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Trial · NCT05515978

Registered outcomes27

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

ListOutcomeTime frameDescription
PrimarySuccessful accrual of 100 patients to the pragmatic trial in the first four years4 years
Once there are 6 months of follow-up data on the first 100 patients, a formal analysis will be done to determine the completeness of data and the potential for a powered study. Outcome measure was amended January 2025.
SecondaryEffectiveness: 1a: To determine the effectiveness of metformin prescribed in a pragmatic trial on Body Mass Index2 yearsMetabolic response. Key metabolic parameters assessed as part of routine care: Body Mass Index (BMI)
SecondaryEffectiveness: 1a: To determine the effectiveness of metformin prescribed in a pragmatic trial on Weight2 yearsMetabolic response. Key metabolic parameter assessed as part of routine care: Weight
SecondaryEffectiveness: 1a: To determine the effectiveness of metformin prescribed in a pragmatic trial on HbA1C2 yearsMetabolic response. Key metabolic parameters assessed as part of routine care: HbA1C
SecondaryEffectiveness: 1a: To determine the effectiveness of metformin prescribed in a pragmatic trial on Blood Pressure2 yearsMetabolic response. Key metabolic parameters assessed as part of routine care: blood pressure
SecondaryEffectiveness: 1a: To determine the effectiveness of metformin prescribed in a pragmatic trial on Glucose Levels2 yearsMetabolic response. Key metabolic parameters assessed as part of routine care: random glucose level.
SecondaryEffectiveness: 1a: To determine the effectiveness of metformin prescribed in a pragmatic trial on key physiologic parameters - BMI2 yearsMetabolic response. Key metabolic parameter assessed as part of routine care: Body Mass Index (BMI)
SecondaryEffectiveness: 1a: To determine the effectiveness of metformin prescribed in a pragmatic trial on key physiologic parameters - Weight2 yearsMetabolic response. Key metabolic parameters assessed as part of routine care: Weight
SecondaryEffectiveness: 1a: To determine the effectiveness of metformin prescribed in a pragmatic trial on key physiologic parameters - HbA1C2 yearsMetabolic response. Key metabolic parameters assessed as part of routine care: HbA1C
SecondaryEffectiveness: 1a: To determine the effectiveness of metformin prescribed in a pragmatic trial on key physiologic parameters - blood pressure2 yearsMetabolic response. Key metabolic parameters assessed as part of routine care: blood pressure
SecondaryEffectiveness: 1a: To determine the effectiveness of metformin prescribed in a pragmatic trial on key physiologic parameters - blood glucose levels2 yearsMetabolic response. Key metabolic parameters assessed as part of routine care: random glucose level.
SecondaryEffectiveness: 1b: To determine the effectiveness of metformin prescribed in a pragmatic trial on the development of diabetes.2 years
Metabolic response. Key metabolic parameters assessed as part of routine care: 1b: Initiation of any additional diabetes medication, and new diagnoses of diabetes. All new diagnoses of diabetes will be reviewed by the adjudication committee
SecondaryDetermine the number of additional diabetes medications initiated2 yearsMetabolic response. Key metabolic parameters assessed as part of routine care: Initiation of any additional diabetes medication
SecondaryDetermine the number of new diagnoses of diabetes2 yearsMetabolic response. Key metabolic parameters assessed as part of routine care: New diagnoses of diabetes. All new diagnoses of diabetes will be reviewed by the adjudication committee
SecondaryEffectiveness: Measure the effectiveness of metformin prescribed in a pragmatic trial on rate of major adverse cardiac events (MACE).2 yearsAll major adverse cardiac events will undergo chart review and categorized as major cardiac and limb events (MI, stroke, CV death, acute limb ischemia, major vascular amputation).
SecondaryEffectiveness: Measure the effectiveness of metformin prescribed in a pragmatic trial on rate of major adverse limb events (MALE).2 yearsAll major adverse cardiac events will undergo chart review and categorized as major cardiac and limb events (MI, stroke, CV death, acute limb ischemia, major vascular amputation).
SecondaryEffectiveness: Measure the effectiveness of metformin prescribed on a pragmatic trial in progression-free survival defined as doubling of PSA level or all-cause mortality.2 years
PSA doubling as surrogate for progression, defined using a modified approach from the prostate cancer working group 3(PCWG 2016)1.. First all PSA values less than 1 ng/dL will be set to 1 ng/dL. If this PSA value is 1 ng/dL an event (i.e., PSA doubling or death) will be defined as the next PSA value that was greater than or equal to 2 ng/dL or death. Alternatively, if a patient's first PSA is greater than 1 ng/dL the nadir was identified. If the variability in PSA values prior to the nadir is low (i.e., there was less than a 5% difference between the nadir and previous PSA values) the first value prior to the nadir that is within 5% will be selected as the baseline PSA. An event will be defined as the next PSA value that was greater or equal to 2 times the baseline PSA or death. Patients that never experienced a PSA doubling or death will be censored at their last known PSA measurement.
SecondaryEffectiveness: Measure the effectiveness of metformin prescribed on a pragmatic trial on PSA response of prostate cancer.2 years
A modified PSA biochemical response: PSA response defined as a ≥50% decline in PSA from the baseline level at the start of the study. The study-associated provider will receive a clinical decision support query with any PSA response observed: "Is it likely that any other intervention such as additional medical or local therapy besides metformin may have caused the subjects recent PSA response?"
SecondaryEffectiveness: Measure the effectiveness of metformin prescribed in a pragmatic trial on radiographic progression of prostate cancer.10 yearsFollowing every scan, the study associated provider will be asked "Does the subject have evidence of radiographic progression in your opinion"
SecondaryEffectiveness: To determine the effectiveness of metformin prescribed on a pragmatic trial ion overall and prostate cancer specific survival.10 years
Overall and prostate cancer specific mortality: The Colorado State Death Registry, which is integrated with Health Data Compass (HDC), will be used to determine the overall survival status. The subject's trial-associated provider will receive a clinical decision support query from the study regarding any subject who dies on the trial: "Did this subject die due to complications of prostate cancer?" (Investigator assessment). Every death will be chart reviewed.

Source ClinicalTrials.govtrials-2026-11-12-0.5.0

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.

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