- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04530058
The Effects of Metformin on Morbidity and Mortality in Elderly Patients (MET-ELD)
December 18, 2023 updated by: Hamilton Health Sciences Corporation
The Effects of Metformin on Morbidity and Mortality in Elderly Patients- a Prospective Randomized Control Trial (RCT)
Elderly patients have an increased susceptibility to burns and a substantial mortality that has not significantly changed over the last three decades.
Elderly burn patients not only have an augmented response to burn but also express a prolonged hypermetabolic response.Glucose metabolism with insulin resistance is a hypermetabolic response pathway that profoundly affects post-burn outcomes.
The aim if this study is to determine whether metformin can improve morbidity and mortality in elderly burn patients.
The investigators hypothesize that metformin will improve clinical outcomes and mortality of elderly burn patients by alleviating the complex inflammatory and hypermetabolic responses after burn.
Study Overview
Study Type
Interventional
Enrollment (Estimated)
250
Phase
- Phase 2
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Marc G Jeschke, MD PhD
- Phone Number: 40694 905-521-2100
- Email: marc.jeschke@hhsc.ca
Study Locations
-
-
Ontario
-
Hamilton, Ontario, Canada, L8L 2X2
- Hamilton Health Sciences Centre
-
Principal Investigator:
- Marc G. Jeschke, MD PhD
-
Contact:
- Marc G. Jeschke, MD PhD
- Phone Number: 40694 905-521-2100
- Email: marc.jeschke@hhsc.ca
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
60 years to 99 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Aged 60 - 99 years of age.
- ≥5% total body surface area (TBSA) burn.
- Admitted to burn center ≤ 120 hours post-burn injury.
- At least one surgical intervention likely required.
- Provide written informed consent.
Exclusion Criteria:
- Death upon admission.
- Decision not to treat due to burn injury severity.
- Presence of anoxic brain injury that is not expected to result in complete recovery.
- Pre-existing renal failure (eGFR is < 30 mL/min).
- Severe liver disease (Child-Pugh C).
- Pre-existing insulin-dependent type II diabetes.
- Clinical contraindication to give metformin.
- Allergy to metformin or insulin.
- History of lactic acidosis while receiving metformin treatment.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Placebo Comparator: Control
|
Placebo twice a day, administered orally or via gastric tube.
|
Experimental: Metformin
|
Metformin 500 mg twice a day, administered orally or via gastric tube.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Record mortality
Time Frame: Acute hospitalization up to one year post burn.
|
Patient mortality will be recorded during hospitalization and outpatient follow-ups.
|
Acute hospitalization up to one year post burn.
|
Record the episodes of sepsis.
Time Frame: daily until discharge (1-4 months post admission depending on severity of injury)]
|
Patients will be assessed daily for episodes of sepsis.
The total number of episodes over the course of hospital stay will be recorded.
|
daily until discharge (1-4 months post admission depending on severity of injury)]
|
Record episodes of infection.
Time Frame: daily until discharge (1-4 months post admission depending on severity of injury)]
|
Patients will be assessed daily for episodes of infection.
The total number of episodes over the course of hospital stay will be recorded.
|
daily until discharge (1-4 months post admission depending on severity of injury)]
|
Record episodes of pneumonia.
Time Frame: daily until discharge (1-4 months post admission depending on severity of injury)]
|
Patients will be assessed daily for episodes of infection.
The total number of episodes over the course of hospital stay will be recorded.
|
daily until discharge (1-4 months post admission depending on severity of injury)]
|
Organ function - Bilirubin
Time Frame: twice weekly until discharge (1-4 months post admission depending on severity of injury)]
|
Organ function will be assessed by measuring the biomarker: bilirubin (umol).
|
twice weekly until discharge (1-4 months post admission depending on severity of injury)]
|
Organ function - Creatinine
Time Frame: twice weekly until discharge (1-4 months post admission depending on severity of injury)]
|
Organ function will be assessed by measuring the biomarker: creatinine (umol/L).
|
twice weekly until discharge (1-4 months post admission depending on severity of injury)]
|
Organ function - Alkaline phosphatase (ALP)
Time Frame: twice weekly until discharge (1-4 months post admission depending on severity of injury)]
|
Organ function will be assessed by measuring the biomarker: ALP (U/L).
|
twice weekly until discharge (1-4 months post admission depending on severity of injury)]
|
Organ function - Alanine transaminase (ALT)
Time Frame: twice weekly until discharge (1-4 months post admission depending on severity of injury)]
|
Organ function will be assessed by measuring the biomarker: ALT (U/L).
|
twice weekly until discharge (1-4 months post admission depending on severity of injury)]
|
Organ function - Blood Urea Nitrogen (BUN)
Time Frame: twice weekly until discharge (1-4 months post admission depending on severity of injury)]
|
Organ function will be assessed by measuring the biomarker: BUN (mmol).
|
twice weekly until discharge (1-4 months post admission depending on severity of injury)]
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Measures of steady-state resting energy expenditure (REE)
Time Frame: weekly until discharge if a patient is intubated and ventilated (1-4 months post admission depending on severity of injury)]
|
Metabolic response to injury and illness can be studied by measuring steady-state resting energy expenditure.
Hypermetabolism is used as a secondary endpoint as stress-induced diabetes is associated with inflammation and hypermetabolism.
|
weekly until discharge if a patient is intubated and ventilated (1-4 months post admission depending on severity of injury)]
|
Perform oral glucose tolerance test
Time Frame: once at discharge from hospital (1-4 months post admission depending on the severity of injury)]
|
Standard fasting oral glucose tolerance test with an intake of 75 g of glucose.
Subsequent measurements (in mg/dl) of glucose in blood, insulin and c-peptide will be conducted over 2 hours.
|
once at discharge from hospital (1-4 months post admission depending on the severity of injury)]
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Marc G Jeschke, MD PhD, Hamilton Health Sciences Corporation
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Estimated)
March 1, 2024
Primary Completion (Estimated)
March 1, 2028
Study Completion (Estimated)
March 1, 2029
Study Registration Dates
First Submitted
July 28, 2020
First Submitted That Met QC Criteria
August 26, 2020
First Posted (Actual)
August 28, 2020
Study Record Updates
Last Update Posted (Actual)
December 21, 2023
Last Update Submitted That Met QC Criteria
December 18, 2023
Last Verified
December 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 15230
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
Yes
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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