Page last updated: 2024-10-30

metformin and Pancreatitis

metformin has been researched along with Pancreatitis in 29 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.

Pancreatitis: INFLAMMATION of the PANCREAS. Pancreatitis is classified as acute unless there are computed tomographic or endoscopic retrograde cholangiopancreatographic findings of CHRONIC PANCREATITIS (International Symposium on Acute Pancreatitis, Atlanta, 1992). The two most common forms of acute pancreatitis are ALCOHOLIC PANCREATITIS and gallstone pancreatitis.

Research Excerpts

ExcerptRelevanceReference
"In people with metformin-treated diabetes, to evaluate the risk of acute pancreatitis, pancreatic cancer and other diseases of the pancreas post second-line anti-hyperglycaemic agent initiation."7.91Treatment with incretins does not increase the risk of pancreatic diseases compared to older anti-hyperglycaemic drugs, when added to metformin: real world evidence in people with Type 2 diabetes. ( Atherton, J; Green, JB; Montvida, O; Paul, SK, 2019)
"We evaluated the relationship between liraglutide and acute pancreatitis or pancreatic cancer in an ongoing post-marketing safety assessment programme."7.80A prospective, claims-based assessment of the risk of pancreatitis and pancreatic cancer with liraglutide compared to other antidiabetic drugs. ( Chan, KA; Funch, D; Gydesen, H; Major-Pedersen, A; Tornøe, K, 2014)
"Metformin use in diabetes can cause acidosis and might be linked to pancreatitis."7.76Metformin treatment of diabetes mellitus increases the risk for pancreatitis in patients bearing the CFTR-mutation S573C. ( Cassidy, D; Kongsuphol, P; Kunzelmann, K; Mehta, A; Romeiras, F; Schreiber, R, 2010)
"To estimate risk and relative risk (RR) of acute pancreatitis among patients using incretin-based diabetes therapies (exenatide or sitagliptin) compared to patients treated with agents with established safety profiles (metformin or glyburide)."7.75Use of a claims-based active drug safety surveillance system to assess the risk of acute pancreatitis with exenatide or sitagliptin compared to metformin or glyburide. ( Arnold Chan, K; Dore, DD; Seeger, JD, 2009)
"An 82-year-old woman with type 2 diabetes mellitus, hypertension, and unstable angina presented with severe lactic acidosis and acute kidney injury (AKI) accompanied by acute pancreatitis."5.39Severe lactic acidosis and acute pancreatitis associated with cimetidine in a patient with type 2 diabetes mellitus taking metformin. ( Ahn, KS; Hong, CW; Kang, GW; Lee, DY; Lee, IH; Seo, JH, 2013)
"Byetta was withdrawn, the patient was treated for acute pancreatitis and the symptoms subsided."5.35Exenatide and acute pancreatitis. ( Basha, S; Jain, R; Ramachandran, A; Shetty, S; Tripathy, NR, 2008)
"Metformin is a biguanide commonly used in type 2 diabetes and considered to be a safe drug with minimal side effects."5.32Metformin induced acute pancreatitis precipitated by renal failure. ( Mallick, S, 2004)
"In people with metformin-treated diabetes, to evaluate the risk of acute pancreatitis, pancreatic cancer and other diseases of the pancreas post second-line anti-hyperglycaemic agent initiation."3.91Treatment with incretins does not increase the risk of pancreatic diseases compared to older anti-hyperglycaemic drugs, when added to metformin: real world evidence in people with Type 2 diabetes. ( Atherton, J; Green, JB; Montvida, O; Paul, SK, 2019)
"To examine the relationship between different anti-diabetic therapies (dipeptidyl peptidase-4 (DPP-4), metformin and sulfonylureas) and risk of acute pancreatitis among type 2 diabetic patients in Taiwan, and explore each drug's dose-response relationship."3.81Anti-diabetic therapies and the risk of acute pancreatitis: a nationwide retrospective cohort study from Taiwan. ( Chang, HY; Chiang, YT; Hsieh, CF; Huang, WF; Singh, S; Tang, W, 2015)
"We evaluated the relationship between liraglutide and acute pancreatitis or pancreatic cancer in an ongoing post-marketing safety assessment programme."3.80A prospective, claims-based assessment of the risk of pancreatitis and pancreatic cancer with liraglutide compared to other antidiabetic drugs. ( Chan, KA; Funch, D; Gydesen, H; Major-Pedersen, A; Tornøe, K, 2014)
