Page last updated: 2024-10-30

metformin and Ventricular Dysfunction

metformin has been researched along with Ventricular Dysfunction 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.

Ventricular Dysfunction: A condition in which HEART VENTRICLES exhibit impaired function.

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's2 (100.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Levitt Katz, L1
Gidding, SS1
Bacha, F1
Hirst, K1
McKay, S1
Pyle, L1
Lima, JA1
Jarnert, C1
Kalani, M1
Rydén, L1
Böhm, F1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
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
[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

Trials

2 trials available for metformin and Ventricular Dysfunction

ArticleYear
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
Strict glycaemic control improves skin microcirculation in patients with type 2 diabetes: a report from the Diabetes mellitus And Diastolic Dysfunction (DADD) study.
    Diabetes & vascular disease research, 2012, Volume: 9, Issue:4

    Topics: Administration, Oral; Aged; Biomarkers; Blood Glucose; Brachial Artery; Carbamates; Diabetes Mellitu

2012