Metformin for the Treatment of Microvascular Dysfunction After Gestational Diabetes

Trial statusRecruiting
Trial phaseEarly Phase 1
Trial typeInterventional
Biological sexFemale
Age18-45
SponsorAnna Stanhewicz, PhD

About this trial

The purpose of this investigation is to examine the mechanisms mediating vascular dysfunction in women who have had gestational diabetes and how metformin may be a valuable treatment tool to improve microvascular function in these women before the onset of disease.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

≥12 weeks and ≤5 years postpartum

history of GDM or healthy pregnancy

Disqualifiers

prediabetes or diabetes (HbA1c ≥5.7%)

current tobacco use

cardiovascular or metabolic disease

cardiovascular or metabolic medication

Trial design

Design model

Parallel

Treatments tested in this trial

  • Metformin Hydrochloride

    Drug

    12 weeks: 850mg metformin once daily for first 7 days then twice daily for the remaining 11 weeks.

  • placebo

    Other intervention

    12 weeks: placebo tablet once daily for the first 7 days then twice daily for the remaining 11 weeks.

Treatment groups

30 Participants
are divided into 2 treatment groups
Group A: metforminActive comparator 1 intervention
Group B: placeboPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

blood flow response to acetylcholine

cutaneous microvascular dilation (cutaneous conductance ; %max) response to acetylcholine

Time frame
baseline
2

blood flow response to acetylcholine

cutaneous microvascular dilation (cutaneous conductance ; %max) response to acetylcholine

Time frame
1 week of treatment
3

blood flow response to acetylcholine

cutaneous microvascular dilation (cutaneous conductance ; %max) response to acetylcholine

Time frame
6 weeks of treatment
4

blood flow response to acetylcholine

cutaneous microvascular dilation (cutaneous conductance ; %max) response to acetylcholine

Time frame
12 weeks of treatment

Secondary outcomes

1

Percentage of nitric oxide-dependent dilation

NO-dependent (%) cutaneous microvascular dilation response to acetylcholine

Time frame
baseline
2

Percentage nitric oxide-dependent dilation

NO-dependent (%) cutaneous microvascular dilation response to acetylcholine

Time frame
1 week of treatment
3

Percentage of nitric oxide-dependent dilation

NO-dependent (%) cutaneous microvascular dilation response to acetylcholine

Time frame
6 weeks of treatment
4

Percentage of nitric oxide-dependent dilation

NO-dependent (%) cutaneous microvascular dilation response to acetylcholine

Time frame
12 weeks of treatment

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Anna Stanhewicz, PhD

Lead sponsor

University of Iowa

Sponsor institution