Metformin for Fibromyalgia Symptoms (INFORM Trial)

This study, called the INFORM Trial, is looking into whether a low dose of metformin can help improve symptoms for people with fibromyalgia syndrome (FMS). Metformin is a drug commonly used for type 2 diabetes. Researchers believe it might work by affecting pathways in the body related to inflammation. You could be eligible to join if you are between 18 and 75 years old, meet the criteria for fibromyalgia, and can take oral medication. The study will compare metformin to a placebo (an inactive pill) over 8 weeks to see if metformin is safe and effective in reducing FMS symptoms. The main goal is to see how well metformin works after about 12-14 weeks.

Study design
This interventional study plans to enroll 72 participants. It compares metformin to a placebo, meaning some participants will receive the active drug and others an inactive pill.
What's involved
Participants will take either metformin or a placebo once daily for 8 weeks. You must be willing to follow this medication regimen.
Compensation
Not stated in the trial record.
Follow-up
The primary endpoints for symptom improvement will be measured at 12-14 weeks after the start of the study.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT05900466

Metformin for Fibromyalgia Symptoms (INFORM Trial)

Recruiting
PHASE2Ages 18–75InterventionalTreatment
University of Utah
~72 participants
Updated 2026-03-30 on ClinicalTrials.gov
What's tested:MetforminPlacebo

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Evaluate the safety and efficacy of low-dose metformin in improving the symptoms associated with FMS
Measured over 12-14 weeks
Fibromyalgia Syndrome
1 sites across 1 states
Utah1
  • Akiko Okifuji, PhD · PRINCIPAL_INVESTIGATOR · University of Utah
  • Norman Taylor, MD, PhD · PRINCIPAL_INVESTIGATOR · University of Utah

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Eligibility criteria

Inclusion

To be able to follow the protocol in English
Fibromyalgia Syndrome: Participant must meet the American College of Rheumatology 2016 revised classification criteria for Fibromyalgia
Ability to take oral medication and be willing to adhere to the metformin regimen (once daily)

Exclusion

Co-occurring progressive disease (self-report, physician-diagnosed)
Diabetes
Pregnancy or planning to be pregnant in the next year (all premenopausal participants will be tested)
Having known cardiovascular, liver, kidney or pulmonary diseases (self-report, physician-diagnosed)
Having known serious psychopathology (Clinician diagnoses of psychosis, organic mental disorder, or dissociative disorder, self-reported active suicidal intent, self-reported history of inpatient admission to a psychiatric ward in the past year, evidence or self-report of self-injurious behaviors in the past year, reported current or recent history (2years) of non-IV substance abuse, any history of recreational IV drug use)
Having autoimmune disorder (e.g., rheumatoid arthritis) (self-report, physician-diagnosed)
Having neuropathic pain (self-report, physician-diagnosed)
Having pain associated with a terminal illness, acute pain, pain associated with specific organ damage (eg, stomach ulcer) (self-report, physician-diagnosed)
Concurrent use of weight controlling medications (eg, Xenical)
Requiring an interpreter to communicate
Abnormal levels of creatinine, vitamin B12, or hepatic function panel
eGFR of below 45mL/min/1.73m2
  • Evaluate the safety and efficacy of low-dose metformin in improving the symptoms associated with FMS12-14 weeks

    Safety will be measured by the Fibromyalgia Impact Questionnaire, Revised (FIQ-R score and will measure overall FMS severity. The numeric scale ranges from 0-10 with 0 being "low difficulty" (better outcome) and 10 being "high difficulty" (worse outcome).