The Effects of Metformin on Blood Vessel Structure and Function

Overview[ - collapse ][ - ]

Purpose The purpose of this study is to evaluate whether the drug Metformin has beneficial effects on the blood vessels of individuals with the Metabolic Syndrome (MeS).
ConditionObesity
Hypertension
Hypercholesterolemia
Hyperglycemia
InterventionDrug: Metformin
Drug: Placebo
PhasePhase 2
SponsorNational Institute on Aging (NIA)
Responsible PartyNational Institutes of Health Clinical Center (CC)
ClinicalTrials.gov IdentifierNCT00105066
First ReceivedMarch 3, 2005
Last UpdatedAugust 2, 2012
Last verifiedAugust 2012

Tracking Information[ + expand ][ + ]

First Received DateMarch 3, 2005
Last Updated DateAugust 2, 2012
Start DateJanuary 2004
Estimated Primary Completion DateMay 2008
Current Primary Outcome Measures
  • decrease in arterial stiffness [Time Frame: 4.5 months] [Designated as safety issue: No]
  • improvement in endothelial function [Time Frame: 4.5 months] [Designated as safety issue: No]
Current Secondary Outcome MeasuresNot Provided

Descriptive Information[ + expand ][ + ]

Brief TitleThe Effects of Metformin on Blood Vessel Structure and Function
Official TitleThe Effects of Metformin on Vascular Structure and Function in Subjects With the Metabolic Syndrome (MET Trial)
Brief Summary
The purpose of this study is to evaluate whether the drug Metformin has beneficial effects
on the blood vessels of individuals with the Metabolic Syndrome (MeS).
Detailed Description
Individuals with the Metabolic Syndrome (MeS) are at increased risk for developing
cardiovascular diseases. This increased risk may, in part, be related to abnormalities in
the blood vessels. MeS is defined as having 3 or more of the following 5 criteria:

- Abdominal obesity (waist measurement >39.8 inches in men, >34.4 inches in women)

- Elevated triglycerides (>150 mg/dl)

- Low HDL or "good" cholesterol (<40 mg/dl in men or <50 mg/dl in women)

- Elevated blood pressure (>130/85) or treatment for high blood pressure

- Elevated fasting blood sugar (>100 mg/dl)

Metformin is a medication that is approved by the Food and Drug Administration (FDA) for the
treatment of diabetes; however, it can also be safely administered to non-diabetic subjects.
We are evaluating whether Metformin reduces the stiffness of blood vessels and improves
endothelial function.

This study requires 4 visits to the NIA Clinical Research Center (located on the premises of
Harbor Hospital) over a 5-month period. At the initial visit, patients will be given a
physical examination with blood and urine tests, and an EKG. They will be randomized into
one of two groups; one group will receive Metformin (1700 mg per day), while the other group
will receive a placebo. Participants will take the medication for 4 months. Subsequent
visits will include additional blood tests, ultrasound and echo exams.

Taking part in this study is entirely voluntary. All testing and medications will be
provided at no cost to the participant or their family.
Study TypeInterventional
Study PhasePhase 2
Study DesignAllocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
Condition
  • Obesity
  • Hypertension
  • Hypercholesterolemia
  • Hyperglycemia
InterventionDrug: Metformin
850mg tablet once a day for one month, then twice a day for 3 months
Other Names:
Fortamet®; Glucophage®; Glumetza™; Riomet™Drug: Placebo
placebo tablet once a day for one month, then twice a day for 3 months
Study Arm (s)
  • Experimental: 1
  • Placebo Comparator: 2

Recruitment Information[ + expand ][ + ]

Recruitment StatusCompleted
Estimated Enrollment70
Estimated Completion DateMay 2008
Estimated Primary Completion DateMay 2008
Eligibility Criteria
Inclusion Criteria:

Participants with the Metabolic Syndrome, which is defined as having 3 or more of the
following 5 alterations:

- Abdominal obesity (waist measurement >39.8 inches in men, >34.4 inches in women)

- Elevated triglycerides (>150 mg/dl)

- Low HDL or "good" cholesterol (<40 mg/dl in men or <50 mg/dl in women)

- Elevated blood pressure (>130/85) or treatment for high blood pressure

- Elevated fasting blood sugar (>100 mg/dl)

Exclusion Criteria:

- Diabetes treated with medication

- Blood pressure >160/100 mmHg

- Clinical Congestive Heart Failure

- Anemia with hematocrit <32%

- Asthma or Chronic Obstructive Pulmonary Disease (COPD) requiring daily medication or
use of home oxygen therapy

- Major surgery planned within the next six months

- A recent, unexplained weight loss of >10% of body weight in the past 6 months

- A known allergy or hypersensitivity to Metformin

- History of hepatitis or cirrhosis

- History of kidney disease (defined as serum creatinine >1.4 mg/dL in men, >1.3 mg/dL
in women)

- Pregnancy or the absence of an effective method of contraception

- Illicit drug or alcohol abuse

- Cancer requiring treatment currently or recently completed treatment in the last 2
months
GenderBoth
Ages21 Years
Accepts Healthy VolunteersNo
ContactsNot Provided
Location CountriesUnited States

Administrative Information[ + expand ][ + ]

NCT Number NCT00105066
Other Study ID NumbersAG0017
Has Data Monitoring CommitteeNo
Information Provided ByNational Institutes of Health Clinical Center (CC)
Study SponsorNational Institute on Aging (NIA)
CollaboratorsNot Provided
Investigators Principal Investigator: Luigi Ferrucci, MD National Institute on Aging (NIA)
Verification DateAugust 2012

Locations[ + expand ][ + ]

National Institute on Aging (NIA), Harbor Hospital
Baltimore, Maryland, United States, 21225