"Metformin use in diabetes can cause acidosis and might be linked to pancreatitis."3.76Metformin treatment of diabetes mellitus increases the risk for pancreatitis in patients bearing the CFTR-mutation S573C. ( Cassidy, D; Kongsuphol, P; Kunzelmann, K; Mehta, A; Romeiras, F; Schreiber, R, 2010)
"To estimate risk and relative risk (RR) of acute pancreatitis among patients using incretin-based diabetes therapies (exenatide or sitagliptin) compared to patients treated with agents with established safety profiles (metformin or glyburide)."3.75Use of a claims-based active drug safety surveillance system to assess the risk of acute pancreatitis with exenatide or sitagliptin compared to metformin or glyburide. ( Arnold Chan, K; Dore, DD; Seeger, JD, 2009)
" The overall frequency of adverse events was similar among the groups."2.84Randomized, double-blind, phase III study to evaluate the efficacy and safety of once-daily treatment with alogliptin and metformin hydrochloride in Japanese patients with type 2 diabetes. ( Kaku, K; Katou, M; Kinugawa, Y; Nishiyama, Y; Sumino, S, 2017)
" Secondary outcomes were non-cardiovascular adverse events."2.82Comparative effectiveness of cardiovascular, renal and safety outcomes of second-line antidiabetic drugs use in people with type 2 diabetes: A systematic review and network meta-analysis of randomised controlled trials. ( Chong, CW; Fong, AYY; Hussein, Z; Khunti, K; Lee, SWH; Loganadan, NK; Navaravong, L; Sim, R, 2022)
"Vildagliptin is an effective and safe therapeutic option for patients with T2DM, both as monotherapy and as add-on treatment."2.53Systematic review and meta-analysis of vildagliptin for treatment of type 2 diabetes. ( Athanasiadou, E; Bekiari, E; Boura, P; Karagiannis, T; Liakos, A; Mainou, M; Papatheodorou, K; Rika, M; Rizava, C; Tsapas, A, 2016)
"Metformin promotes a survival benefit in individuals with PPDM but not PCRD."1.51Antidiabetic Medications and Mortality Risk in Individuals With Pancreatic Cancer-Related Diabetes and Postpancreatitis Diabetes: A Nationwide Cohort Study. ( Cho, J; Goodarzi, MO; Pandol, SJ; Petrov, MS; Scragg, R, 2019)
"To assess the risk of acute pancreatitis during treatment with glucagon-like peptide 1 receptor agonist dulaglutide, placebo, and active comparators across phase 2/3 dulaglutide trials."1.46Assessment of Pancreas Safety in the Development Program of Once-Weekly GLP-1 Receptor Agonist Dulaglutide. ( Anglin, G; Barkin, JS; Frossard, JL; Harper, KD; Hensley, IE; Milicevic, Z; Nauck, MA, 2017)
"Metformin treatment alone or with sitagliptin decreased islet amyloid deposition to a similar extent vs untreated mice."1.39One year of sitagliptin treatment protects against islet amyloid-associated β-cell loss and does not induce pancreatitis or pancreatic neoplasia in mice. ( Aston-Mourney, K; Goldstein, LC; Hull, RL; Meier, DT; Samarasekera, T; Subramanian, SL; Zraika, S, 2013)
"An 82-year-old woman with type 2 diabetes mellitus, hypertension, and unstable angina presented with severe lactic acidosis and acute kidney injury (AKI) accompanied by acute pancreatitis."1.39Severe lactic acidosis and acute pancreatitis associated with cimetidine in a patient with type 2 diabetes mellitus taking metformin. ( Ahn, KS; Hong, CW; Kang, GW; Lee, DY; Lee, IH; Seo, JH, 2013)
"Type 2 diabetes mellitus is likely the third modifiable risk factor for pancreatic cancer after cigarette smoking and obesity."1.38Diabetes and pancreatic cancer. ( Li, D, 2012)
"Byetta was withdrawn, the patient was treated for acute pancreatitis and the symptoms subsided."1.35Exenatide and acute pancreatitis. ( Basha, S; Jain, R; Ramachandran, A; Shetty, S; Tripathy, NR, 2008)
"Metformin is a biguanide commonly used in type 2 diabetes and considered to be a safe drug with minimal side effects."1.32Metformin induced acute pancreatitis precipitated by renal failure. ( Mallick, S, 2004)

