ClinicalTrials.gg
CompletedNCT03316690Updated Nov 9, 2018

The Interaction Between Metformin and Physical Training

An interventional study of Metformin treatment and Placebo treatment in Impaired Glucose Tolerance and Diabetes Mellitus, Type 2, sponsored by Kristian Karstoft. Completed at 1 site in Denmark. Open to participants aged 18 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-11-09.

Sponsored by Kristian Karstoft · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
34
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 23 studies testing metformin in Glucose Intolerance — 2 open to participants now, 3 under way, none of them phase 3. Metformin · Glucose Intolerance.

Enrollment
14th of 22
34 · median 45
Started
2017
with 3 others
No phase
8 of 23
1 open now
Registered
15th of 23
by date
Lead sponsor
2 of 23
Kristian Karstoft

Among the 23 studies testing metformin in Glucose Intolerance, this one is the 14th largest by enrollment of the 22 interventional ones that give a count, is one of 4 that started in 2017, is one of 8 with no phase, and was the 15th registered.

Glucose Intolerance

793 studies on the registry are indexed under Glucose Intolerance; 115 are open to participants now.

Browse Glucose Intolerance studies →

Open to participants now

2 of the 23 studies testing metformin in Glucose Intolerance are open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

All 2 open studies →

About metformin

Metformin: first FDA approval 1995 (GLUCOPHAGE), first EMA approval 2003. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 70 Glucose Intolerance studies recruiting now, 14 (20%) set no upper age limit and 51 (73%) stop at 75 or younger; 10 take children under 18; 33 take healthy volunteers.

This study: 18 Years to 70 Years · all sexes · healthy volunteers too.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 23 studies testing metformin in Glucose Intolerance, or all of them as a file.
02

Study summary

Physical activity is a first line treatment for patients with type 2 diabetes (T2D), however, the vast majority of patients with T2D do not achieve satisfying glycemic control with physical activity alone, which is why pharmacological treatment with metformin is most often initiated.

It is known that metformin and exercise both activates 5' adenosine monophosphate-activated protein kinase (AMPK) in skeletal muscle and liver, and the activation of AMPK results in many different metabolic effects, including improvements in glycemic control. Because of this similarity in mechanism of action, an interaction between metformin and exercise is plausible, but knowledge in the area is sparse. Thus, the aim of this study is to assess the effects of training with and without concomitant metformin treatment, in order to investigate whether an interaction between the two occur.

Subjects with impaired glucose tolerance will all undergo 12 weeks of training but will be randomized (1:1) to concomitant metformin/placebo treatment in a double-blinded way. Experimental days will be performed before randomisation (before initiation of metformin/placebo treatment), before initiation of the training period and after the training period.

03

Conditions studied

  • Impaired Glucose Tolerance
  • Diabetes Mellitus, Type 2
04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Glucose-lowering-medication naïve T2D and/or subjects with impaired glucose tolerance defined as: 2-h plasma glucose (PG) in the 75-g OGTT (7.8-11.0 mmol/L) and/or (39-47 mmol/mol)
  • Caucasian
  • > 25 but \< 40 kg/m2
  • Low to moderate physically active (≤90 min of structured physical activity/week)

Exclusion criteria

Exclusion Criteria:

  • Pregnancy
  • Smoking
  • Glucose-lowering treatment
  • Treatment with and other immunomodulating drugs
  • to increased levels of physical activity
  • Liver disease (ALAT elevated more than 3 times above upper normal limit, or reduce levels of the liver function markers albumin and KF II+VII+X)
  • Renal insufficiency (\<60 ml/min)
  • Prior history of lactic acidosis
  • >55 mmol/mol and/or 2-hPG in the 75-g OGTT > 15 mmol/L
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
34 participants (actual)

Study arms

  • Experimental
    Metformin treatment

    Drug: Metformin treatment · Behavioral: Physical training

  • Placebo comparator
    Placebo treatment

    Drug: Placebo treatment · Behavioral: Physical training

Interventions

  • Daily treatment with metformin tablets for 101 days according to the following scheme: Day 1-4: Metformin tablet 500 mg x 2 Day 5-8: Metformin tablet 1000 + 500 mg Day 9-101: Metformin tablet 1000 mg x 2

  • DrugPlacebo treatment

    Daily treatment with placebo tablets for 101 days according to the following scheme: Day 1-4: Placebo tablet 500 mg x 2 Day 5-8: Placebo tablet 1000 + 500 mg Day 9-101: Placebo tablet 1000 mg x 2

  • BehavioralPhysical training

    Twelve weeks of supervised physical training (4 times per week, 45 min per session, mean intensity at 70% of maximal oxygen consumption rate)

06

What researchers measure

Primary outcomes

  1. Change in postprandial glycemic control as assessed by mean blood glucose concentration during a 4 hour mixed-meal tolerance test

    Time frame: Day 0 (before randomisation), 17 (after initiation of metformin/placebo treatment), 101 (after 12 weeks of training)

Secondary outcomes

  1. Change in free-living glycemic control

    Blood HbA1c levels

    Time frame: Day 0 (before randomisation), 17 (after initiation of metformin/placebo treatment), 101 (after 12 weeks of training)

  2. Change in endogenous glucose production as assessed by rate of infused glucose tracer appearance in blood

    Time frame: Day 0 (before randomisation), 17 (after initiation of metformin/placebo treatment), 101 (after 12 weeks of training)

