Page last updated: 2024-10-30

metformin and Vascular Diseases

metformin has been researched along with Vascular Diseases in 22 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.

Vascular Diseases: Pathological processes involving any of the BLOOD VESSELS in the cardiac or peripheral circulation. They include diseases of ARTERIES; VEINS; and rest of the vasculature system in the body.

Research Excerpts

ExcerptRelevanceReference
"Metformin has been used as an oral anti-hyperglycaemic drug since the late 1950s; however, following the release in 1998 of the findings of the 20-year United Kingdom Prospective Diabetes Study (UKPDS), metformin use rapidly increased and today is the first-choice anti-hyperglycaemic drug for patients with type 2 diabetes (T2D)."3.01Repurposing Metformin for Vascular Disease. ( Anderson, TJ; Ding, H; Hill, MA; Hollenberg, MD; Marei, I; Triggle, CR; Ye, K, 2023)
"Oral metformin 850mg bid was administered to PCOS patients."2.73Evaluation of endothelial function in women with polycystic ovary syndrome. ( Blumenfeld, Z; Damti, A; Lowenstein, L; Pillar, G; Shott, S, 2007)
"Metformin treatment significantly reduced carotid artery intima-media thickness (MD -0."2.66Vascular and metabolic effects of metformin added to insulin therapy in patients with type 1 diabetes: A systematic review and meta-analysis. ( Chen, CN; Chen, ZG; Lin, XP; Liu, YS; Peng, Y; Xu, LL, 2020)
"Metformin has unique, intrinsic actions specifically at the level of terminal arterioles, which are completely independent of its antidiabetic effect."2.48Microvascular diseases: is a new era coming? ( Rapin, JR; Wiernsperger, N, 2012)
"Metformin is an antihyperglycaemic drug with pleiotropic effects that result in cardiovascular improvement."1.40Metformin ameliorates ovariectomy-induced vascular dysfunction in non-diabetic Wistar rats. ( Bissoli, NS; Caliman, IF; de Abreu, GR; de Andrade, TU; de Figueiredo, SG; de Sousa, GJ; Lamas, AZ; Oliveira, PW; Santos de Medeiros, AR, 2014)

Research

Studies (22)

TimeframeStudies, this research(%)All Research%
pre-19904 (18.18)18.7374
1990's2 (9.09)18.2507
2000's3 (13.64)29.6817
2010's7 (31.82)24.3611
2020's6 (27.27)2.80

Authors

AuthorsStudies
Triggle, CR2
Marei, I1
Ye, K1
Ding, H2
Anderson, TJ1
Hollenberg, MD1
Hill, MA1
Chellian, J2
Mak, KK2
Chellappan, DK2
Krishnappa, P2
Pichika, MR2
Mone, P1
Lombardi, A1
Kansakar, U1
Varzideh, F1
Jankauskas, SS1
Pansini, A1
Marzocco, S1
De Gennaro, S1
Famiglietti, M1
Macina, G1
Frullone, S1
Santulli, G1
Liu, YS1
Chen, CN1
Chen, ZG1
Peng, Y1
Lin, XP1
Xu, LL1
Ferrannini, G1
Gerstein, H1
Colhoun, HM1
Dagenais, GR1
Diaz, R1
Dyal, L1
Lakshmanan, M1
Mellbin, L1
Probstfield, J1
Riddle, MC1
Shaw, JE1
Avezum, A1
Basile, JN1
Cushman, WC1
Jansky, P1
Keltai, M1
Lanas, F1
Leiter, LA1
Lopez-Jaramillo, P1
Pais, P1
Pīrāgs, V1
Pogosova, N1
Raubenheimer, PJ1
Sheu, WH2
Rydén, L1
Ionică, LN1
Gaiță, L1
Bînă, AM1
Soșdean, R1
Lighezan, R1
Sima, A1
Malița, D1
Crețu, OM1
Burlacu, O1
Muntean, DM1
Sturza, A1
Oliveira, PW1
de Sousa, GJ1
Caliman, IF1
Lamas, AZ1
Santos de Medeiros, AR1
de Andrade, TU1
de Abreu, GR1
de Figueiredo, SG1
Bissoli, NS1
Kinaan, M1
Misra, A1
Ke, CC1
Lai, HC1
Lin, CH1
Hung, CJ1
Chen, DY1
Lui, PW1
Heller, SR1
Ewart, MA1
Kennedy, S1
Wiernsperger, N1
Rapin, JR1
Lowenstein, L1
Damti, A1
Pillar, G1
Shott, S1
Blumenfeld, Z1
Holmwood, C1
Philips, P1
Verstraete, M1
Montanari, G1
Bondioli, A1
Rizzato, G1
Puttini, M1
Tremoli, E1
Mussoni, L1
Mannucci, L1
Pazzucconi, F1
Sirtori, CR1
Fearnley, GR2
Chakrabarti, R2
Hocking, ED1
Evans, JF1
Schneider, T1
Lopis, S1

