Metformin for Pseudomyxoma Peritonei

This study is testing if metformin, a common diabetes medication, can be a practical treatment for people with pseudomyxoma peritonei (PMP). PMP is a rare cancer that often starts in the appendix (appendiceal mucinous neoplasms or AMNs). You might be able to join if you have PMP from AMNs that has come back, can't be removed by surgery, or if surgery isn't planned. The main goal is to see if participants can take at least 80% of their planned metformin doses for 6 months. This is a pilot study, meaning it's a small first step to see if this treatment is feasible. The study is currently unclear about its recruitment status and plans to enroll 15 participants.

Study design
This is a single-arm, open-label pilot study, meaning all 15 participants will receive metformin. It's designed to see if metformin treatment is feasible.
What's involved
You would take metformin by mouth for up to 18 months, or until you can no longer tolerate the treatment.
Compensation
Not stated in the trial record.
Follow-up
The primary goal is measured at 6 months, but treatment can continue for up to 18 months.

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NCT07693452

Metformin in Pseudomyxoma Peritonei Secondary to Appendiceal Mucinous Neoplasms

Recruiting
PHASE2Ages 18+InterventionalTreatment
University of California, Irvine
~15 participants
Updated 2026-07-13 on ClinicalTrials.gov
What's tested:Metformin

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Proportion of Participants who have completed at least (≥) 80% of planned metformin doses by 6 months
Measured over 6 months
Appendiceal Mucinous Neoplasm
Pseudomyxoma Peritonei
1 sites across 1 states
California1
  • Oliver Eng, MD · PRINCIPAL_INVESTIGATOR · Chao Family Comprehensive Cancer Center
Chao Family Comprehensive Cancer Center University of California, Irvine
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Do you actually qualify for this trial?

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Eligibility criteria

Inclusion

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

Exclusion

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
  • Proportion of Participants who have completed at least (≥) 80% of planned metformin doses by 6 months6 months

    Examine the feasibility of metformin therapy in patients with pseudomyxoma peritonei (PMP) secondary to appendiceal mucinous neoplasms (AMNs)