  3. Change in exogenous glucose uptake as assessed by rate of ingested glucose tracer appearance in blood

    Time frame: Day 0 (before randomisation), 17 (after initiation of metformin/placebo treatment), 101 (after 12 weeks of training)

  4. Change in peripheral glucose uptake as assessed by rate of glucose disappearance from blood

    Time frame: Day 0 (before randomisation), 17 (after initiation of metformin/placebo treatment), 101 (after 12 weeks of training)

  5. Change in maximal oxygen consumption

    Maximal oxygen uptake during an incremental bicycle test

    Time frame: Day 17 (after initiation of metformin/placebo treatment), 101 (after 12 weeks of training)

  6. Change in body weight

    Body weight measured by standard procedures

    Time frame: Day 17 (after initiation of metformin/placebo treatment), 101 (after 12 weeks of training)

  7. Change in lean body mass

    Lean body mass evaluated via Dual energy x-ray absorptiometry (Dxa)

    Time frame: Day 17 (after initiation of metformin/placebo treatment), 101 (after 12 weeks of training)

  8. Change in total fat mass

    Total body fat mass evaluated via Dual energy x-ray absorptiometry (Dxa)

    Time frame: Day 17 (after initiation of metformin/placebo treatment), 101 (after 12 weeks of training)

  9. Change in visceral fat mass

    Visceral fat mass evaluated via magnetic resonance imaging (MRI) scans

    Time frame: Day 17 (after initiation of metformin/placebo treatment), 101 (after 12 weeks of training)

  10. Change in AMPK activity in skeletal muscle

    AMPK activity measured via western blotting and activity assays

    Time frame: Day 17 (after initiation of metformin/placebo treatment), 101 (after 12 weeks of training)

  11. Change in skeletal muscle oxidative stress

    Muscle mitochondrial oxidative stress measured via respirometry in muscle biopsies

    Time frame: Day 17 (after initiation of metformin/placebo treatment), 101 (after 12 weeks of training)

  12. Change in systemic oxidative stress

    Systemic oxidative stress measured via RNA/DNA oxidation products in urine

    Time frame: Day 0 (before randomisation), 17 (after initiation of metformin/placebo treatment), 101 (after 12 weeks of training)

  13. Maximal mitochondrial respiration

    Maximal mitochondrial respiration measured via respirometry in muscle biopsies

    Time frame: Day 17 (after initiation of metformin/placebo treatment), 101 (after 12 weeks of training)

  14. Training heart rate

    Heart rate will be measured continuously during all training sessions

    Time frame: Average heart rate during all training sessions (through study completion, [Day 101])

  15. Training rate of perceived exertion

    Rate of perceived exertion measured via a Borg scale (range 6-20 where higher values indicate higher rate of perceived exertion) will be assessed for each training session

    Time frame: Average rate of perceived exertion of all training sessions (through study completion, [Day 101])

07

Study locations

1 site
  • Center for aktiv sundhed
    Copenhagen, Copenhagen N 2200, Denmark
08

References and documents

Publications

  • Pilmark NS, Oberholzer L, Halling JF, Kristensen JM, Bonding CP, Elkjaer I, Lyngbaek M, Elster G, Siebenmann C, Holm NFR, Birk JB, Larsen EL, Lundby AM, Wojtaszewski J, Pilegaard H, Poulsen HE, Pedersen BK, Hansen KB, Karstoft K. Skeletal muscle adaptations to exercise are not influenced by metformin treatment in humans: secondary analyses of 2 randomized, clinical trials. Appl Physiol Nutr Metab. 2022 Mar;47(3):309-320. doi: 10.1139/apnm-2021-0194. Epub 2021 Nov 16. PubMed 34784247 ↗
  • Pilmark NS, Lyngbaek M, Oberholzer L, Elkjaer I, Petersen-Bonding C, Kofoed K, Siebenmann C, Kellenberger K, van Hall G, Abildgaard J, Ellingsgaard H, Lauridsen C, Ried-Larsen M, Pedersen BK, Hansen KB, Karstoft K. The interaction between metformin and physical activity on postprandial glucose and glucose kinetics: a randomised, clinical trial. Diabetologia. 2021 Feb;64(2):397-409. doi: 10.1007/s00125-020-05282-6. Epub 2020 Sep 26. PubMed 32979074 ↗

Individual participant data

Plan to share: Undecided

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Oct 2017 to primary completion in Oct 2018, 11 months.

Of 254 non-industry interventional studies with no phase under Glucose Intolerance, half reached primary completion within 26 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 44. This study's 11 months is below that.

Counting every sponsor, half of 286 studies reached it within 26 months; a quarter within 10 and three quarters within 44.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 3, 2017
First posted
Oct 20, 2017
StartActual
Oct 20, 2017
Primary completionActual
Oct 1, 2018
CompletionActual
Oct 1, 2018
Last update
Nov 9, 2018
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 9, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03316690
Lead sponsor
Kristian Karstoft
Responsible party
Kristian Karstoft (Principal Investigator, Rigshospitalet, Denmark) — Sponsor-investigator
First posted
Oct 20, 2017
Start date
Oct 20, 2017
Primary completion
Oct 1, 2018
Completion
Oct 1, 2018
Last update
Nov 9, 2018

Study contacts

Kristian Karstoft, MD, PhD
principal investigator · Rigshospitalet, Denmark

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Nov 2018. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Metformin

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