Clinical Trials (6)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
The Emirates Heart Health Project: A Stepped-wedge Cluster Randomized-controlled Trial of a Family-based Health Coach Guided Dietary and Exercise Intervention for Reducing Weight and Cardiovascular Risk in Overweight and Obese Adult Nationals of the Unite[NCT04688684]80 participants (Anticipated)Interventional2022-06-01Not yet recruiting
Diabetes Prevention Program Outcomes Study[NCT00038727]Phase 32,779 participants (Actual)Interventional2002-09-30Active, not recruiting
[NCT00004992]Phase 33,234 participants (Actual)Interventional1996-07-31Completed
Assessment of a Peripheral Endothelial Dysfunction in COPD (Chronic Obstructive Pulmonary Disease)[NCT02593357]137 participants (Actual)Interventional2012-12-17Completed
Peripheral Endothelial Function in Asthmatic Patients[NCT02593344]113 participants (Actual)Interventional2012-12-13Completed
A Randomized Trial of Metformin as Adjunct Therapy for Overweight Adolescents With Type 1 Diabetes[NCT01881828]Phase 3164 participants (Actual)Interventional2013-09-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Development of Diabetes.

Primary outcome for years 2002-2008 defined according to American Diabetes Association criteria (fasting plasma glucose level >= 126 mg/dL [7.0 mmol/L] or 2-hour plasma glucose >= 200 mg/dL [11.1 mmol/L], after a 75 gram oral glucose tolerance test (OGTT), and confirmed with a repeat test). (NCT00038727)
Timeframe: Outcomes were assessed from 1996-2008 (approximately 12 years including 6 years of DPP).

Interventiondiabetes incidence (cases per 100 person (Number)
1 Original Lifestyle5.3
2 Original Metformin6.4
3 Original Placebo7.8

Mortality

All cause-mortality through clinic reports and National Death Index search (NCT00038727)
Timeframe: Outcomes were assessed throughout follow-up from 1996 to 2022. National Death Index search conducted in 2019 using early release data as of Dec 2018.

InterventionParticipants (Count of Participants)
1 Original Lifestyle158
2 Original Metformin152
3 Original Placebo143

Prevalence of Aggregate Microvascular Complication

Aggregate microvascular disease is defined as the average prevalence of 3 components: (1) retinopathy measured by photography (ETDRS of 20 or greater); (2) neuropathy detected by Semmes Weinstein 10 gram monofilament, and (3) nephropathy based on estimated glomerular filtration rate (eGFR by chronic kidney disease (CKD-Epi) equation ) (<45 ml/min, confirmed) and albumin-to-creatinine ratio in spot urine (> 30mg/gm, confirmed). (NCT00038727)
Timeframe: Outcomes were assessed from 2012-2013 (approximately 2 years).

Interventionaverage percentage of participants (Number)
1 Original Lifestyle11.3
2 Original Metformin13
3 Original Placebo12.4

Subclinical Atherosclerosis

Measured using coronary artery calcification (CAC). (NCT00038727)
Timeframe: Outcomes were assessed from 2012-2013 (approximately 2 years).

