Status:

UNKNOWN

Drug Repurposing Using Metformin for Improving the Therapeutic Outcome in Multiple Sclerosis Patients

Lead Sponsor:

German University in Cairo

Conditions:

Multiple Sclerosis

Eligibility:

All Genders

18-50 years

Phase:

PHASE2

Brief Summary

This study aims to evaluate the effect of Metformin as add- on therapy for improving the outcome in RRMS patients.

Detailed Description

Multiple sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system characterized by inflammatory demyelination with axonal transection. Worldwide, there are abou...

Eligibility Criteria

Inclusion

  • Age between 18 and 50 years at time of signing informed consent form.
  • Relapsing- remitting multiple sclerosis as per the McDonald 2017 criteria, including an MRI brain satisfying the 2017 radiological criteria.
  • Full-field visual evoked potential (VEP) P100 latency in at least one eye of ≥118 ms.
  • Kurtzke EDSS step 0.0 - 6.0.
  • At the time of screening, being treated with a stable dose for at least 6 months of a category 1 multiple sclerosis DMT or for at least 2 years with a category 2 DMT.

Exclusion

  • People taking medication for Diabetes Mellitus at screening.
  • Female participants who are pregnant, lactating, planning pregnancy, or unwilling to use reliable contraception during the trial.
  • Significant liver impairment; alanine aminotransferase \> 3 times the upper limit of normal.
  • People suffering from congestive heart failure, chronic lung disease with hypoxia, and severe anemia.
  • Patients with compromised renal function ((eGFR \<60 mL/min/1.73m2) or coexistent hypoxic conditions should not be given metformin.
  • Chronic or acute intake of large amounts of alcohol may potentiate the effect of metformin on lactate metabolism.
  • Patients had been prescribed oral, intravenous, and intramuscular corticosteroids for one month prior to study.

Key Trial Info

Start Date :

February 1 2022

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

March 28 2023

Estimated Enrollment :

80 Patients enrolled

Trial Details

Trial ID

NCT05298670

Start Date

February 1 2022

End Date

March 28 2023

Last Update

March 20 2023

Active Locations (1)

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1

Nasser Institute for Research and Treatment

Cairo, Egypt