Metformin × kidney outcomes

TrialCardiovascular drugs and therapy2015

Effect of Metformin on Renal Function After Primary Percutaneous Coronary Intervention in Patients Without Diabetes Presenting with ST-elevation Myocardial Infarction: Data from the GIPS-III Trial.

Rene A Posma et al.PubMed ↗Full text ↗Publisher ↗

  • Metformin 500 mg twice dailyno clear effectNo clear effect on contrast-induced acute kidney injury.Nothing cleared the noise.

What the trial testedas reported · 379 people · 2015

Range includes no effect

No clear effect on contrast-induced acute kidney injury

−4%−48% to +75%

metformin 500 mg twice daily vs placebo twice daily

14 in 100 instead of 15

Bigger than 1 in 10 on the map

As reported

OR 0.96, 95% CI 0.52–1.75

What moved togetherboth groups pooled, not the treatment’s effect

Correlation, not cause

Went with higher adverse events & safety

3.3×1.5× to 7.2×

Bigger than 9 in 10 for adverse events & safety

As reported

OR 3.30, 95% CI 1.51–7.23

+2 more in the walkthrough ↓

Who was studied, and how

379people with kidney disease, in this paper

The trial randomly assignedassigned by chance

metformin 500 mg twice daily
placebo twice daily

No clear effect on contrast-induced acute kidney injury−4%

randomised

the abstract, start to end

not associated with CI-AKI (odds ratio: 0.96, 95%CI 0.52-1.75, P=0.88).

(OR: 1.01 per 10 ml increase, 95%CI 0.98-1.03, P = 0.60).Table 3Predictors

predictor of CI-AKI (odds ratio (OR): 3.30, 95%CI 1.51-7.23, P < 0.01), as

(OR: 1.01 per 10 ml increase, 95%CI 0.98-1.03, P = 0.60).

← favours treatmentfavours comparator →
could be chance
No interval given · direction only, strength unknown
Contrast-induced acute kidney injury (CI-AKI)metformin 500 mg twice daily vs placebo twice daily
OR 0.960.52–1.75
Adverse events & safety
−1.03
Adverse events & safety
OR 3.301.51–7.23
Cardiovascular events
−1.03
MetforminAntihypertensivesCardiovascular eventsKidney outcomesAdverse events & safety

Metformin × kidney outcomeshelps?no deciding trial

unlikelylikely
0.25only evidence
1 / 6

14 papers cite it

2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
this paperpooled ittrialcites it
Full record →Abstract, authors, funding and every citing paper · PMID 27656713