Transfer of metformin into human breast milk and the plasma of breastfeeding children - A low intervention trial with biobanking of breast milk and plasma in Västra Götalandsregionen and Region Örebro

2022-501693-19-00 Therapeutic use (Phase IV) Ended

Start 6 Mar 2024 · End 31 Dec 2025 · Status Ended · 1 EU/EEA countries · 2 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ended
Participants planned 30
Countries 1
Sites 2

type 2 diabetes mellitus and gestational diabetes mellitus

The primary trial objective is to determine the concentration of metformin in plasma of breast fed infants of lactating women treated for Type 2 Diabetes.

Key facts

Sponsor
Uppsala Universitet
Participant type
Pediatric, Patients
Age range
0-17 years, 18-64 years
Gender
Female
Therapeutic area
Diseases [C] - Immune System Diseases [C20]
Trial duration
6 Mar 2024 → 31 Dec 2025
Decision date (initial)
2024-01-23
Transition trial
No
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
The Innovative Medicines Initiative 2 Joint Undertaking.

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety

The primary trial objective is to determine the concentration of metformin in plasma of breast fed infants of lactating women treated for Type 2 Diabetes.

Secondary objectives 1

  1. A secondary objective is to determine the milk-to-plasma ratio in the women. and, based on absolute infant dose (AID) and dosage of mother, the relative infant dose will be calculated.

Conditions and MedDRA coding

type 2 diabetes mellitus and gestational diabetes mellitus

VersionLevelCodeTermSystem organ class
20.0 HLGT 10018424 Glucose metabolism disorders (incl diabetes mellitus) 10027433

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. Breastfeeding women treated with metformin for suspected or diagnosed type 2 diabetes mellitus (T2DM). Only women of 18 years of age and older will be asked for participation. Breastfeeding children of women that have consented to participate in the study. The guardians of the child are asked for participation.

Exclusion criteria 1

  1.  Previous participation in the study. Women not able to read and communicate in Swedish, Arabic, Persian or Somali. Premature children. Women with multiple births.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. The primary endpoint is the concentration of metformin in the breastfeeding child’s plasma 4h after maternal dose intake.

Secondary endpoints 1

  1. The secondary endpoint is the concentration of metformin in breast milk at 0h (through) and 3h after intake. The tertiary endpoint is the maternal plasma concentration of metformin at 0h (through), 2h and 3h after intake.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Metformin

SCP135808 · ATC

Active substance
Metformin
Substance synonyms
DIMETHYLDIGUANIDE
Route of administration
ORAL
Max daily dose
1000 mg milligram(s)
Max total dose
3000
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
A10BA02 — METFORMIN
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Uppsala Universitet

Sponsor organisation
Uppsala Universitet
Address
P. O. Box 256
City
Uppsala
Postcode
751 05
Country
Sweden

Scientific contact point

Organisation
Uppsala Universitet
Contact name
Mats Hansson

Public contact point

Organisation
Uppsala Universitet
Contact name
Mats Hansson

Locations

1 EU/EEA country · 2 investigational sites

By country

CountryMS statusPlanned subjectsSites
Sweden Ended 30 2
Rest of world 0

Investigational sites

Sweden

2 sites · Ended
Region Oerebro Laen
obstetrics, Sodra Grev Rosengatan, 701 85, Orebro
Sahlgrenska University Hospital-Vastra Gotalandsregionen
Obstetrics, Diagnosvagen 11, Harlanda, Gothenburg

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Sweden 2024-03-06 2025-12-31 2024-03-06 2025-12-31

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 7 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) Clinical trial protocol - Metformin V1 1
Protocol (for publication) EPMFrageformular1Metformin 1
Protocol (for publication) EPMFrageformular2 Metformin pdf 1
Protocol (for publication) EPMFrageformular3Metformin pdf 1
Protocol (for publication) EPMFrageformular4 Metformin pdf 1
Summary of Product Characteristics (SmPC) (for publication) Produktresume Metformin SmPC 1
Synopsis of the protocol (for publication) Synopsis Metformin studie 1

Application history

3 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-10-19 Sweden Acceptable
2024-01-22
2024-01-23
2 NON SUBSTANTIAL MODIFICATION NSM-1 2024-01-24 Sweden 2024-01-24
3 SUBSTANTIAL MODIFICATION SM-1 2024-10-10 Sweden Acceptable
2024-11-19
2024-11-19