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Efficacy and safety of metformin in patients with neurocognitive dysfunction after radiotherapy for lung adenocarcinoma with brain metastases: a randomized, double-blind, placebo-controlled, prospective phase II clinical study

Efficacy and safety of metformin in patients with neurocognitive dysfunction after radiotherapy for lung adenocarcinoma with brain metastases: a randomized, double-blind, placebo-controlled, prospective phase II clinical study

Status
Active, not recruiting
Phases
Early Phase 1
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2000037460
Enrollment
Unknown
Registered
2020-08-28
Start date
2021-01-01
Completion date
Unknown
Last updated
2020-10-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Brain metastases from lung adenocarcinoma

Interventions

Two: placebo

Sponsors

Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 75 Years

Inclusion criteria

Inclusion criteria: 1. Aged 18 to 75 years old; 2. ECOG physical condition score 0~2, or KPS score >=60; 3. Pathologically confirmed advanced lung adenocarcinoma with measurable and evaluated brain metastases (MRI scan >=10mm, meeting RECIST 1.1 criteria); 4. Expected survival >=3 months; 5. Blood routine: ANC >=1.5x10^9/L, Hb >=9 g/dL, PLT >=100x10^9/L; 6. Blood biochemistry: ALT =50ml/min; 7. The patient volunteered to participate in this study and signed written informed consent; 8. Patients with expected compliance were able to follow up the efficacy and adverse reactions as required by the protocol.

Exclusion criteria

Exclusion criteria: 1. Previous or concurrent presence of other malignant tumors; 2. Pregnant or lactating women; 3. Diseases that can cause hypoxia, such as decompensated heart failure, respiratory failure, recent myocardial infarction, and shock; 4.A variety of factors affecting oral medication (such as inability to swallow, chronic gastritis, chronic diarrhea); 5.Abnormal coagulation function (PT>16 s, APTT>43 S, TT>21 s, Fbg<2 g/L), have bleeding tendency or are receiving thrombolytic or anticoagulant therapy; 6.Severe infection and trauma, major surgical operations, clinical hypotension and hypoxia; 7. Acute or chronic metabolic acidosis, including diabetic ketoacidosis with or without coma, which requires insulin; 8. Those who are known to be allergic to this drug component; 9. Participated in other drug clinical trials within 4 weeks; Alcoholics; 11. Uncorrected deficiency of vitamin B12 and folic acid; 12. Illiterate, or mentally handicapped, or mentally ill; 13. Patients with type 1 or type 2 diabetes; 14. Other lesions (e.g., weakness, ileus, etc.) that may reduce or complicate enlistment are identified by the investigator.

Design outcomes

Primary

MeasureTime frame
Neurocognitive function;

Secondary

MeasureTime frame
Intracranial Progress Free Survival;Intracranial objective remission rate;Intracranial Disease Control Rate;Overall Survervial;

Countries

China

Contacts

Public ContactZhu Meiling

Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine

anniezhu_79@163.com+86 18221068863

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026