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Effectiveness of metformin prolonged-release on achievement of optimal glycemic control in gestational diabetes: A pilot, randomized, double-blind, clinical trial

Effectiveness of metformin prolonged-release on achievement of optimal glycemic control in gestational diabetes: A pilot, randomized, double-blind, clinical trial

Status
Recruiting
Phases
Phase 2Phase 3
Study type
Interventional
Source
TCTR
Registry ID
TCTR20250525007
Enrollment
80
Registered
2025-05-25
Start date
2025-04-21
Completion date
Unknown
Last updated
2026-08-03

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

Conditions

Gestational diabetes Diabetes, gestational Metformin

Interventions

Metformin PR 750 mg oral daily. Dosage adjustment every 2 weeks until 6 weeks. The maximum dose is 2000 mg/day.,One tablet of placebo oral daily and increase to 2 tablets per day if glycemic control
Experimental Drug,Placebo Comparator Drug
MetforminPR,Placebo

Sponsors

Merck Ltd.
Lead Sponsor

Eligibility

Sex/Gender
Female
Age
18 Years to 50 Years

Inclusion criteria

Inclusion criteria: 1. Singleton pregnancy, 2. Diagnosed with GDM according to institutional guideline, 3. Do not achieve glycemic target after nutritional and behavioral counseling, 4. Agree to participate

Exclusion criteria

Exclusion criteria: 1. Definite or suspect of pre-gestational diabetes, 2. Fetal congenital anomalies or deaths, 3. Suspected fetal growth restriction, 4. Currently use of metformin or other antihyperglycemic treatment regardless of indication, 5. Contraindicated for metformin use

Design outcomes

Primary

MeasureTime frame
Rate of achievement of glycemic control At 2, 4, and 6 weeks Percentage

Secondary

MeasureTime frame
Time to achieve glycemic control At 2, 4, and 6 weeks Weeks,Rate of insulin therapy At 2, 4, and 6 weeks Percentage

Countries

Thailand

Contacts

Public ContactDittakarn Boriboonhirunsarn

Faculty of Medicine Siriraj Hospital, Mahidol University

dittakarn.bor@mahidol.ac.th0818085718

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 10, 2026