,,
InterventionCAC geometric mean in AU (Geometric Mean)
MenWomen
1 Original Lifestyle70.16.0
2 Original Metformin40.26.1
3 Original Placebo63.75.3

Change in Body Composition

Change in percent body fat (NCT01881828)
Timeframe: 0-26 weeks

Interventionpercentage of change (Mean)
Metformin-0
Oral Placebo1

Change in Body Mass Index (BMI)

(NCT01881828)
Timeframe: 0-26 weeks

Interventionpercentile (Mean)
Metformin-1
Oral Placebo1

Change in Total Daily Dose of Insulin (TDI) Per kg

(NCT01881828)
Timeframe: 0-26 weeks

Interventioninsulin per kg (Mean)
Metformin-0.1
Oral Placebo-0.0

Change in Waist Circumference

(NCT01881828)
Timeframe: 0-26 weeks

Interventioncentimeters (Mean)
Metformin-0
Oral Placebo1

Change in Blood Pressure

(NCT01881828)
Timeframe: 0-26 weeks

,
Interventionmm Hg (Mean)
Change in SystolicChange in Diastolic
Metformin00
Oral Placebo-00

Change in Hemoglobin A1c From Baseline to 26 Weeks, Adjusted for Baseline Hemoglobin A1c.

Hemoglobin A1c is a measure of glycemic control over approximately the past 3 months (NCT01881828)
Timeframe: 0-26 weeks

,
Interventionpercentage (Mean)
HbA1cChange from Baseline to 26 Weeks
Metformin9.00.2
Oral Placebo8.90.2

Change in Hemoglobin A1c From Baseline to 26 Weeks, Adjusted for Baseline Hemoglobin A1c.

Hemoglobin A1c is a measure of glycemic control over approximately the past 3 months (NCT01881828)
Timeframe: 0-26 weeks

,
Interventionpercentage of participants (Number)
HbA1c Decrease ≥0.5%HbA1c Increase ≥0.5%HbA1c <7.5%
Metformin19443
Oral Placebo18354

Change in Serum Lipids

(NCT01881828)
Timeframe: 0-26 weeks

,
Interventionmg/dL (Mean)
Change in LDLChange in VLDLChange in HDLChange in TriglyceridesChange in Total Cholesterol
Metformin-6-0-04-5
Oral Placebo21-163

Reviews

7 reviews available for metformin and Vascular Diseases

ArticleYear
Repurposing Metformin for Vascular Disease.
    Current medicinal chemistry, 2023, Volume: 30, Issue:35

    Topics: Aging; Animals; COVID-19; Drug Repositioning; Endothelial Cells; Exercise; Humans; Metformin; Vascul

2023
Vascular and metabolic effects of metformin added to insulin therapy in patients with type 1 diabetes: A systematic review and meta-analysis.
    Diabetes/metabolism research and reviews, 2020, Volume: 36, Issue:6

    Topics: Diabetes Mellitus, Type 1; Drug Therapy, Combination; Humans; Hypoglycemic Agents; Insulin; Metformi

2020
Metformin: An Old Drug for the Treatment of Diabetes but a New Drug for the Protection of the Endothelium.
    Medical principles and practice : international journal of the Kuwait University, Health Science Centre, 2015, Volume: 24, Issue:5

    Topics: Adenylyl Cyclases; AMP-Activated Protein Kinases; Diabetes Mellitus, Type 2; Dose-Response Relations

2015
AMPK and vasculoprotection.
    Pharmacology & therapeutics, 2011, Volume: 131, Issue:2

    Topics: AMP-Activated Protein Kinases; Animals; Endothelium, Vascular; Humans; Hydroxymethylglutaryl-CoA Red

2011
Microvascular diseases: is a new era coming?
    Cardiovascular & hematological agents in medicinal chemistry, 2012, Volume: 10, Issue:2

    Topics: Diabetic Angiopathies; Hemorheology; Humans; Metformin; Microcirculation; Microvessels; Myocardial I

2012
Insulin and type 2 diabetes. Last resort or rational management?
    Australian family physician, 1999, Volume: 28, Issue:5

    Topics: Adult; Blood Glucose; Clinical Protocols; Diabetes Mellitus, Type 2; Drug Administration Schedule; D

1999
The position of long-term stimulation of the endogenous fibrinolytic system: present achievements and clinical perspectives.
    Thrombosis et diathesis haemorrhagica, 1975, Dec-15, Volume: 34, Issue:3

    Topics: Adrenocorticotropic Hormone; Anabolic Agents; Androgens; Clofibrate; Coronary Disease; Deamino Argin

