.5 mg (DDI)628573.2
Pimasertib 45 mg+Temsirolimus 25 mg (DDI)805828.6

Maximum Plasma Concentration (Cmax) of Pimasertib

Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. (NCT01378377)
Timeframe: Drug-drug interaction (DDI) cohorts: Days 1 and 9 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1

,
Interventionnanogram/milliliter (Median)
Non-DDI: Day 8
Pimasertib 45 mg+Temsirolimus 25 mg (Non-DDI)197.6
Pimasertib 75 mg+Temsirolimus 25 mg (Non-DDI)308.1

Maximum Plasma Concentration (Cmax) of Pimasertib

Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. (NCT01378377)
Timeframe: Drug-drug interaction (DDI) cohorts: Days 1 and 9 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1

,
Interventionnanogram/milliliter (Median)
DDI: Day 1DDI: Day 9
Pimasertib 45 mg+Temsirolimus 12.5 mg (DDI)185.2131
Pimasertib 45 mg+Temsirolimus 25 mg (DDI)193.5192.1

Maximum Plasma Concentration (Cmax) of Temsirolimus

Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. (NCT01378377)
Timeframe: DDI cohorts: Days 9 and 16 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 8

,
Interventionnanogram/milliliter (Median)
Non-DDI: Day 8
Pimasertib 45 mg+Temsirolimus 25 mg (Non-DDI)489.9
Pimasertib 75 mg+Temsirolimus 25 mg (Non-DDI)480.9

Maximum Plasma Concentration (Cmax) of Temsirolimus

Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. (NCT01378377)
Timeframe: DDI cohorts: Days 9 and 16 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 8

,
Interventionnanogram/milliliter (Median)
DDI: Day 9DDI: Day 16
Pimasertib 45 mg+Temsirolimus 12.5 mg (DDI)457.5281.1
Pimasertib 45 mg+Temsirolimus 25 mg (DDI)505.3511.8

Time to Reach Maximum Plasma Concentration (Tmax) of Pimasertib

Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. (NCT01378377)
Timeframe: DDI cohorts: Days 1 and 9 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1

,
Interventionhour (Median)
Non-DDI: Day 8
Pimasertib 45 mg+Temsirolimus 25 mg (Non-DDI)1.5
Pimasertib 75 mg+Temsirolimus 25 mg (Non-DDI)0.5833

Time to Reach Maximum Plasma Concentration (Tmax) of Pimasertib

Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. (NCT01378377)
Timeframe: DDI cohorts: Days 1 and 9 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1

,
Interventionhour (Median)
DDI: Day 1DDI: Day 9
Pimasertib 45 mg+Temsirolimus 12.5 mg (DDI)12.3
Pimasertib 45 mg+Temsirolimus 25 mg (DDI)1.51.133

Time to Reach Maximum Plasma Concentration (Tmax) of Temsirolimus

Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. (NCT01378377)
Timeframe: DDI cohorts: Days 9 and 16 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1

,
Interventionhour (Median)
Non-DDI: Day 8
Pimasertib 45 mg+Temsirolimus 25 mg (Non-DDI)0.5
Pimasertib 75 mg+Temsirolimus 25 mg (Non-DDI)0.55

Time to Reach Maximum Plasma Concentration (Tmax) of Temsirolimus

Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. (NCT01378377)
Timeframe: DDI cohorts: Days 9 and 16 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1

,
Interventionhour (Median)
DDI: Day 9DDI: Day 16
Pimasertib 45 mg+Temsirolimus 12.5 mg (DDI)0.74170.9333
Pimasertib 45 mg+Temsirolimus 25 mg (DDI)0.56670.5

Total Body Clearance From Plasma Following Intravenous Administration (CL) of Temsirolimus

The clearance of a drug was a measure of the rate at which a drug was metabolized or eliminated by normal biological processes. Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. (NCT01378377)
Timeframe: DDI cohorts: Days 9 and 16 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1

,
Interventionliter/hour (Median)
Non-DDI: Day 8
Pimasertib 45 mg+Temsirolimus 25 mg (Non-DDI)6.284
Pimasertib 75 mg+Temsirolimus 25 mg (Non-DDI)11.39

