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RecruitingNCT06120881PRECISE_T2DUpdated Dec 23, 2025

Precision Dosing of Metformin in Youth With T2D

An Early Phase 1 interventional study of Metformin in Type 2 Diabetes, sponsored by University of California, San Francisco. Recruiting at 2 sites in United States. Open to participants aged 10 Years to 21 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-12-23.

Sponsored by University of California, San Francisco · Early Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Apr 2024; still recruiting 2 years 5 months later.
Phase
Early Phase 1
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
10 Years to 21 Years
Sex
All
01

Study summary

The purpose of this study to compare the typically prescribed dose of metformin (1000mg twice a day) with a higher dose of metformin (1350mg twice a day).

Read the detailed description

Based on the investigators previous studies of young people who take metformin, the study team found that young people's bodies process metformin faster than older people and young people may need higher doses of metformin for the best treatment outcomes. The purpose of this study is to compare the typically prescribed dose of metformin (1000mg twice a day) with a higher dose of metformin (1350mg twice a day).

02

Conditions studied

  • Type 2 Diabetes

Keywords

  • Type 2 Diabetes
  • metformin
  • pediatric
03

In context

Diabetes Mellitus, Type 2

9,359 studies on the registry are indexed under Diabetes Mellitus, Type 2; 1,318 are open to participants now.

This study's planned enrollment of 20 is below the median of 80 across 7,525 interventional studies indexed under Diabetes Mellitus, Type 2.

Browse Diabetes Mellitus, Type 2 studies →

Lead sponsor

University of California, San Francisco is the lead sponsor of 2,132 studies on the registry; 375 are open to participants now.

Of its 262 completed or terminated interventional studies of FDA-regulated products, 196 (75%) have results posted.

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

04

Who can participate

Ages eligible
10 Years to 21 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Age 10-21 years
  • Provider diagnosis of T2D
  • Stable medication regimen for 2 weeks before screening visit (No addition or removal of medications and no more than 20% change in insulin dose)
  • ≥ 1 month from T2D diagnosis
  • Taking regular metformin (not extended-release formula)
  • Ability to wear CGM for a total of 6 weeks while in the study.
  • English or Spanish speakers.
  • Willing to abide by recommendations and study procedures.
  • Willing and able to sign the Informed Consent Form (ICF) and/or has a parent or guardian willing and able to sign the ICF.
  • Participant and parent(s)/guardian(s) willingness to participate in all training sessions as directed by study staff. Written informed consent (and assent when applicable) obtained from subject or subject's legal representative and ability for subject to comply with the requirements of the study.

Exclusion criteria

Exclusion Criteria:

  • Pancreatic autoantibody positivity (GAD-65, insulin, IA-2, ICA 512, Zn-T8).
  • Known history of ongoing renal or hepatic disease.
  • Known history of significant mental illness or developmental delay impacting the ability to complete study activities independently.
05

Study design

Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    Experimental

    1350mg metformin twice per day

    Drug: Metformin

  • Active comparator
    Active Comparator

    1000mg metformin twice per day

    Drug: Metformin

Interventions

  • DrugMetformin

    Participants will receive either 2700mg of metformin/day (1350mg twice a day) or 2000mg of metformin/day (1000mg twice a day, standard of care). The study intervention will be blinded to the participants as they will receive the same number of pills (4 pills of the same size) regardless of whether they are in the intervention arm or control arm .

06

What researchers measure

Primary outcomes

  1. Acceptability of Higher Metformin Dose measured with the Acceptability of Intervention Measure (AIM)

    The perception that a higher dose of Metformin is agreeable or satisfactory measured with the 4-item Acceptability of Intervention Measure (AIM). A 4-item measure of perceived intervention acceptability. Items are measured on a 5-point Likert scale (Completely Disagree-Completely Agree). Score is calculated mean. The greater the score, the better the acceptability.

    Time frame: Measured at 3 months

  2. Feasibility of Higher Metformin Dose measured with the Feasibility of Intervention Measure (FIM)

    The extent to which a higher dose Metformin study can be successfully carried out measured with 4-item Feasibility of Intervention Measure (FIM). A 4-item instrument to assess perceived intervention feasibility. Items are measured on a 5-point Likert scale (Completely Disagree-Completely Agree). Score is calculated mean. The greater the score, the better the feasibility.

    Time frame: Measured at 3 months

Secondary outcomes

  1. Glycemic Change

    Change in serum HbA1C at 3 months adjusted for the baseline value youth with T2D on higher dose of metformin compared to standard dose

    Time frame: Baseline (0) to 3 months

  2. Time in target glucose range

    Time spent in target glucose range of 70 to 180 mg/dL

    Time frame: Baseline (0) to 3 months

  3. Time above high glucose range

    Percent of readings and time \>250 mg/dL

    Time frame: Baseline (0) to 3 months

  4. Time above glucose range

    Percent of readings and time 181-250 mg/dL

    Time frame: Baseline (0) to 3 months

  5. Time in glucose range

    Percent of readings and time 70-180 mg/dL

    Time frame: Baseline (0) to 3 months

  6. Time below glucose range

    Percent of readings and time 54-69 mg/dL

    Time frame: Baseline (0) to 3 months

  7. Time below low glucose range

    Percent of readings and time \<54 mg/dl

    Time frame: Baseline (0) to 3 months

  8. Glucose management indicator

    Continuous glucose monitoring (CGM) metric that indicates average blood glucose. Glucose Management Indicator (GMI) approximates the laboratory A1C level expected based on average glucose measured using CGM values. Average glucose is derived from 14 or more days of CGM readings.

    Time frame: Baseline (0) to 3 months

  9. Co-efficient of variation of glucose

    CGM metric that measures variability in CGM values

    Time frame: Baseline (0) to 3 months

07

Study locations

2 of 2 sites recruiting
  • UCSF Benioff Children's Hospital Oakland, Pediatric Diabetes Clinic
    Oakland, California 94609, United States
    Recruiting
  • UCSF Benioff Children's Hospital San Francisco, Madison Clinic for Pediatric Diabetes
    San Francisco, California 94158, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 23, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06120881
Lead sponsor
University of California, San Francisco
Collaborators
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Responsible party
Sponsor
First posted
Nov 7, 2023
Start date
Apr 25, 2024
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Dec 23, 2025

Study contacts

Avani A Narayan, MS
Contact
avani.narayan@ucsf.edu
628-224-8364
Laura A. Dapkus Humphries, NCPT
Contact
laura.dapkus@ucsf.edu
628-224-8364
Shylaja Srinivasan, MD
principal investigator · University of California, San Francisco

Oversight

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

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