Metformin before surgery and risk of nausea and vomiting after anesthesia.
Official title: Association Between Preoperative Metformin Exposure and Postoperative Nausea and Vomiting in Patients Undergoing General Anesthesia: a Prospective Observational Cohort Study
Run by Sixth Affiliated Hospital, Sun Yat-sen University · NCT07244575 · Data updated 2026-11-12
This project will see if people who take metformin before general anesthesia have different rates or severity of postoperative nausea and vomiting compared with people not on metformin.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 909 (estimated) |
| Sponsor | Sixth Affiliated Hospital, Sun Yat-sen University Academic / other |
| Locations | 1 site (Guangzhou, Guangdong) |
| Status | Recruiting |
| Started | December 1, 2025 |
| Main results expected | December 31, 2028 |
| Study ends | December 31, 2033 |
| Registry record updated | February 9, 2026 |
| Trial ID | NCT07244575 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (age ≥18) scheduled for elective surgery under general anesthesia with endotracheal intubation who can give informed consent and complete postoperative questionnaires are eligible.
✕Probably not a fit
Patients undergoing emergency surgery, those already taking medications with antiemetic effects, those with preoperative nausea or vomiting, or those unable to cooperate with questionnaires are unlikely to benefit from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a prospective observational cohort of 909 adults having surgery under general anesthesia with endotracheal intubation at the Sixth Affiliated Hospital of Sun Yat-sen University. Participants already on metformin (n=303) will be compared with those not taking metformin (n=606) using structured postoperative surveys. The primary outcome is the incidence of postoperative nausea and vomiting (PONV) within 0–120 hours after surgery, and secondary outcomes include interval-specific incidence and severity, antiemetic use, and quality of recovery measured by the QoR-15. Data will be collected prospectively without altering routine perioperative care.
Why it matters
Potential benefit: If positive, the findings could help clarify whether preoperative metformin use is linked to less PONV and inform medication planning to improve recovery after anesthesia.
How similar studies have gone: This specific question is relatively novel with limited prior data on metformin reducing PONV, and randomized evidence is lacking.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion criteria 1. Voluntarily sign the informed consent form; 2. Age ≥ 18 years; 3. Patients who require surgical treatment under endotracheal intubation with general anesthesia as determined by the treating physician. Exclusion criteria 1. Emergency surgery; 2. Currently taking medications with established antiemetic effects (e.g., corticosteroids, antipsychotics) due to underlying medical conditions; 3. Cognitive impairment or psychiatric disorders that preclude cooperation with questionnaire assessments; 4. Anticipated inability to extubate the tracheal tube postoperatively, which would interfere with outcome assessment; 5. Presence of nausea and/or vomiting prior to surgery.
Where it's running
-
The Sixth Affiliated Hospital, Sun Yat-sen University
Guangzhou, Guangdong, China Recruiting
Study contacts
- Principal investigator: Yang Zhao, Dr — Sixth Affiliated Hospital, Sun Yat-sen University
- Study coordinator: Yang Zhao, Doctor
- Email: zhaoy47@mail.sysu.edu.cn
- Phone: 0086-02038254070
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.