Research

Studies (29)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's9 (31.03)29.6817
2010's19 (65.52)24.3611
2020's1 (3.45)2.80

Authors

AuthorsStudies
Sim, R1
Chong, CW1
Loganadan, NK1
Fong, AYY1
Navaravong, L1
Hussein, Z1
Khunti, K1
Lee, SWH1
Montvida, O1
Green, JB1
Atherton, J1
Paul, SK1
Cho, J1
Scragg, R1
Pandol, SJ1
Goodarzi, MO1
Petrov, MS1
Mathuram Thiyagarajan, U1
Ponnuswamy, A1
Chung, A1
Aston-Mourney, K1
Subramanian, SL1
Zraika, S1
Samarasekera, T1
Meier, DT1
Goldstein, LC1
Hull, RL1
Kalantar-Zadeh, K1
Uppot, RN1
Lewandrowski, KB1
Seo, JH1
Lee, DY1
Hong, CW1
Lee, IH1
Ahn, KS1
Kang, GW1
Funch, D1
Gydesen, H1
Tornøe, K1
Major-Pedersen, A1
Chan, KA1
Del Prato, S1
Camisasca, R1
Wilson, C1
Fleck, P1
Chang, HY1
Hsieh, CF1
Singh, S1
Tang, W1
Chiang, YT1
Huang, WF1
Bekiari, E1
Rizava, C1
Athanasiadou, E1
Papatheodorou, K1
Liakos, A1
Karagiannis, T1
Mainou, M1
Rika, M1
Boura, P1
Tsapas, A1
McFadden, M1
Gordon, A1
Leong, G1
Ward, D1
Scott, JG1
Taylor, SA1
Himes, R1
Hastings, E1
Garland, B1
Tinahones, FJ1
Gallwitz, B1
Nordaby, M1
Götz, S1
Maldonado-Lutomirsky, M1
Woerle, HJ1
Broedl, UC1
Kaku, K1
Sumino, S1
Katou, M1
Nishiyama, Y1
Kinugawa, Y1
Nauck, MA1
Frossard, JL1
Barkin, JS1
Anglin, G1
Hensley, IE1
Harper, KD1
Milicevic, Z1
Molina Infante, J1
Prieto Bermejo, AB1
Pérez Gallardo, B1
Fernández Bermejo, M1
Dore, DD1
Seeger, JD1
Arnold Chan, K1
Tripathy, NR1
Basha, S1
Jain, R1
Shetty, S1
Ramachandran, A1
Kongsuphol, P1
Cassidy, D1
Romeiras, F1
Schreiber, R1
Mehta, A1
Kunzelmann, K1
Boehm, KM1
Gunaga, S1
Li, D1
Gier, B1
Matveyenko, AV1
Kirakossian, D1
Dawson, D1
Dry, SM1
Butler, PC1
Bhasin, DK1
Sidhu, RS1
Bhansali, A1
Nagi, B1
Mallick, S1
Fimognari, FL1
Corsonello, A1
Pastorell, R1
Antonelli-Incalzi, R1
Ortega Carnicer, J1
Ambrós Checa, A1
Diarte De Miguel, J1
Audia, P1
Feinfeld, DA1
Dubrow, A1
Winchester, JF1
Ben, MH1
Thabet, H1
Zaghdoudi, I1
Amamou, M1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Phase III, Randomized, Double-blind, Parallel Group Study to Evaluate the Efficacy and Safety of Linagliptin 5 mg Compared to Placebo, Administered as Oral Fixed Dose Combination With Empagliflozin 10 mg or 25 mg for 24 Weeks, in Patients With Type 2 Di[NCT01778049]Phase 3708 participants (Actual)Interventional2013-01-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change From Baseline of HbA1c After 24 Weeks of Treatment.

