ClinicalTrials.gg
Not yet recruitingNCT06911983Updated Apr 20, 2025

Comparative Efficacy of Metformin and Berberine Among TCF7L2 (rs7903146) TT vs. CC Genotype Carriers With Type 2 Diabetes

An interventional study of Metformin and Berberine in Diabetes Mellitis, sponsored by S.LAB (SOLOWAYS). Not yet recruiting at 1 site in Russian Federation. Open to participants aged 30 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-04-20.

Sponsored by S.LAB (SOLOWAYS) · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Dec 2025, 11 months ago, but the record still lists the study as not yet recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
30 Years to 65 Years
Sex
All
01

Study summary

This pilot 12-week randomized open-label study compares metformin and berberine in newly diagnosed type 2 diabetes patients stratified by the TCF7L2 (rs7903146) genotype (TT vs. CC). The primary goal is to assess changes in HbA1c between metformin and berberine treated groups within each genotype. Secondary outcomes include fasting and postprandial glucose, insulin levels, HOMA-IR, body weight/BMI, lipid profile and adverse events.

The central hypothesis is that berberine, through its additional effect on TCF7L2-linked pathways, will provide superior glycemic control in high-risk TT carriers compared to metformin, whereas both treatments will yield comparable results in CC carriers. By enrolling only TT and CC genotypes, this study aims to estimate effect sizes and feasibility, guiding a future, larger-scale trial on genotype-tailored diabetes therapies.

02

Conditions studied

  • Diabetes Mellitis

Keywords

  • genetics
  • polymorphysm
  • supplements
  • berberine
03

In context

Lead sponsor

S.LAB (SOLOWAYS) is the lead sponsor of 29 studies on the registry; 7 are open to participants now.

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

04

Who can participate

Ages eligible
30 Years to 65 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

  • Adults aged 30-65 years;
  • Newly diagnosed T2DM ≤1 year;
  • Baseline : 7.0-9.0% (53-75 mmol/mol);
  • No prior use of antihyperglycemic agents or ≤4 weeks of usage;
  • Willing to sign and undergo TCF7L2 genotyping;
  • TT or CC genotype (rs7903146)

Exclusion criteria

Exclusion Criteria:

  • Severe comorbidities (hepatic, renal, cardiac dysfunction);
  • Pregnancy or lactation;
  • Known allergy or intolerance to metformin or berberine;
  • Participation in another clinical trial within the last 3 months;
  • TC genotype (excluded).
Terms in these criteria, in plain language(2)

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.

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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Outcomes assessor)
Enrollment
60 participants (estimated)

Study arms

  • Active comparator
    Metformin Group

    Initial dose: 500 mg twice daily * Titration: increased to 1,000 mg twice daily by Week 2 if tolerated * Maximal dose: 2,000 mg/day

    Drug: Metformin

  • Experimental
    Berberine Group

    * Dose: 500 mg three times daily (1,500 mg/day total) * Formulation: standardized berberine HCl tablets * Duration: 12 weeks

    Dietary Supplement: Berberine

Interventions

  • Metformin • Initial dose: 500 mg twice daily • Titration: increased to 1,000 mg twice daily by Week 2 if tolerated • Maximal dose: 2,000 mg/day

  • Dietary supplementBerberine

    Berberine * Dose: 500 mg three times daily (1,500 mg/day total) * Formulation: standardized berberine HCl tablets * Duration: 12 weeks

06

What researchers measure

Primary outcomes

  1. Change in HbA1c

    Change in HbA1c from baseline to Week 12 in each genotype group (TT or CC), comparing: TT + Berberine vs. TT + Metformin

    Time frame: 12 weeks

  2. Change in HbA1c from baseline (CC + Berberine vs. CC + Metformin)

    Time frame: 12 weeks

Secondary outcomes

  1. Fasting Plasma Glucose change (FPG)

    Time frame: 12 weeks

  2. Postprandial Glucose (PPG) change

    Time frame: 12 weeks

  3. Serum Insulin Levels

    Time frame: 12 weeks

  4. HOMA-IR change

    Time frame: 12 weeks

  5. Body Weight in kg change

    Time frame: 12 weeks

  6. Total Cholesterol change

    Time frame: 12 weeks

  7. Triglycerides change

    Time frame: 12 weeks

  8. LDL-C change

    Time frame: 12 weeks

  9. HDL-C change

    Time frame: 12 weeks

  10. Number of any adverce events

    Time frame: 12 weeks

07

Study locations

1 site
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 Apr 20, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06911983
Lead sponsor
S.LAB (SOLOWAYS)
Collaborators
Center for New Medical Technologies, Novosibirsk, Russia
Responsible party
Sponsor
First posted
Apr 4, 2025
Start date
Jul 1, 2025 (estimated)
Primary completion
Dec 1, 2025 (estimated)
Completion
Mar 1, 2026 (estimated)
Last update
Apr 20, 2025

Study contacts

Andrei V Ponomarenko
Contact
ponomarenko_av@cnmr.ru
+79873198946

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Mar 2025. 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: Berberine

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