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METFORMIN: an efficacy, safety and pharmacokinetic study on the short-term and long-term use in obese children and adolescents – study protocol of a randomized controlled study
- Source :
- Trials, 15. BioMed Central Ltd, Trials
- Publisher :
- Springer Nature
-
Abstract
- BACKGROUND: The prevalence of childhood obesity and insulin resistance is rising, increasing the risk of diabetes mellitus type 2. To prevent these complications, lifestyle intervention is the corner stone in treatment. However, long-term efficacy of lifestyle intervention is questionable. In addition to lifestyle intervention, pharmacological treatments have been explored. Metformin has been shown to be moderately effective to reduce BMI in obese adolescents with hyperinsulinemia. However, data on pharmacokinetics and long-term efficacy and safety are lacking as well as an evidence-based dosing regimen for this age group. The primary objective of the METFORMIN study is to determine the effect of adding metformin treatment to lifestyle intervention in reducing BMI in obese adolescents with insulin resistance. In addition, the pharmacokinetics of metformin in obese adolescents will be studied.METHODS/DESIGN: The METFORMIN study is a multi-centre prospective study that consists of two 18-month phases: a double-blind randomized placebo-controlled trial (part 1) and an open-label follow-up study (part 2). During part 1, the participants will be given metformin 1,000 mg or placebo twice daily and will be offered a lifestyle intervention programme; 144 participants will be included, 72 in each arm. Primary endpoints are reduction in body mass index, insulin resistance, and percentage body fat.DISCUSSION: This study will provide data on short- and long-term efficacy and safety of metformin and on the pharmacokinetics of metformin in obese adolescents.TRIAL REGISTRATION: ClinicalTrials.gov number NCT01487993; EudraCT nr. 2010-023980-17. Registration date: 06-01-2011.
- Subjects :
- Male
medicine.medical_specialty
Efficacy
Adolescent
endocrine system diseases
Medicine (miscellaneous)
Childhood obesity
law.invention
Body Composition/drug effects
Prediabetic State
Study Protocol
Prediabetic State/drug therapy
Insulin resistance
Vascular Stiffness
Metformin/administration & dosage
Randomized controlled trial
Double-Blind Method
law
Diabetes mellitus
Internal medicine
medicine
Hyperinsulinemia
Hypoglycemic Agents
Humans
Pharmacokinetics
Pharmacology (medical)
Obesity
Prospective Studies
Vascular Stiffness/drug effects
Prospective cohort study
Child
Paediatric obesity
business.industry
nutritional and metabolic diseases
medicine.disease
Hypoglycemic Agents/administration & dosage
Metformin
Physical Fitness
Research Design
Body Composition
Female
Safety
Insulin Resistance
Obesity/complications
business
Body mass index
medicine.drug
Follow-Up Studies
Subjects
Details
- Language :
- English
- ISSN :
- 17456215
- Volume :
- 15
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Trials
- Accession number :
- edsair.doi.dedup.....5d6bd75ea9a5088e8c100299e96dcd68
- Full Text :
- https://doi.org/10.1186/1745-6215-15-207