Metformin in PMP from appendiceal mucinous neoplasms
Official title: Use of Metformin in Patients With Pseudomyxoma Peritonei Secondary to Appendiceal Mucinous Neoplasms
Run by University of California, Irvine · NCT07693452 · Data updated 2026-11-12
This pilot study tests whether metformin is feasible to use in adults with pseudomyxoma peritonei caused by appendiceal mucinous tumors who have recurrent or unresected disease.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 15 (estimated) |
| Sponsor | University of California, Irvine Academic / other |
| Drugs / interventions | chemotherapy |
| Locations | 1 site (Orange, California) |
| Status | Recruiting |
| Started | June 18, 2026 |
| Main results expected | February 2028 |
| Study ends | July 2029 |
| Registry record updated | July 13, 2026 |
| Trial ID | NCT07693452 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18) with PMP due to presumed AMNs, with recurrent/refractory disease or unresectable disease, and ECOG 0-2.
✕Probably not a fit
Patients with resectable PMP planned for CRS/HIPEC or those intolerant to metformin may not benefit.
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 single-arm, open-label, Phase 2 pilot study to determine if metformin can be feasibly given to patients with PMP secondary to AMNs. Treatment continues for up to 18 months or until intolerance. The primary goal is to assess feasibility of metformin therapy in this patient population, with eligibility limited to adults with recurrent or unresectable PMP who have had prior CRS/HIPEC or are not planned for such procedures. No comparison group is included; outcomes focus on tolerability and practical administration. The study is conducted at UC Irvine's Chao Family Comprehensive Cancer Center under the lead sponsorship of UC Irvine.
Why it matters
Potential benefit: If feasible, metformin could offer a tolerable systemic option for patients with PMP secondary to AMNs who have limited treatment alternatives.
How similar studies have gone: Prior studies in other settings have explored metformin feasibility; this exact PMP/AMN pilot is novel or limited in prior published feasibility data.
Who can join: the full rules
Show full inclusion / exclusion criteria
Key Inclusion Criteria (complete details available in protocol): * Patients with clinical diagnosis of pseudomyxoma peritonei (PMP) secondary to presumed appendiceal mucinous neoplasms (AMNs) with recurrent/refractory disease s/p cytoreductive surgery(CRS)/hyperthermic intraperitoneal chemotherapy (HIPEC), unresectable disease, or without planned CRS/HIPEC * Age ≥18 years * ECOG performance status ≤2 Key Exclusion Criteria (complete details available in protocol): * Patients with a clinical diagnosis of PMP secondary to presumed AMNs with resectable disease who are planned to undergo CRS/HIPEC * Patients currently taking metformin for another medical indication * Patients with a prior adverse event to administration of metformin
Where it's running
-
Chao Family Comprehensive Cancer Center, University of California, Irvine
Orange, California, United States Recruiting
Study contacts
- Principal investigator: Oliver Eng, MD — Chao Family Comprehensive Cancer Center
- Study coordinator: Chao Family Comprehensive Cancer Center University of California, Irvine
- Email: ucstudy@uci.edu
- Phone: 1-877-827-8839
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Appendix Cancer and PMP Patient Registry and Natural History Study
This global, patient-powered registry tests how appendix cancer and pseudomyxoma peritonei progress over time by collecting real-world data from patients and caregivers.
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Pseudovax: a vaccine for people with pseudomyxoma peritonei
This trial will test whether the Pseudovax peptide vaccine with GM‑CSF plus the PD‑1 drug tislelizumab can boost anti‑tumor immunity in adults with GNAS‑mutated pseudomyxoma peritonei.
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One versus three HIPEC cycles after cytoreductive surgery for pseudomyxoma peritonei
This study will see if giving three HIPEC sessions instead of one after cytoreductive surgery helps people with pseudomyxoma peritonei live longer, delay disease progression, and keep a better quality of life.
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Neoadjuvant treatment for patients with advanced Pseudomyxoma peritonei
This study is testing a new combination of medications to see if it can help patients with advanced Pseudomyxoma peritonei have better surgery results.
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Comparing low-dose and high-dose chemotherapy for treating Pseudomyxoma Peritonei
This study is testing if a lower dose of chemotherapy given for a shorter time can work just as well as a higher dose for treating Pseudomyxoma Peritonei.
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Investigating the genetics of appendix cancer
This study is trying to find out how genetics might play a role in appendix cancer by following adults with the disease for up to six years.
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.