"Change from baseline in Glycated haemoglobin (HbA1c) [%] after 24 weeks of treatment with double-blind trial medication, i.e. HbA1c change from baseline at Week 24. The term baseline was not used to refer to measurements prior to the administration of open-label medication. Such measurements were referred to as pre-treatment. Analyses of change from pre-treatment used the last value before first administration of open-label medication as point of reference.~Observed Case (OC): This method analyse only available data that were observed while patients were on treatment, i.e., excluding the missing data. All values measured after rescue medication taken were set to missing. Full Analysis Set (FAS): Includes all patients in the Treated set who had a baseline HbA1c assessment and at least 1 on-treatment HbA1c assessment during the double-blind part of the trial." (NCT01778049)
Timeframe: Baseline and 24 weeks

InterventionPercentage of HbA1c (Least Squares Mean)
Lina5 (E10)-0.53
Plc (E10)-0.21
Lina5 (E25)-0.58
Plc (E25)-0.10

Fasting Plasma Glucose (FPG) Change From Baseline at 24 Weeks.

Change from baseline FPG (mmol/L) after 24 weeks of treatment with double-blind trial medication, i.e. FPG change from baseline at Week 24. (NCT01778049)
Timeframe: Baseline and 24 weeks

Interventionmmol/L (Least Squares Mean)
Lina5 (E10)-0.44
Plc (E10)0.21
Lina5 (E25)-0.68
Plc (E25)-0.24

Reviews

3 reviews available for metformin and Pancreatitis

ArticleYear
Comparative effectiveness of cardiovascular, renal and safety outcomes of second-line antidiabetic drugs use in people with type 2 diabetes: A systematic review and network meta-analysis of randomised controlled trials.
    Diabetic medicine : a journal of the British Diabetic Association, 2022, Volume: 39, Issue:3

    Topics: Cardiovascular Diseases; Diabetes Mellitus, Type 2; Glucagon-Like Peptide-1 Receptor; Humans; Hypogl

2022
Systematic review and meta-analysis of vildagliptin for treatment of type 2 diabetes.
    Endocrine, 2016, Volume: 52, Issue:3

    Topics: Adamantane; Blood Glucose; Diabetes Mellitus, Type 2; Humans; Hypoglycemia; Hypoglycemic Agents; Met

2016
Gastrointestinal Conditions in the Obese Patient.
    Adolescent medicine: state of the art reviews, 2016,Spring, Volume: 27, Issue:1

    Topics: Adolescent; Anti-Inflammatory Agents, Non-Steroidal; Anti-Obesity Agents; Constipation; Contraceptiv

2016

Trials

3 trials available for metformin and Pancreatitis

ArticleYear
Durability of the efficacy and safety of alogliptin compared with glipizide in type 2 diabetes mellitus: a 2-year study.
    Diabetes, obesity & metabolism, 2014, Volume: 16, Issue:12

    Topics: Adult; Aged; Blood Glucose; Cardiovascular Diseases; Diabetes Mellitus, Type 2; Dipeptidyl-Peptidase

2014
Linagliptin as add-on to empagliflozin and metformin in patients with type 2 diabetes: Two 24-week randomized, double-blind, double-dummy, parallel-group trials.
    Diabetes, obesity & metabolism, 2017, Volume: 19, Issue:2

    Topics: Aged; Benzhydryl Compounds; Blood Glucose; Diabetes Mellitus, Type 2; Double-Blind Method; Drug Ther

2017
Randomized, double-blind, phase III study to evaluate the efficacy and safety of once-daily treatment with alogliptin and metformin hydrochloride in Japanese patients with type 2 diabetes.
    Diabetes, obesity & metabolism, 2017, Volume: 19, Issue:3

    Topics: Acute Disease; Aged; Blood Glucose; Diabetes Mellitus, Type 2; Double-Blind Method; Drug Administrat

