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Exploratory double-blind randomized placebo-controlled trial of Metformin and Ursodeoxycholic acid (UDCA) to treat post-acute sequelae of SARS-CoV-2 infection (PASC)

Exploratory double-blind randomized placebo-controlled trial of Metformin and Ursodeoxycholic acid (UDCA) to treat post-acute sequelae of SARS-CoV-2 infection (PASC)

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
CRIS
Registry ID
KCT0009342
Enrollment
396
Registered
2024-04-15
Start date
2024-07-04
Completion date
Unknown
Last updated
2026-01-05

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

Conditions

None listed

Interventions

Drug : 1. Drugs for clinical trials 1) Test medication 1: 500 milligrams of Diabex Table (Diabex Tab. 500 mg) - Main ingredients and contents: Metformin hydrochloride (500 mg of Metformin hydrochlor

Sponsors

Asan Medical Center
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1)Adults with a PASC score of 12 or higher at screening (ages 19 and older) after clinical suspicion of COVID-19 at least 30 days and up to 730days(2years) prior to screening and being diagnosed as SARS-CoV-2 positive by RT-PCR or rapid antigen test results 2) A person whose rapid antigen test results are negative during screening 3) A person who voluntarily agrees in writing to participate in this clinical trial

Exclusion criteria

Exclusion criteria: 1) People who are allergic to metformin or ursodeoxycholic acid 2) a patient on metformin 3) Patients on ursodeoxycholic acid (UDCA) 4) Those hospitalized for COVID-19 or other reasons 5) Patients with respiratory infections such as flu, other things that can cause fatigue Diseases (hyperthyroidism, hypothyroidism, chronic fatigue syndrome, rheumatoid disease, etc.) 6) Glomerular filtration rate below 45ml/min/1.73m2 or dialysis patients, radiation within 48 hours, patients undergoing intravenous examination of iodine contrast agents, severe infections, malnutrition,a patient with pituitary/adrenal insufficiency, peptic ulcer, and Crohn's disease. 7) a patient with severe biliary obstruction 8) patients with nonfunctional or acute cholecystitis 9) a patient with fulminant hepatitis 10) Those enrolled in other blind, randomized, controlled clinical trials for COVID-19 11) Those who have received monoclonal antibody treatment against COVID-19 12) Alcohol abuse patients 13) A person who has a disease in the liver, kidney, nervous system, respiratory system, endocrine system, blood/tumor, cardiovascular system, and urinary system that may affect the interpretation of the results of clinical trials at the time of screening 14) Pregnant women or nursing mothers 15) A childbearing woman or man who is not willing to use appropriate contraception* during this clinical trial *Hormonal contraceptives, implantation of intrauterine devices or intrauterine systems, vasectomy, ligation of ovaries, double blocking contraception (such as cervical cap or simultaneous use of contraceptive septum and men's condoms), etc 16) In addition to the above, a person who determines that the tester is not suitable for participation in this clinical trial

Design outcomes

Primary

MeasureTime frame
To compare the test group 1 with the control group, an analysis will be conducted to see the difference in the improvement rate of patients whose PASC score improves from 12 or more to less than 12 at the time of the baseline

Secondary

MeasureTime frame
1) The average change in the three groups Post-Acute Sequel of COVID-19 (PASC) score improvement values at 8 weeks of treatment compared to the baseline. 2) Mortality 3) Hospitalization rate during the follow-up period; admission rate following-up 4) Improvement and recovery rate of scores for specific symptoms (fatigue, chest pain, brain fog, cognitive impairment, depression scale, quality of life scale 5) Analysis of symptom improvement according to the timing of drug administration (1-2 months, 3-4 months, 5-6 months or within 3 months, 6 months) in patients with COVID-19 sequelae (6) Improvement analysis of immune markers such as IL-10, IP-10, and RANTES

Countries

Korea, Republic of

Contacts

Public ContactSung-Han Kim

Asan Medical Center

shkimmd@amc.seoul.kr+82-2-3010-3305

Outcome results

None listed

Source: CRIS (via WHO ICTRP) · Data processed: Mar 3, 2026