Can a common diabetes drug help after joint surgery? small study aims to find out
NCT ID NCT06280274
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This pilot study tested whether giving metformin around the time of hip or knee replacement surgery is practical and helps control blood sugar. Forty adults took either metformin or a placebo for two weeks before surgery and a few days after. The main goal was to see if a larger trial is possible, not to prove metformin works.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Metformin
- What this could lead to
- If this pilot shows it's feasible, it could lead to a larger trial testing whether metformin helps control blood sugar after joint replacement surgery.
- What could go wrong
- This is a small pilot study with only 40 people, so results may not apply broadly. It focuses on feasibility, not on proving metformin works for blood sugar control.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
40 people
The number who actually took part.
- Started
-
Jun 2024
- Finished
-
Sep 2025
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 to 99 years
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Male or female, age 18-99 years * Undergoing total hip or total knee arthroplasty, including elective, primary, and revision surgeries * Ability to take oral medication and be willing to adhere to the prescribed metformin regimen regardless of current, past, or no metformin use. Note: Patients with or without type 2 diabetes are considered eligible. (E.g.) * Type 2 diabetic on metformin * Type 2 diabetic on metformin and other medication, including insulin * Type 2 diabetic on medication but not metformin * Pre-diabetic * Non-diabetic Exclusion Criteria: * Advanced renal insufficiency (glomerular filtration rate (GFR) \< 45, or chronic kidney disease (CKD) stage 3B or higher) * Advanced liver cirrhosis or failure (Child-Pugh class B or C) * Congestive heart failure (New York Heart Association (NYHA) class 3 or 4) * Current alcohol abuse within 30 days of surgery (\>4 standard servings daily for men, \>3 standard servings daily for women) * Type 1 diabetes * Received contrast dye within 48 hours of surgery * Vulnerable populations: Children, pregnant women, neonates, decisionally impaired adults, prisoners
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Oregon Health & Science University
Portland, Oregon, 97239, United States
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