ClinicalTrials.gg
CompletedNCT03398824Updated Nov 29, 2022Results posted

Pilot Study of Metformin for Patients With Fanconi Anemia

A Phase 2 interventional study of metformin HCl in Fanconi Anemia, sponsored by Boston Children's Hospital. Completed at 1 site in United States. Open to participants aged 6 Years to 35 Years. Per ClinicalTrials.gov, last updated 2022-11-29.

Sponsored by Boston Children's Hospital · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
15
Allocation
Not applicable
Ages
6 Years to 35 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 68 studies in Fanconi Anemia with a site in United States — 14 open to participants now, 18 under way, none of them phase 3. Fanconi Anemia · United States.

Enrollment
28th of 48
15 · median 21
Started
2018
with 4 others
Phase 2
15 of 68
3 open now
Registered
49th of 68
by date
Lead sponsor
3 of 68
Boston Children's Hospital

Among the 68 studies in Fanconi Anemia with a site in United States, this one is the 28th largest by enrollment of the 48 interventional ones that give a count, is one of 5 that started in 2018, is one of 15 in phase 2, and was the 49th registered.

Fanconi Anemia

95 studies on the registry are indexed under Fanconi Anemia; 20 are open to participants now.

Browse Fanconi Anemia studies →

Open to participants now

14 of the 68 studies in Fanconi Anemia with a site in United States are open now. Recruiting first, the newest first:

9 more — sign in →

All 14 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 15 Fanconi Anemia studies recruiting now, 8 (53%) set no upper age limit and 5 (33%) stop at 75 or younger; 11 take children under 18; 2 take healthy volunteers.

This study: 6 Years to 35 Years · all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 68 studies in Fanconi Anemia with a site in United States, or all of them as a file.
02

Study summary

This is a single institution, open-label, single arm pilot study of Metformin in patients with Fanconi Anemia (FA) and cytopenias with the primary endpoint of hematologic response. This study will also assess safety, tolerability, and the biologic effects of Metformin in patients with FA.

03

Conditions studied

  • Fanconi Anemia

Browse trials for

Keywords

  • Fanconi Anemia
  • Metformin
04

Who can participate

Ages eligible
6 Years to 35 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Age > 6 years and ≤35 years
  • Lansky/ performance status ≥ 50% for patients ≥16 years of age and Lansky ≥ 50% for patients \<16 years of age (see Appendix A)
  • Diagnosis requirement
  • Participants must have a clinical diagnosis of Fanconi Anemia.

    • Participants must have confirmed diepoxybutane-mitomycin C (DEB/MMC) stress testing to document diagnosis of Fanconi Anemia.
    • Patients must have at least one of the following cytopenias: \<10g/dL; \<100k/uL; \<1000/uL
  • Participants must have normal organ function as defined below:

    • Hepatic Function : Total ≤ 1.5 x for age; (ALT)/aspartate aminotransferase (AST) ≤ 135 U/L
    • Renal Function: A serum creatinine based on age/gender as follows:

Age Maximum Serum Creatinine (mg/dL) Male Female

  1. to \< 2 years 0.6 0.6
  2. to \< 6 years 0.8 0.8

6 to \< 10 years 1 1 10 to \< 13 years 1.2 1.2 13 to \< 16 years 1.5 1.4

≥ 16 years 1.7 1.4

AND

  • ≥ 60 mL/min/1.73 m2 for participants with creatinine levels above institutional normal
  • Normal cardiac status as documented clinically, otherwise they will need an echocardiogram prior to enrollment
  • Serum bicarbonate must be >17.
  • Participants of child-bearing or child-fathering potential must agree to use adequate (hormonal birth control; intrauterine device; double barrier method; or total abstinence) throughout their participation, including up until 30 days after last dose of Metformin.
  • Patients must be able to swallow pills.
  • Ability to understand and/or the willingness of the patient (or parent or legally authorized representative, if minor) to provide , documented using an institutionally approved informed consent procedure

Exclusion criteria

Exclusion Criteria:

  • Patients must not have undergone prior bone marrow transplantation.
  • Patients must not have very severe aplastic anemia at the time of enrollment which would require bone marrow transplantation (as defined by at least 2 out of the following 3: (ANC) \<200k/uL, \<20k/uL, absolute reticulocyte count \<40k/uL).
  • Patients must not be taking any other concurrent medications to improve their hematopoiesis such as androgens or growth factors such as Granulocyte colony-stimulating factor (G-CSF), erythropoietin (EPO), or thrombopoietin (TPO) mimetics. There is a one month for prior therapies including androgens.
  • Pregnant participants will not be entered on this study given that the effects of Metformin on the developing human fetus are unknown.
  • Breastfeeding mothers are not eligible because there is an unknown but potential risk for adverse events in nursing infants secondary to treatment of the mother with Metformin.
  • Patients must not have a history of allergic reactions attributed to compounds of similar chemical or biologic composition to Metformin.
  • Patients must not have uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.
  • Patients must not have prior history of symptomatic hypoglycemia over the past year or hypoglycemia with glucose \<50mg/dL on screening and baseline laboratory assessments.
  • Patients must not have type 1 diabetes mellitus.
  • Patients must abstain from alcohol as part of this study.
  • Patients must not have a diagnosis of myelodysplastic syndrome or leukemia, or other concurrent undergoing treatment.
  • Patients must not have vitamin B12 deficiency.
  • Patients must not have Glucose-6-Phosphate Dehydrogenase (G6PD) deficiency.
Terms in these criteria, in plain language(12)