2017

Other Studies

23 other studies available for metformin and Pancreatitis

ArticleYear
Treatment with incretins does not increase the risk of pancreatic diseases compared to older anti-hyperglycaemic drugs, when added to metformin: real world evidence in people with Type 2 diabetes.
    Diabetic medicine : a journal of the British Diabetic Association, 2019, Volume: 36, Issue:4

    Topics: Acute Disease; Aged; Diabetes Mellitus, Type 2; Dipeptidyl-Peptidase IV Inhibitors; Drug Therapy, Co

2019
Antidiabetic Medications and Mortality Risk in Individuals With Pancreatic Cancer-Related Diabetes and Postpancreatitis Diabetes: A Nationwide Cohort Study.
    Diabetes care, 2019, Volume: 42, Issue:9

    Topics: Adult; Aged; Aged, 80 and over; Cohort Studies; Diabetes Mellitus, Type 2; Female; Humans; Hypoglyce

2019
An enigmatic triad of acute pancreatitis, diabetic ketoacidosis and hypertriglyceridaemia: who is the culprit?
    BMJ case reports, 2019, Jul-10, Volume: 12, Issue:7

    Topics: Adult; Diabetes Mellitus, Type 2; Diabetic Ketoacidosis; Fluid Therapy; Humans; Hydroxymethylglutary

2019
One year of sitagliptin treatment protects against islet amyloid-associated β-cell loss and does not induce pancreatitis or pancreatic neoplasia in mice.
    American journal of physiology. Endocrinology and metabolism, 2013, Aug-15, Volume: 305, Issue:4

    Topics: Animals; Diabetes Mellitus, Type 2; Dipeptidyl-Peptidase IV Inhibitors; Drug Therapy, Combination; H

2013
Case records of the Massachusetts General Hospital. Case 23-2013. A 54-year-old woman with abdominal pain, vomiting, and confusion.
    The New England journal of medicine, 2013, Jul-25, Volume: 369, Issue:4

    Topics: Abdominal Pain; Acidosis, Lactic; Confusion; Diabetes Mellitus, Type 2; Diagnosis, Differential; Fem

2013
Severe lactic acidosis and acute pancreatitis associated with cimetidine in a patient with type 2 diabetes mellitus taking metformin.
    Internal medicine (Tokyo, Japan), 2013, Volume: 52, Issue:19

    Topics: Acidosis, Lactic; Aged, 80 and over; Cimetidine; Diabetes Mellitus, Type 2; Drug Interactions; Drug

2013
A prospective, claims-based assessment of the risk of pancreatitis and pancreatic cancer with liraglutide compared to other antidiabetic drugs.
    Diabetes, obesity & metabolism, 2014, Volume: 16, Issue:3

    Topics: Databases, Factual; Dipeptidyl-Peptidase IV Inhibitors; Female; Glucagon-Like Peptide 1; Humans; Hyp

2014
Anti-diabetic therapies and the risk of acute pancreatitis: a nationwide retrospective cohort study from Taiwan.
    Pharmacoepidemiology and drug safety, 2015, Volume: 24, Issue:6

    Topics: Adolescent; Adult; Aged; Cohort Studies; Diabetes Mellitus, Type 2; Dipeptidyl-Peptidase IV Inhibito

2015
Pancreatitis associated with metformin used for management of clozapine-related weight gain.
    The Australian and New Zealand journal of psychiatry, 2016, Volume: 50, Issue:7

    Topics: Adolescent; Antipsychotic Agents; Clozapine; Disease Management; Humans; Male; Metformin; Pancreatit

2016
Assessment of Pancreas Safety in the Development Program of Once-Weekly GLP-1 Receptor Agonist Dulaglutide.
    Diabetes care, 2017, Volume: 40, Issue:5

    Topics: Acute Disease; Diabetes Mellitus, Type 2; Exenatide; Female; Glucagon-Like Peptide-1 Receptor; Gluca

2017
[Toxic metformin-associated acute pancreatitis without kidney failure].
    Medicina clinica, 2008, Oct-18, Volume: 131, Issue:13