1975

Trials

6 trials available for metformin and Vascular Diseases

ArticleYear
Similar cardiovascular outcomes in patients with diabetes and established or high risk for coronary vascular disease treated with dulaglutide with and without baseline metformin.
    European heart journal, 2021, 07-08, Volume: 42, Issue:26

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

2021
Long-term effects of lifestyle intervention or metformin on diabetes development and microvascular complications over 15-year follow-up: the Diabetes Prevention Program Outcomes Study.
    The lancet. Diabetes & endocrinology, 2015, Volume: 3, Issue:11

    Topics: Diabetes Mellitus, Type 2; Female; Follow-Up Studies; Humans; Hypoglycemic Agents; Life Style; Male;

2015
Long-term effects of lifestyle intervention or metformin on diabetes development and microvascular complications over 15-year follow-up: the Diabetes Prevention Program Outcomes Study.
    The lancet. Diabetes & endocrinology, 2015, Volume: 3, Issue:11

    Topics: Diabetes Mellitus, Type 2; Female; Follow-Up Studies; Humans; Hypoglycemic Agents; Life Style; Male;

2015
Long-term effects of lifestyle intervention or metformin on diabetes development and microvascular complications over 15-year follow-up: the Diabetes Prevention Program Outcomes Study.
    The lancet. Diabetes & endocrinology, 2015, Volume: 3, Issue:11

    Topics: Diabetes Mellitus, Type 2; Female; Follow-Up Studies; Humans; Hypoglycemic Agents; Life Style; Male;

2015
Long-term effects of lifestyle intervention or metformin on diabetes development and microvascular complications over 15-year follow-up: the Diabetes Prevention Program Outcomes Study.
    The lancet. Diabetes & endocrinology, 2015, Volume: 3, Issue:11

    Topics: Diabetes Mellitus, Type 2; Female; Follow-Up Studies; Humans; Hypoglycemic Agents; Life Style; Male;

2015
Evaluation of endothelial function in women with polycystic ovary syndrome.
    European journal of obstetrics, gynecology, and reproductive biology, 2007, Volume: 134, Issue:2

    Topics: Adolescent; Adult; Case-Control Studies; Endothelium, Vascular; Female; Follicular Phase; Humans; Hy

2007
Evaluation of endothelial function in women with polycystic ovary syndrome.
    European journal of obstetrics, gynecology, and reproductive biology, 2007, Volume: 134, Issue:2

    Topics: Adolescent; Adult; Case-Control Studies; Endothelium, Vascular; Female; Follicular Phase; Humans; Hy

2007
Evaluation of endothelial function in women with polycystic ovary syndrome.
    European journal of obstetrics, gynecology, and reproductive biology, 2007, Volume: 134, Issue:2

    Topics: Adolescent; Adult; Case-Control Studies; Endothelium, Vascular; Female; Follicular Phase; Humans; Hy

2007
Evaluation of endothelial function in women with polycystic ovary syndrome.
    European journal of obstetrics, gynecology, and reproductive biology, 2007, Volume: 134, Issue:2

    Topics: Adolescent; Adult; Case-Control Studies; Endothelium, Vascular; Female; Follicular Phase; Humans; Hy

2007
Treatment with low dose metformin in patients with peripheral vascular disease.
    Pharmacological research, 1992, Volume: 25, Issue:1

    Topics: Aged; Exercise Test; Humans; Lipids; Lipoproteins; Male; Metformin; Middle Aged; Plethysmography; Va

1992
Fibrinolytic effects of diguanides plus ethyloestrenol in occlusive vascular disease.
    Lancet (London, England), 1967, Nov-11, Volume: 2, Issue:7524

    Topics: Adult; Aged; Angina Pectoris; Biguanides; Blood Coagulation Tests; Cholesterol; Ethylestrenol; Femal

1967
HB419 (glibenclamide) in the treatment of diabetes mellitus.
    South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde, 1969, Aug-09, Volume: 43, Issue:32

    Topics: Adult; Age Factors; Aged; Biguanides; Chlorpropamide; Clinical Trials as Topic; Diabetes Complicatio

