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Biguanide

Oral Metformin for Stargardt Disease

Phase 1 & 2
Recruiting
Led By Brian P Brooks, M.D.
Research Sponsored by National Eye Institute (NEI)
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Timeline
Screening 3 weeks
Treatment Varies
Follow Up baseline, month 24
Awards & highlights

Study Summary

This trial is testing whether the drug metformin can help people with ABCA4 retinopathy, a disease which causes waste material to build up in the eye and can lead to vision loss.

Who is the study for?
This trial is for people aged 12 and older with ABCA4 retinopathy, a genetic eye condition leading to vision loss. Participants must have documented changes in their condition over two years and agree to lifestyle guidelines and contraception if of childbearing potential.Check my eligibility
What is being tested?
The study tests whether metformin hydrochloride, an oral medication commonly used for diabetes, can slow down the progression of ABCA4 retinopathy when taken over a period of 24 months.See study design
What are the potential side effects?
Metformin may cause side effects like stomach upset, diarrhea, nausea, and a rare risk of lactic acid buildup in the blood which can be serious. It's generally well-tolerated but monitoring is needed especially for kidney function.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~baseline, month 24
This trial's timeline: 3 weeks for screening, Varies for treatment, and baseline, month 24 for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
The difference in growth rate of square-root transformed area of EZ band loss (vAreaEZloss)
Secondary outcome measures
Change in perimetry and color fundus photography measurements
Change in rate of area of atrophy enlargement
Changes in best corrected visual acuity (BCVA)
+2 more

Side effects data

From 2010 Phase 4 trial • 77 Patients • NCT01589445
9%
Common Depression
7%
Abdominal discomfort
3%
Headache
3%
Dizziness
3%
Nausea
1%
Backpain
1%
Hypertension
1%
Creatinine increase
1%
Mild Diarrhoea
100%
80%
60%
40%
20%
0%
Study treatment Arm
Metformin (002 Group)
Pioglitazone (001 Group)

Trial Design

1Treatment groups
Experimental Treatment
Group I: MetforminExperimental Treatment1 Intervention
Oral administration of metformin
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Metformin hydrochloride
2016
Completed Phase 4
~770

Find a Location

Who is running the clinical trial?

National Eye Institute (NEI)Lead Sponsor
546 Previous Clinical Trials
1,401,883 Total Patients Enrolled
9 Trials studying Retinal Degeneration
5,502 Patients Enrolled for Retinal Degeneration
Brian P Brooks, M.D.Principal InvestigatorNational Eye Institute (NEI)
5 Previous Clinical Trials
953 Total Patients Enrolled
1 Trials studying Retinal Degeneration
68 Patients Enrolled for Retinal Degeneration

Media Library

Metformin hydrochloride (Biguanide) Clinical Trial Eligibility Overview. Trial Name: NCT04545736 — Phase 1 & 2
Retinal Degeneration Research Study Groups: Metformin
Retinal Degeneration Clinical Trial 2023: Metformin hydrochloride Highlights & Side Effects. Trial Name: NCT04545736 — Phase 1 & 2
Metformin hydrochloride (Biguanide) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04545736 — Phase 1 & 2
Retinal Degeneration Patient Testimony for trial: Trial Name: NCT04545736 — Phase 1 & 2

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Does this experiment accept enrollment of participants at the moment?

"Affirmative. The clinical trial is open for business, based on the information available from clinicaltrials.gov - beginning 11/23/2020 and last updated 8/9/2022. 38 participants are sought at a single medical site."

Answered by AI

What is the current enrollment size for this research endeavor?

"Affirmative. According to clinicaltrials.gov, this trial is currently enrolling participants and was initially posted on November 23rd 2020 with an update as recent as August 9th 2022. 38 patients are needed across a singular site for enrollment purposes."

Answered by AI

What purposes is this research trying to fulfill?

"The primary metric of this trial, evaluated over pre-treatment, baseline and month 24 intervals is the rate of growth for square-root transformed area EZ band loss (square-root AreaEZloss). Secondary objectives include assessing the proportion participants that experience a 30% reduction in their square root AreaEZloss from OCT during treatment phase compared to pre-treatment stage. There will also be an analysis into systemic and ocular toxicities as well as infections related to the intervention throughout the study period. Lastly, there will be assessment of how much region atropy measurements change between pre-and post treatment phases."

Answered by AI

To what afflictions has Metformin hydrochloride been routinely applied?

"Metformin hydrochloride is a viable option for treating exercise-induced fatigue, Type 1 diabetes Mellitus and Diabetic Ketoacidosis."

Answered by AI

Could you elucidate the research history of Metformin hydrochloride?

"As of now, there are 170 active clinical studies for Metformin hydrochloride with 43 trials in the advanced stage. Most investigations into this medication are occurring in Pittsburgh, Pennsylvania; however 1903 other locations also offer research opportunities related to Metformin hydrochloride."

Answered by AI

Who else is applying?

What state do they live in?
Tennessee
Other
Colorado
California
How old are they?
< 18
65+
18 - 65
What site did they apply to?
University of Michigan
National Institutes of Health Clinical Center
What portion of applicants met pre-screening criteria?
Met criteria
Did not meet criteria
How many prior treatments have patients received?
0

What questions have other patients asked about this trial?

I live in Australia but can attend the clinic as often as required as I travel to the US often. Obviously, I will bear all of my own costs and costs related to the treatment. Based upon this, am I still elligable?
PatientReceived no prior treatments

Why did patients apply to this trial?

I´m a young human and I need my vision for my further life. My eye doctor, Jennifer Chao suggested I look into trials with regard to Stargardts.
PatientReceived 1 prior treatment
I was just diagnosed and want to do everything I can. I am willing to move as I work remotley and go to school online for my MBA,.
PatientReceived 2+ prior treatments

How responsive is this trial?

Typically responds via
Email
Phone Call
Average response time
  • < 2 Days
Most responsive sites:
  1. National Institutes of Health Clinical Center: < 48 hours
~22 spots leftby Aug 2027