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.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
15 participants (actual)

Study arms

  • Experimental
    Treatment arm

    Receive metformin HCl

    Drug: metformin HCl

Interventions

06

What researchers measure

Primary outcomes

  1. Hematologic Response

    Hematologic response is defined by specific increases in erythroid, platelet, and neutrophil counts. Erythroid response: Hemoglobin (Hgb) increase by \>1.5g/dL for non-transfusion dependent patients and for patients who are transfusion dependent: Transfusion independence Only transfusions given for Hgb ≤8g/dL or for symptoms will be counted in the response evaluation Platelet response: If initially \<20k/uL to start, then must increase to \>20k/UL with an absolute increase of 100%. If initially ≥20k/uL to start, then must have an absolute increase of \>30k/UL Neutrophil response: If initially \<500/uL to start, then must increase to \>500/uL with an absolute increase of \> 250/uL. If initially ≥500/uL to start, then must have an absolute increase of \>500/uL

    Time frame: 6 months

07

Results

Posted Nov 29, 2022

Participant flow

Participant flow — Overall Study
MilestoneTreatment Arm
Started14
Completed12
Not completed2

Outcome measures

PrimaryHematologic Response

Hematologic response is defined by specific increases in erythroid, platelet, and neutrophil counts. Erythroid response: Hemoglobin (Hgb) increase by \>1.5g/dL for non-transfusion dependent patients and for patients who are transfusion dependent: Transfusion independence Only transfusions given for Hgb ≤8g/dL or for symptoms will be counted in the response evaluation Platelet response: If initially \<20k/uL to start, then must increase to \>20k/UL with an absolute increase of 100%. If initially ≥20k/uL to start, then must have an absolute increase of \>30k/UL Neutrophil response: If initially \<500/uL to start, then must increase to \>500/uL with an absolute increase of \> 250/uL. If initially ≥500/uL to start, then must have an absolute increase of \>500/uL

Time frame:
6 months
Reported as:
Count of participants · Participants
Hematologic Response
ParticipantsTreatment Arm
Hematologic Response4
Statistical analysis
  • Treatment Arm · Response rate: 30.8 · 90% CI 11.3 to 57.3

Adverse events

Collected over Study enrollment through 30 days after completion of treatment, up to 7 months. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Treatment Arm0/14 (0%)0/14 (0%)12/14 (85.7%)
Most frequent other events
Most frequent other events
EventTreatment Arm
DiarrheaGastrointestinal disorders12/14

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Treatment Arm
<=18 years11
Between 18 and 65 years3
>=65 years0
Age, Continuous
Age, Continuous(years)Treatment Arm
Mean9.4 (6.0 to 26.5)
Sex: Female, Male
Sex: Female, Male(Participants)Treatment Arm
Female6
Male8
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Treatment Arm
Region of Enrollment
Region of Enrollment(Participants)Treatment Arm
United States14
08

Study locations

1 site
  • Boston Children's Hospital
    Boston, Massachusetts 02115, United States
09

References and documents

Publications

  • Pollard JA, Furutani E, Liu S, Esrick E, Cohen LE, Bledsoe J, Liu CW, Lu K, de Haro MJR, Surralles J, Malsch M, Kuniholm A, Galvin A, Armant M, Kim AS, Ballotti K, Moreau L, Zhou Y, Babushok D, Boulad F, Carroll C, Hartung H, Hont A, Nakano T, Olson T, Sze SG, Thompson AA, Wlodarski MW, Gu X, Libermann TA, D'Andrea A, Grompe M, Weller E, Shimamura A. Metformin for treatment of cytopenias in children and young adults with Fanconi anemia. Blood Adv. 2022 Jun 28;6(12):3803-3811. doi: 10.1182/bloodadvances.2021006490. PubMed 35500223 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Undecided

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Mar 2018 to primary completion in Oct 2020, 30 months.

Results were first posted in Nov 2022, 2 years 1 month after primary completion.

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

Registered
Dec 13, 2017
First posted
Jan 16, 2018
StartActual
Mar 29, 2018
Primary completionActual
Oct 9, 2020
CompletionActual
Oct 9, 2020
Results first posted
Nov 29, 2022
Last update
Nov 29, 2022
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 29, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03398824
Responsible party
Akiko Shimamura (Director, Bone Marrow Failure and Myelodysplastic Syndrome Program, Boston Children's Hospital) — Principal investigator
First posted
Jan 16, 2018
Start date
Mar 29, 2018
Primary completion
Oct 9, 2020
Completion
Oct 9, 2020
Results posted
Nov 29, 2022
Last update
Nov 29, 2022

Study contacts

Akiko Shimamura, MD, PhD
principal investigator · Boston Children's Hospital

Oversight

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

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This study is completed, as verified in Nov 2022. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Metformin

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