Clinical trial

Metformin for AAA Growth Inhibition, a Randomized Controlled Trial

Name
MAAAGI
Description
A multi-centre population-based open-label randomized controlled trial with allocation concealment and blinded outcome assessment will examine if up to 2g metformin daily slows AAA growth in patients with small AAAs who do not have diabetes.
Trial arms
Trial start
2020-02-12
Estimated PCD
2026-01-01
Trial end
2026-01-01
Phase
Early phase I
Treatment
Metformin
Metformin target dose 2 g daily
Arms:
Metformin target dose of 2g daily
Standard care
Abdominal aortic aneurysm surveillance
Arms:
Standard care
Size
500
Primary endpoint
Abdominal aortic aneurysm (AAA) diameter growth rate
5 years
Eligibility criteria
Inclusion Criteria: 1. Provision of written informed consent. 2. Male and female patients. 3. Age 50-80 years. 4. Documented AAA Ø 30-49 mm for men and 30-44 mm for women. 5. Fasting p-glucose \<7.0 mmol/L. Fasting is defined as no caloric intake for ≥8 h. Exclusion Criteria: 1. Short expected survival. 2. History of current or previous diabetes mellitus. 3. Current or previous use of metformin. 4. Not expected to tolerate metformin. 5. Contraindications to metformin treatment according to SmPC 6. Known or suspected connective tissue disorder (Marfans syndrome, etc), infected or inflammatory aneurysm, aneurysm development after aortic dissection or previous surgery of the infrarenal aorta. 7. Enrollment in either another investigational drug or medical device study or another investigational study of an approved drug or medical device within 30 days prior to enrollment of the current study. 8. If, in the opinion of the investigator, it is not in the patient's medical interest to participate in the study or the patient is unlikely to be able to comply with the study protocol. 9. Pregnancy.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE2'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 500, 'type': 'ESTIMATED'}}
Updated at
2023-09-06

1 organization

1 drug

1 indication