CClinicalTrials.gg
TerminatedNCT05590676Updated Mar 7, 2024

Metformin Treatment in Infants After Perinatal Brain Injury

A Phase 1 interventional study of Metformin Hydrochloride in Hypoxic Ischemic Encephalopathy of Newborn and Premature Birth, sponsored by The Hospital for Sick Children. Terminated at 1 site in Canada. Open to participants aged Up to 3 Months. Per ClinicalTrials.gov, last updated 2024-03-07.

Sponsored by The Hospital for Sick Children · Phase 1, Interventional, and Treatment

Why this study was terminated
Low recruitment
Phase
Phase 1
Study type
Interventional
Enrollment
1
Allocation
Non-randomized
Ages
Up to 3 Months
Sex
All
01

Study summary

A phase I study to test the feasibility and safety of treatment with metformin in infants affected by hypoxic ischemic encephalopathy (HIE) or prematurity-related brain injury

02

Conditions studied

  • Hypoxic Ischemic Encephalopathy of Newborn
  • Premature Birth

Keywords

  • Hypoxic Ischemic Encephalopathy
  • Newborn
  • Metformin
  • Prematurity
03

In context

Brain Injuries

2,113 studies on the registry are indexed under Brain Injuries; 385 are open to participants now.

This study's enrollment of 1 is below the median of 48 across 1,331 interventional studies indexed under Brain Injuries.

Browse Brain Injuries studies →

Lead sponsor

The Hospital for Sick Children is the lead sponsor of 568 studies on the registry; 81 are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Up to 3 Months
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

HIE Patients:

  1. > 35 weeks gestation at time of birth
  2. ≤3 months at time of consent
  3. Clinical diagnosis of HIE
  4. Infant received therapeutic hypothermia for the treatment of HIE
  5. Family lives within one hour distance of the Hospital for Sick Children (in order to facilitate home visits)

Preterm Infants:

  1. \<32 weeks gestation at time of birth
  2. 36-44 weeks corrected (postmenstrual) gestational age at time of metformin administration
  3. Clinical team anticipates hospitalization at SickKids for at least 1 week after study enrollment

Exclusion criteria

Exclusion Criteria:

  1. Have a known genetic or chromosomal disorder.
  2. Congenital or acquired liver or kidney disease that might, in the opinion of the Principal Investigator or delegate, affect drug metabolism.
  3. History of hypoglycemia in the newborn period requiring glucose infusion rate > 10 mg/kg/min or treatment with glucagon or diazoxide.
  4. Any condition or diagnosis, that could in the opinion of the Principal Investigator or delegate, interfere with the participant's ability to comply with study instructions, might confound the interpretation of the study results, or put the participant at risk
  5. >3 months of age at the time of enrollment (term HIE patients only)
  6. Weight \<10%ile based on WHO growth charts at time of initiation of study drug (term HIE patients only).
  7. Maternal use of metformin while actively breastfeeding.
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
1 participant (actual)

Study arms

  • Experimental
    HIE: 20 mg/kg

    Drug: Metformin Hydrochloride

  • Experimental
    HIE: 25 mg/kg

    Drug: Metformin Hydrochloride

  • Experimental
    Preterm: 15 mg/kg

    Drug: Metformin Hydrochloride

  • Experimental
    Preterm: 20 mg/kg

    Drug: Metformin Hydrochloride

Interventions

  • DrugMetformin Hydrochloride

    Infants will receive 14 consecutive doses, once daily, of metformin, with two dose cohorts. Arm 1: Five infants with HIE will be enrolled on the first dose cohort of 20 mg/kg. Once complete, another five infants will be enrolled on the second dose cohort of 25 mg/kg. Arm 2: Five preterm infants will be enrolled on the first dose cohort of 15 mg/kg. Once complete, another five preterm infants will be enrolled on the second dose cohort of 20 mg/kg.

06

What researchers measure

Primary outcomes

  1. Number of patients with hypoglycemia (serum glucose <3.3mmol/L)

    Number of patients with hyperglycemia (glucose\>10mmol/L)

    Time frame: 2 weeks

Secondary outcomes

  1. Plasma metformin levels

    Pharmacokinetics analysis

    Time frame: 2 weeks

  2. Number of patients who complete study

    Feasibility of study intervention administration

    Time frame: 2 weeks

  3. Number of patients who complete all study procedures

    Feasibility of executing study operations

    Time frame: 2 weeks

07

Study locations

1 site
  • The Hospital for Sick Children
    Toronto, Ontartio M5G 1X8, Canada
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 7, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05590676
Lead sponsor
The Hospital for Sick Children
Collaborators
University of Waterloo, University of Alberta
Responsible party
Brian Kalish (Staff Neonatologist, The Hospital for Sick Children) — Principal investigator
First posted
Oct 21, 2022
Start date
May 2, 2023
Primary completion
Feb 22, 2024
Completion
Feb 22, 2024
Last update
Mar 7, 2024

Study contacts

Brian T Kalish, MD
principal investigator · The Hospital for Sick Children

Oversight

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

Not currently enrolling

This study is terminated, as verified in Mar 2024. You cannot join it, but the record below documents what was studied.

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