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Old diabetes drug, new hope: metformin tested to stop blood cancer before it starts

NCT ID NCT04850846

First seen Sep 30, 2025 · Last updated Jun 23, 2026 · Updated 33 times

Summary

This study tests whether metformin, a widely used diabetes medication, can prevent multiple myeloma in people with two precursor conditions: MGUS and smoldering multiple myeloma. Sixty participants will receive either metformin or a placebo for up to three years. The goal is to see if metformin can slow or stop the rise of abnormal proteins in the blood that signal progression to full-blown cancer.

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This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Contacts and locations

Locations

  • Brigham and Women's Hospital

    Boston, Massachusetts, 02115, United States

  • DF/ BWCC in Clinical Affiliation with South Shore Hospital

    Weymouth, Massachusetts, 02190, United States

  • Dana Farber Cancer Institute

    Boston, Massachusetts, 02215, United States

  • Dana-Farber at Brighton

    Brighton, Massachusetts, 02135, United States

  • Dana-Farber at Merrimack Valley

    Methuen, Massachusetts, 01844, United States

  • Dana-Farber at Milford

    Milford, Massachusetts, 01757, United States

  • Dana-Farber at NHOH

    Londonderry, New Hampshire, 35053, United States

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

Metformin (extended release)

What this could lead to

If it works, this could point toward a simple, affordable way to prevent multiple myeloma in people with early blood abnormalities.

What could go wrong

This is a small, early-phase study with only 60 participants. Metformin is already approved for diabetes, but its effect on cancer prevention is unproven, and results may not apply to everyone.

Conditions

The condition(s) this trial relates to.

monoclonal gammopathy of uncertain significance Smoldering Multiple Myeloma smoldering plasma cell myeloma plasma cell myeloma prevention target

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.