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Trial · NCT01762046

Study to Understand the Genetics of the Acute Response to Metformin and Glipizide in Humans

NCT01762046, Phase 1, Completed, Massachusetts General Hospital; results first posted 2024-05-01

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study to Understand the Genetics of the Acute Response to Metformin and Glipizide in Humans. Trials, record NCT01762046. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01762046

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Study to Understand the Genetics of the Acute Response to Metformin and Glipizide in Humans
NCT number
NCT01762046
Status
Completed
Phases
Phase 1
Enrollment
1,033 participants, actual
Lead sponsor
Massachusetts General Hospital
Conditions
Diabetes Mellitus, Type 2
Interventions
Glipizide, Metformin, Oral Glucose Tolerance Test
First posted
2013-01-07
Last updated
2026-05-06
Results first posted
2024-05-01

Source ClinicalTrials.gov

Registered outcomes7

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryGlipizide Response as Measured by Area Over the Glucose Curve Between Time 0 and 240 Minutes According to Genotype0, 30, 60, 90, 120, 180 and 240 minutes post 5mg oral glipizide dose, Day 1 (visit 1)Investigators will measure glucose levels at 0,30,60,90,120,180 and 240 minutes post 5mg Glipizide administration on Visit 1(Day1), and compare them by genotype at selected loci.
PrimaryGlipizide Response as Measured by Area Under the Insulin Curve Between Time 0 and 240 Minutes According to Genotype0,30,60,90,120,180 and 240 minutes on Day 1 (Visit 1)Investigators will measure insulin levels at 0,30,60,90,120,180 and 240 minutes post 5mg Glipizide administration on Visit 1(Day1), and compare them by genotype at selected loci.
PrimaryMetformin Response - Change in Fasting Glucose From Visit 1 to Visit 2Day 1 (Visit 1) and Day 8 (Visit 2)
Investigators will measure the change in glycemic measures between Visit 1 (Day 1) and Visit 2 (Day 8) as an index of Metformin response, and compare them by genotype at selected loci. HOMA-IR is calculated from fasting glucose and fasting insulin values at both visit 1 (day 1) and visit 2 (day 8). HOMA-IR was calculated using (fasting glucose\*fasting insulin)/405) formula.
PrimaryMetformin Response - Change in HOMA-IR From Visit 1 to Visit 2Day 1 (Visit 1) and Day 8 (Visit 2)
Investigators will measure the change in glycemic measures between Visit 1 (Day 1) and Visit 2 (Day 8) as an index of Metformin response, and compare them by genotype at selected loci. HOMA-IR is calculated from fasting glucose and fasting insulin values at both visit 1 (day 1) and visit 2 (day 8). HOMA-IR was calculated using (fasting glucose\*fasting insulin)/405) formula. A bigger difference/drop between visit 1 and visit 2 will show that metformin had an effect on insulin resistance index for these participants. The higher the HOMA-IR, the more insulin resistant you are.
SecondaryIncretin Levels0, 5, 10, 15, 30, 60 and 120 minutes, Day 8 (Visit 2)Investigators will measure GLP-1 and GIP during the OGTT from 0 to 120 minutes of Visit 2, and compare them by genotype at selected loci.
SecondaryProinsulin (Fasting) at Visit 1 and Visit 2 by Genotype for rs7903146Day 1 (Visit 1) and Day 8 (Visit 2)Investigators will measure proinsulin levels at regular intervals during Visits 1 and 2, and compare them by genotype at selected loci.
SecondaryFasting Glucagon at Visit 1 and Visit 2 by Genotype for rs7903146Day 1 (Visit 1) and Day 8 (Visit 2)Investigators will measure glucagon levels at regular intervals during Visits 1 and 2, and compare them by genotype at selected loci.

