Diabetes drug shows promise against rectal cancer in new trial
NCT ID NCT02437656
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at whether adding metformin, a common diabetes medicine, to standard chemo and radiation therapy could help people with locally advanced rectal cancer. 60 adults with stage T3 or T4 rectal cancer took part. The main goal was to see if the combination led to a complete disappearance of cancer cells in the tumor after surgery.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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60 people
The number who actually took part.
- Started
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May 2015
- Finished
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Mar 2017
- Lead sponsor
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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
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Patient with an adenocarcinoma of the low or middle rectum. 2. T3 or T4 stage (T evaluated by MRI and / or echo-endoscopy). 3. Absence of distant metastasis. 4. Patient requiring a radiochemotherapy. 5. Correct hematological conditions : Neutrophils ≥ 1500 G / L, platelets ≥ 100 000 G / L. 6. Age ≥ 18 years 7. Performance status (WHO) ≤ 2 8. Lactatemia ≤ Higher standard of the sampling laboratory. 9. For women of childbearing age, a contraceptive method is mandatory for the entire duration of the study. Exclusion Criteria: 1. Other histologies such as squamous cell carcinoma, neuroendocrine tumors, melanomas, etc. 2. History of lactic acidosis. 3. Any diabetes (According to the WHO definition : fasting plasma glucose (FPG) \> 1.26 g / L-1). 4. Ongoing antidiabetic treatment such as * Biguanides, hypoglycemic sulfamides, glinides, GLP-1 analogue, gliptins, alpha-glucosidase inhibitors * Insulin or insulin analogues 5. Hypersensitivity to capecitabine or to any of the excipients or to fluorouracil. 6. History of severe and unexpected reactions to a fluoropyrimidine therapy. 7. Patient with known deficiency to the dihydropyrimidine dehydrogenase (DPD). 8. Hypersensitivity to metformin or to any of the excipients. 9. Renal failure or impaired renal function (creatinine clearance \< 60 ml / min). 10. Severe infection. 11. Acute or chronic disease which may cause tissue hypoxia such as heart or respiratory failure or recent myocardial infarction (\< 6 months). 12. Hepatic insufficiency, acute alcohol intoxication, alcoholism. 13. Psychiatric inability to give consent. 14. Contraindication to radiation therapy and/or chemotherapy. 15. Treatment with sorivudine or its chemically related analogues, such as brivudine. 16. Patient under tutorship or guardianship. 17. Pregnant or breastfeeding women.
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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
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Centre Galilée - Hôpital Privé La Louvière
Lille, 59045, France
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Centre Gray
Maubeuge, 59600, France
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Centre Hospitalier
Lens, 62300, France
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Centre Joliot-Curie
Saint-Martin-Boulogne, 62200, France
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Centre Léonard de Vinci - SARL du pont Saint Vaast
Douai, 59500, France
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Centre Marie Curie
Arras, 62000, France
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Centre Oscar Lambret
Lille, 59020, France
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Centre Pierre Curie
Beuvry, 62880, France
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Clinique des Dentellières
Valenciennes, 59300, France
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Clinique du Bois - Centre Bourgogne
Lille, 59000, France
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Institut André Dutreix
Dunkirk, 59240, France
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Other studies related to the condition(s) this trial covers.
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