Total Body Clearance From Plasma Following Intravenous Administration (CL) of Temsirolimus

The clearance of a drug was a measure of the rate at which a drug was metabolized or eliminated by normal biological processes. Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. (NCT01378377)
Timeframe: DDI cohorts: Days 9 and 16 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1

,
Interventionliter/hour (Median)
DDI: Day 9DDI: Day 16
Pimasertib 45 mg+Temsirolimus 12.5 mg (DDI)5.3787.528
Pimasertib 45 mg+Temsirolimus 25 mg (DDI)11.739.292

Volume of Distribution (Vz) of Temsirolimus

The Vz was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired serum concentration of a drug. Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. (NCT01378377)
Timeframe: DDI cohorts: Days 9 and 16 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1

,
Interventionliter (Median)
Non-DDI: Day 8
Pimasertib 45 mg+Temsirolimus 25 mg (Non-DDI)309.7
Pimasertib 75 mg+Temsirolimus 25 mg (Non-DDI)172.9

Volume of Distribution (Vz) of Temsirolimus

The Vz was defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired serum concentration of a drug. Pharmacokinetic parameters were reported based on DDI and non-DDI cohorts as per plan. (NCT01378377)
Timeframe: DDI cohorts: Days 9 and 16 of Cycle 1; Non-DDI cohorts: Day 8 of Cycle 1

,
Interventionliter (Median)
DDI: Day 9DDI: Day 16
Pimasertib 45 mg+Temsirolimus 12.5 mg (DDI)152189.5
Pimasertib 45 mg+Temsirolimus 25 mg (DDI)244.5233

Trials

2 trials available for metformin and Mucositis

ArticleYear
Phase 1 dose-finding study of metformin in combination with concurrent cisplatin and radiotherapy in patients with locally advanced head and neck squamous cell cancer.
    Cancer, 2020, 01-15, Volume: 126, Issue:2

    Topics: Acute Kidney Injury; Aged; Anemia; Antineoplastic Combined Chemotherapy Protocols; Chemoradiotherapy

2020
Incidence of mucositis in patients treated with temsirolimus-based regimens and correlation to treatment response.
    The oncologist, 2014, Volume: 19, Issue:4

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Antibodies, Monoclonal; Antibodies, Monoclonal, Humanize

2014
Incidence of mucositis in patients treated with temsirolimus-based regimens and correlation to treatment response.
    The oncologist, 2014, Volume: 19, Issue:4

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Antibodies, Monoclonal; Antibodies, Monoclonal, Humanize

2014
Incidence of mucositis in patients treated with temsirolimus-based regimens and correlation to treatment response.
    The oncologist, 2014, Volume: 19, Issue:4

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Antibodies, Monoclonal; Antibodies, Monoclonal, Humanize

2014
Incidence of mucositis in patients treated with temsirolimus-based regimens and correlation to treatment response.
    The oncologist, 2014, Volume: 19, Issue:4

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Antibodies, Monoclonal; Antibodies, Monoclonal, Humanize

2014
Incidence of mucositis in patients treated with temsirolimus-based regimens and correlation to treatment response.
    The oncologist, 2014, Volume: 19, Issue:4

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Antibodies, Monoclonal; Antibodies, Monoclonal, Humanize

2014
Incidence of mucositis in patients treated with temsirolimus-based regimens and correlation to treatment response.
    The oncologist, 2014, Volume: 19, Issue:4

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Antibodies, Monoclonal; Antibodies, Monoclonal, Humanize

2014
Incidence of mucositis in patients treated with temsirolimus-based regimens and correlation to treatment response.
    The oncologist, 2014, Volume: 19, Issue:4

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Antibodies, Monoclonal; Antibodies, Monoclonal, Humanize

2014
Incidence of mucositis in patients treated with temsirolimus-based regimens and correlation to treatment response.
    The oncologist, 2014, Volume: 19, Issue:4

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Antibodies, Monoclonal; Antibodies, Monoclonal, Humanize

2014
Incidence of mucositis in patients treated with temsirolimus-based regimens and correlation to treatment response.
    The oncologist, 2014, Volume: 19, Issue:4

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Antibodies, Monoclonal; Antibodies, Monoclonal, Humanize

2014