Outcomes9

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYGlipizide Response as Measured by Area Over the Glucose Curve Between Time 0 and 240 Minutes According to Genotype0, 30, 60, 90, 120, 180 and 240 minutes post 5mg oral glipizide dose, Day 1 (visit 1)
1000 subjects were genotyped for SNP rs7903146 (in the TCF7L2 gene). We are showing Area over the curve for glucose that was measured between time 0 to 240 minutes. 10 subjects didn't pass the QC for genotype analysis.
mg/dl x time(minutes)MEAN
PRIMARYGlipizide Response as Measured by Area Under the Insulin Curve Between Time 0 and 240 Minutes According to Genotype0,30,60,90,120,180 and 240 minutes on Day 1 (Visit 1)
1000 subjects were genotyped for SNP rs7903146 (in the TCF7L2 gene). We are showing Area under the curve for Insulin that was measured between time 0 to 240 minutes. 10 subjects didn't pass the QC for genotype analysis.
mU/L x time (minutes)MEAN
PRIMARYMetformin Response - Change in Fasting Glucose From Visit 1 to Visit 2Day 1 (Visit 1) and Day 8 (Visit 2)
We looked at fasting glucose at Visit 2 minus fasting glucose at visit 1 to see if there are differences by genotype at rs7903146 after Metformin treatment in the 1000 subjects in this study. 10 subjects didn't pass the QC for genotype analysis.
mg/dlMEAN
PRIMARYMetformin Response - Change in HOMA-IR From Visit 1 to Visit 2Day 1 (Visit 1) and Day 8 (Visit 2)
We looked at HOMA-IR at Visit 2 minus HOMA-IR at visit 1 to see if there are differences by genotype at rs7903146 after Metformin treatment in the 1000 subjects in this study. 10 subjects didn't pass the QC for genotype analysis.
(mg/dl*uU/ml²)MEAN
SECONDARYIncretin Levels0, 5, 10, 15, 30, 60 and 120 minutes, Day 8 (Visit 2)We only measured GLP-1 and GIP in a subset of the study population. We are showing Area under the curve results for GLP-1 total, GLP-1 active, and GIP by genotype at rs7903146 in TCF7L2.pmol/L x time (minutes)MEAN
SECONDARYProinsulin (Fasting) at Visit 1 and Visit 2 by Genotype for rs7903146Day 1 (Visit 1) and Day 8 (Visit 2)Fasting Proinsulin were measured only in a subset of study samples. We are showing fasting data at Day 1, Visit 1 and Day 8, Visit 2 by genotype at rs7903146 (in TCF7L2).pmol/LMEAN
SECONDARYMetabolomicsDay 1 (Visit 1) and Day 8 (Visit 2)
SECONDARYVitamin DBaseline
SECONDARYFasting Glucagon at Visit 1 and Visit 2 by Genotype for rs7903146Day 1 (Visit 1) and Day 8 (Visit 2)Fasting glucagon were measured only in a subset of study samples. We are showing fasting data at Day 1, Visit 1 and Day 8, Visit 2 by genotype at rs7903146 (in TCF7L2).pg/mlMEAN

Results by group33

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Glipizide Response as Measured by Area Over the Glucose Curve Between Time 0 and 240 Minutes According to GenotypeGlipizide and MetforminArea over the Glucose curve for TCF7L2 CC genotype4893.5Standard Deviation 2079.4mg/dl x time(minutes)
Glipizide Response as Measured by Area Over the Glucose Curve Between Time 0 and 240 Minutes According to GenotypeGlipizide and MetforminArea over the Glucose curve for TCF7L2 CT genotype5032.6Standard Deviation 2161mg/dl x time(minutes)
Glipizide Response as Measured by Area Over the Glucose Curve Between Time 0 and 240 Minutes According to GenotypeGlipizide and MetforminArea over the Glucose curve for TCF7L2 TT Genotype6011Standard Deviation 3204.8mg/dl x time(minutes)
Glipizide Response as Measured by Area Under the Insulin Curve Between Time 0 and 240 Minutes According to GenotypeGlipizide and MetforminArea under the InsulinCurve for TCF7L2 CC genotype1141Standard Deviation 1910mU/L x time (minutes)
Glipizide Response as Measured by Area Under the Insulin Curve Between Time 0 and 240 Minutes According to GenotypeGlipizide and MetforminArea under the InsulinCurve for TCF7L2 CT genotype1278Standard Deviation 1455mU/L x time (minutes)
Glipizide Response as Measured by Area Under the Insulin Curve Between Time 0 and 240 Minutes According to GenotypeGlipizide and MetforminArea under the InsulinCurve for TCF7L2 TT genotype1400Standard Deviation 1447mU/L x time (minutes)
Metformin Response - Change in Fasting Glucose From Visit 1 to Visit 2Glipizide and MetforminFastingGlucose V2-FastingGlucose V1 in CC Genotype-2.1Standard Deviation 8.1mg/dl
Metformin Response - Change in Fasting Glucose From Visit 1 to Visit 2Glipizide and MetforminFastingGlucose V2-FastingGlucose V1 in CT Genotype-2.2Standard Deviation 8.2mg/dl
Metformin Response - Change in Fasting Glucose From Visit 1 to Visit 2Glipizide and MetforminFastingGlucose V2-FastingGlucose V1 in TT Genotype-6.1Standard Deviation 11mg/dl
Metformin Response - Change in HOMA-IR From Visit 1 to Visit 2Glipizide and MetforminHOMA-IR Visit 1 - HOMA IR Visit 2 in CC Gentoype0.09Standard Deviation 1.9(mg/dl*uU/ml²)

Participant flow3

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDGlipizide and Metformin1,033
Overall StudyCOMPLETEDGlipizide and Metformin1,033
Overall StudyNOT COMPLETEDGlipizide and Metformin0

Adverse events0

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

None in this release.

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityGlipizide and Metformin01,033
Total, other adverse eventsGlipizide and Metformin01,033
Total, serious adverse eventsGlipizide and Metformin01,033

Papers3

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
25812009DERIVEDPubMed
29326107DERIVEDPubMed
31709648DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT01762046

GET https://conductscience.org/api/trials/v1/NCT01762046/results?page=2