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DRUG CLASS:

AMPK activator

14h
An Open Label Clinical Trial of Metformin in Those With CFRD on CFTR Modulator Therapy to Improve Ion Channel Function (clinicaltrials.gov)
P2, N=30, Not yet recruiting, University of Kansas Medical Center | Trial completion date: Jul 2025 --> Jul 2028 | Trial primary completion date: Jul 2025 --> Dec 2027
Trial completion date • Trial primary completion date
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metformin
4d
New trial
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metformin
5d
Cuproptosis-inducing photothermal nanotherapy coupled with ECM destabilization drives potent tumor regression and immune reawakening. (PubMed, Mater Today Bio)
The system consisted of hollow copper sulfide nanoparticles loaded with 4-methylumbelliferone, modified with polymetformin, and surface-coated with hyaluronic acid to ensure targeted delivery via CD44 receptors...Furthermore, immunostaining confirmed that apoptosis, macrophage repolarization, and immune activation were increased. This research presents a synergistic nanoplatform that integrates matrix remodeling, photothermal therapy (PTT), and immune reprogramming, offering a promising strategy for treating metastatic and immune-evasive breast tumors.
Journal
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CD44 (CD44 Molecule)
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metformin
7d
Ameliorating Metabolic Profiling After Kidney Transplantation (AMPKT) (clinicaltrials.gov)
P=N/A, N=105, Completed, West China Hospital | Trial completion date: May 2023 --> Dec 2025 | Trial primary completion date: May 2023 --> Dec 2025 | Not yet recruiting --> Completed
Trial completion • Trial completion date • Trial primary completion date
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metformin
12d
New trial
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metformin
12d
PNOC041: Target Validation and Efficacy of Metformin in Patients With Posterior Fossa Group A (PFA) Ependymoma (clinicaltrials.gov)
P2, N=30, Recruiting, University of California, San Francisco | Not yet recruiting --> Recruiting
Enrollment open
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metformin
12d
Trial completion
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metformin
12d
4‑Acetylantrocamol LT3 suppresses colorectal cancer growth and metastasis via PI3K/AKT and MAPK pathway modulation. (PubMed, Int J Mol Med)
Molecular docking confirmed that LT4 stably occupied the ATP‑binding pocket of PI3Kγ with a binding energy comparable to wortmannin and a conformation similar to antroquinonol. In conclusion, to the best of our knowledge, the present study is the first to comprehensively demonstrate the multi‑target anti‑CRC effects of LT4, highlighting its potential as a therapeutic agent, especially in KRAS‑mutant CRC.
Journal
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KRAS (KRAS proto-oncogene GTPase) • BCL2 (B-cell CLL/lymphoma 2) • CCND1 (Cyclin D1) • BCL2L1 (BCL2-like 1) • PIK3CG (Phosphatidylinositol-4,5-Bisphosphate 3-Kinase Catalytic Subunit Gamma) • SLC3A2 (Solute Carrier Family 3 Member 2) • CDKN1A (Cyclin-dependent kinase inhibitor 1A)
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KRAS mutation
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Hocena (antroquinonol)
12d
Dose-Dependent Impact of Metformin on Osteoblast-Specific Biomarkers in Cultured Rat Primary Osteoblasts. (PubMed, Physiol Res)
It can be concluded that MET at concentrations up to 1 mM can promote osteoblast viability, osteogenic differentiation, angiogenic signaling, and reduce osteoclastogenesis. Key words Metformin " Osteoblasts " Bone health " In vitro.
Preclinical • Journal
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TNFA (Tumor Necrosis Factor-Alpha) • COL1A1 (Collagen Type I Alpha 1 Chain) • RUNX2 (RUNX Family Transcription Factor 2) • TNFSF11 (TNF Superfamily Member 11) • BGLAP (Bone Gamma-Carboxyglutamate Protein) • BMP2 (Bone Morphogenetic Protein 2)
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metformin
12d
Metformin triggers apoptosis via endoplasmic reticulum stress in HER2-positive breast cancer cell lines. (PubMed, Exp Ther Med)
Therefore, the present study aimed to investigate the dose-dependent effects of metformin on ER stress and apoptosis in HER2-positive breast cancer SKBR3 cells. The present findings demonstrated that metformin activates ER stress response and induces apoptosis in HER2-positive breast cancer cells in a dose-dependent manner. This supports the potential of metformin as an adjuvant therapy, though further in vivo studies are needed to evaluate its clinical applicability.
Preclinical • Journal
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HER-2 (Human epidermal growth factor receptor 2) • HSPA5 (Heat Shock Protein Family A (Hsp70) Member 5) • ATF6 (Activating Transcription Factor 6) • ERN1 (Endoplasmic Reticulum To Nucleus Signaling 1) • PERK (Pancreatic EIF2-Alpha Kinase) • ANXA5 (Annexin A5)
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HER-2 positive
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metformin
12d
A system biology-based identification of potential biomarker interlinking the effect of anti-diabetic drug, Metformin, on reduced occurrence of hepatocellular carcinoma. (PubMed, J Diabetes Metab Disord)
Molecular docking and molecular dynamics simulation studies identified the specific interactions of the tested molecules with the hub protein, thereby encouraging further studies to assess protein kinase B as a novel biomarker for hepatocellular carcinoma. While the present findings provide mechanistic insights into Metformin's antitumor effects in an insilico condition, translation of these findings to preclinical systems and to human HCC requires validation in human tissues and patient cohorts.
Journal
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AKT1 (V-akt murine thymoma viral oncogene homolog 1)
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metformin
12d
Molecular mechanisms of metformin action: From metabolic effects to lifespan extension and healthspan promotion. (PubMed, J Med Biochem)
These include activation of AMP-activated protein kinase (AMPK), inhibition of the mechanistic target of rapamycin (mTOR), attenuation of oxidative stress, modulation of mitochondrial biogenesis, and reduction of low-grade systemic inflammation. While not a panacea, its favourable safety profile and multi-targeted actions make it a leading candidate for repurposing as an anti-ageing therapy. Continued clinical validation is essential to translate these insights into practice.
Journal
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AMPK (Protein Kinase AMP-Activated Catalytic Subunit Alpha 1)
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sirolimus • metformin