1969

Other Studies

9 other studies available for metformin and Vascular Diseases

ArticleYear
Quercetin and metformin synergistically reverse endothelial dysfunction in the isolated aorta of streptozotocin-nicotinamide- induced diabetic rats.
    Scientific reports, 2022, Dec-10, Volume: 12, Issue:1

    Topics: Animals; Diabetes Mellitus, Experimental; Endothelium, Vascular; Hypoglycemic Agents; Metformin; Nia

2022
Quercetin and metformin synergistically reverse endothelial dysfunction in the isolated aorta of streptozotocin-nicotinamide- induced diabetic rats.
    Scientific reports, 2022, Dec-10, Volume: 12, Issue:1

    Topics: Animals; Diabetes Mellitus, Experimental; Endothelium, Vascular; Hypoglycemic Agents; Metformin; Nia

2022
Quercetin and metformin synergistically reverse endothelial dysfunction in the isolated aorta of streptozotocin-nicotinamide- induced diabetic rats.
    Scientific reports, 2022, Dec-10, Volume: 12, Issue:1

    Topics: Animals; Diabetes Mellitus, Experimental; Endothelium, Vascular; Hypoglycemic Agents; Metformin; Nia

2022
Quercetin and metformin synergistically reverse endothelial dysfunction in the isolated aorta of streptozotocin-nicotinamide- induced diabetic rats.
    Scientific reports, 2022, Dec-10, Volume: 12, Issue:1

    Topics: Animals; Diabetes Mellitus, Experimental; Endothelium, Vascular; Hypoglycemic Agents; Metformin; Nia

2022
Empagliflozin Improves the MicroRNA Signature of Endothelial Dysfunction in Patients with Heart Failure with Preserved Ejection Fraction and Diabetes.
    The Journal of pharmacology and experimental therapeutics, 2023, Volume: 384, Issue:1

    Topics: Aged; Biomarkers; Diabetes Mellitus; Heart Failure; Humans; Insulins; Metformin; MicroRNAs; Sodium-G

2023
Metformin alleviates monoamine oxidase-related vascular oxidative stress and endothelial dysfunction in rats with diet-induced obesity.
    Molecular and cellular biochemistry, 2021, Volume: 476, Issue:11

    Topics: Animals; Aorta; Disease Models, Animal; Endothelium, Vascular; Hypoglycemic Agents; Male; Metformin;

2021
Metformin ameliorates ovariectomy-induced vascular dysfunction in non-diabetic Wistar rats.
    Clinical science (London, England : 1979), 2014, Volume: 127, Issue:4

    Topics: Acetylcholine; Animals; Endothelium, Vascular; Female; Hypoglycemic Agents; Membrane Glycoproteins;

2014
Prevention of diabetes: more answers, more questions.
    The lancet. Diabetes & endocrinology, 2015, Volume: 3, Issue:11

    Topics: Diabetes Mellitus, Type 2; Female; Humans; Hypoglycemic Agents; Life Style; Male; Metformin; Vascula

2015
Increased Risk of Herpes Zoster in Diabetic Patients Comorbid with Coronary Artery Disease and Microvascular Disorders: A Population-Based Study in Taiwan.
    PloS one, 2016, Volume: 11, Issue:1

    Topics: Adolescent; Adult; Aged; Case-Control Studies; Comorbidity; Coronary Artery Disease; Databases, Fact

2016
Changes in albumin excretion in the diabetes prevention program.
    Diabetes care, 2009, Volume: 32, Issue:4

    Topics: Adult; Aged; Albuminuria; Creatinine; Diabetes Mellitus; Diabetic Nephropathies; Female; Humans; Hyp

2009
A summary of the ADVANCE Trial.
    Diabetes care, 2009, Volume: 32 Suppl 2

    Topics: Blood Glucose; Diabetes Mellitus, Type 2; Diabetic Angiopathies; Diabetic Retinopathy; Disease Progr

2009
Effect of ethyloestrenol combined with phenformin or with metformin on platelet stickiness and serum-cholesterol in patients with occlusive vascular disease.
    Lancet (London, England), 1968, Nov-09, Volume: 2, Issue:7576

    Topics: Aged; Anticholesteremic Agents; Blood Coagulation Tests; Blood Platelets; Butyrates; Cholesterol; Co

1968