    Topics: Acute Disease; Female; Humans; Hypoglycemic Agents; Metformin; Pancreatitis; Renal Insufficiency; Yo

2008
Use of a claims-based active drug safety surveillance system to assess the risk of acute pancreatitis with exenatide or sitagliptin compared to metformin or glyburide.
    Current medical research and opinion, 2009, Volume: 25, Issue:4

    Topics: Adolescent; Adult; Databases, Factual; Exenatide; Female; Glyburide; Humans; Hypoglycemic Agents; In

2009
Exenatide and acute pancreatitis.
    The Journal of the Association of Physicians of India, 2008, Volume: 56

    Topics: Acute Disease; Diabetes Mellitus, Type 2; Drug Interactions; Exenatide; Female; Humans; Hypoglycemic

2008
Metformin treatment of diabetes mellitus increases the risk for pancreatitis in patients bearing the CFTR-mutation S573C.
    Cellular physiology and biochemistry : international journal of experimental cellular physiology, biochemistry, and pharmacology, 2010, Volume: 25, Issue:4-5

    Topics: Amino Acid Substitution; Animals; Colforsin; Cyclic AMP; Cystic Fibrosis Transmembrane Conductance R

2010
Cimetidine-induced lactic acidosis and acute pancreatitis.
    Southern medical journal, 2010, Volume: 103, Issue:8

    Topics: Acidosis, Lactic; Acute Disease; Cimetidine; Diabetes Mellitus, Type 2; Drug Interactions; Female; G

2010
Diabetes and pancreatic cancer.
    Molecular carcinogenesis, 2012, Volume: 51, Issue:1

    Topics: Adipokines; Diabetes Mellitus, Type 2; Early Detection of Cancer; Humans; Hypoglycemic Agents; Insul

2012
Chronic GLP-1 receptor activation by exendin-4 induces expansion of pancreatic duct glands in rats and accelerates formation of dysplastic lesions and chronic pancreatitis in the Kras(G12D) mouse model.
    Diabetes, 2012, Volume: 61, Issue:5

    Topics: Animals; Exenatide; Glucagon-Like Peptide-1 Receptor; Homeodomain Proteins; Humans; Hypoglycemic Age

2012
Diabetic ketoacidosis in a patient with chronic calcific pancreatitis after minor papilla stent insertion.
    Gastrointestinal endoscopy, 2004, Volume: 59, Issue:3

    Topics: Alcoholism; Calcinosis; Cholangiopancreatography, Endoscopic Retrograde; Chronic Disease; Diabetic K

2004
Metformin induced acute pancreatitis precipitated by renal failure.
    Postgraduate medical journal, 2004, Volume: 80, Issue:942

    Topics: Acidosis, Lactic; Acute Disease; Acute Kidney Injury; Angiotensin-Converting Enzyme Inhibitors; Anti

2004
Metformin-induced pancreatitis: A possible adverse drug effect during acute renal failure.
    Diabetes care, 2006, Volume: 29, Issue:5

    Topics: Acute Disease; Acute Kidney Injury; Diabetes Mellitus; Female; Humans; Hypoglycemic Agents; Metformi

2006
[Acute pancreatitis, acute kidney failure, metformin intoxication and villous rectal adenoma].
    Medicina intensiva, 2006, Volume: 30, Issue:8

    Topics: Acidosis, Lactic; Acute Kidney Injury; Adenoma, Villous; Aged; Colonic Neoplasms; Colonoscopy; Diabe

2006
Metformin-induced lactic acidosis and acute pancreatitis precipitated by diuretic, celecoxib, and candesartan-associated acute kidney dysfunction.
    Clinical toxicology (Philadelphia, Pa.), 2008, Volume: 46, Issue:2

    Topics: Acidosis, Lactic; Acute Disease; Acute Kidney Injury; Angiotensin II Type 1 Receptor Blockers; Benzi

2008
Metformin associated acute pancreatitis.
    Veterinary and human toxicology, 2002, Volume: 44, Issue:1

    Topics: Acute Disease; Adult; Amylases; Female; Humans; Hypoglycemic Agents; Lipase; Metformin; Pancreatitis

2002