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Biguanide

Fiber + Metformin for Severe Childhood Obesity and Insulin Resistance

Phase 3
Recruiting
Led By Andrea M Haqq, MD, MHS
Research Sponsored by University of Alberta
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Age 12-18 years
BMI percentile > 95% for age/sex
Timeline
Screening 3 weeks
Treatment Varies
Follow Up baseline, 6, and 12 months
Awards & highlights

Study Summary

This trial will compare the effects of two different treatments (MET and fiber) on weight, insulin sensitivity, and inflammation in adolescents with obesity, IR, and a family history of T2DM. The hypothesis is that the combination of the two treatments will be more effective than either one alone.

Who is the study for?
Adolescents aged 12-18 with severe obesity and insulin resistance can join this trial. They must have a family history of type 2 diabetes, be significantly overweight for their age/sex, and not have had major weight changes or taken certain medications recently.Check my eligibility
What is being tested?
The study is testing if a high-fiber supplement mix works better alone or combined with Metformin to improve blood sugar control, reduce body mass index (BMI), and lower inflammation in obese teens over one year.See study design
What are the potential side effects?
Possible side effects include digestive discomfort from the fiber such as gas or bloating. Metformin may cause stomach upset, diarrhea, nausea/vomiting, and there's a rare risk of vitamin B12 deficiency.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I am between 12 and 18 years old.
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My BMI is in the top 5% for my age and sex.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~baseline, 6, and 12 months
This trial's timeline: 3 weeks for screening, Varies for treatment, and baseline, 6, and 12 months for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Changes in HOMA-IR
Secondary outcome measures
Changes in body composition
Changes in body mass index (BMI)
Changes in body weight
+8 more

Trial Design

3Treatment groups
Experimental Treatment
Active Control
Group I: FIBER + METExperimental Treatment2 Interventions
Fiber supplementation [35g fiber daily] + MET 850 mg po bid
Group II: FIBERActive Control1 Intervention
Fiber supplementation [35g fiber daily] + MET placebo po bid
Group III: METActive Control1 Intervention
MET (850 mg po bid - standard of care) + Fiber placebo daily

Find a Location

Who is running the clinical trial?

University of AlbertaLead Sponsor
888 Previous Clinical Trials
384,868 Total Patients Enrolled
Andrea M Haqq, MD, MHSPrincipal InvestigatorUniversity of Alberta

Media Library

Metformin (Biguanide) Clinical Trial Eligibility Overview. Trial Name: NCT04578652 — Phase 3
Insulin Resistance Research Study Groups: FIBER + MET, FIBER, MET
Insulin Resistance Clinical Trial 2023: Metformin Highlights & Side Effects. Trial Name: NCT04578652 — Phase 3
Metformin (Biguanide) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04578652 — Phase 3

Frequently Asked Questions

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

Are seniors welcome to participate in this research study?

"People aged 12 to 18 are eligible for this trial, as indicated by the inclusion criteria. In total, there are 883 clinical trials available for people over 65 and 294 for those younger than 18 years old."

Answered by AI

What other scientific observations have been made about this combination of dietary fiber?

"Currently, there are a total of 180 ongoing clinical trials for Supplemental fiber mixture (35 g total) composed of 6g of Oligofructose + 12g of resistant maltodextrin + 12g of acacia gum + 5g of PGX. Out of these, 45 are in Phase 3. Most of the trials for this medication are being conducted in Rockville, Maryland; however, there are 1952 locations across the country where clinical trials for this drug are taking place."

Answered by AI

Are we still accepting patients for this research program?

"Yes, this trial is still open and currently recruiting patients. According to the information available on clinicaltrials.gov, which was last updated on April 1st, 2022, they are looking for 90 participants at 1 location."

Answered by AI

What condition is Supplemental fiber mixture (35 g total) composed of 6g of Oligofructose + 12g of resistant maltodextrin + 12g of acacia gum + 5g of PGX. used to commonly treat?

"The supplement mixture, which contains a total of 35 grams of fiber, is made up of 6g of Oligofructose + 12g of resistant maltodextrin + 12g of acacia gum + 5g. It is most often used to treat exercise-related conditions but has also been shown to be effective in the treatment type 1 diabetes mellitus, diabetic ketoacidosis, and polycystic ovary syndrome."

Answered by AI

How many people are consenting to participate in this experiment?

"Yes, according to the most recent update on clinicaltrials.gov, this trial is currently looking for 90 patients from a single site. The study was originally posted on October 22nd, 2021."

Answered by AI

Is this combination of fiber supplements approved by the FDA?

"There is some efficacy data and multiple safety studies, so this Phase 3 trial received a score of 3."

Answered by AI
~31 spots leftby Sep 2025