Evidence mapPaperPMID 41930282Full record

ArticleAnnals of neurosciences2026

Metformin Repurposing in Neurological Disorders: A Clinical Trial Landscape.

Yukesh R, Sushil Sharma, Madhavrao C, Gaurav Manikrao Rangari, Arup Kumar Misra, Katiboina Srinivasa Rao, Boda Srikanth Nayak, Jyothi Vennela, Sarikonda Sandhyarani

Abstract read
In one paragraph

Article in Annals of neurosciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Yukesh RDepartment of Pharmacology, All India Institute of Medical Sciences, Mangalagiri, Andhra Pradesh, India.ORCID https://orcid.org/0009-0000-4278-522X
Sushil SharmaDepartment of Pharmacology, All India Institute of Medical Sciences, Mangalagiri, Andhra Pradesh, India.
Madhavrao CDepartment of Pharmacology, All India Institute of Medical Sciences, Mangalagiri, Andhra Pradesh, India.
Gaurav Manikrao RangariDepartment of Pharmacology, All India Institute of Medical Sciences, Mangalagiri, Andhra Pradesh, India.
Arup Kumar MisraDepartment of Pharmacology, All India Institute of Medical Sciences, Mangalagiri, Andhra Pradesh, India.
Katiboina Srinivasa RaoDepartment of Pharmacology, All India Institute of Medical Sciences, Mangalagiri, Andhra Pradesh, India.
Boda Srikanth NayakDepartment of Pharmacology, All India Institute of Medical Sciences, Mangalagiri, Andhra Pradesh, India.
Jyothi VennelaDepartment of Pharmacology, All India Institute of Medical Sciences, Mangalagiri, Andhra Pradesh, India.ORCID https://orcid.org/0009-0000-8936-8140
Sarikonda SandhyaraniDepartment of Pharmacology, All India Institute of Medical Sciences, Mangalagiri, Andhra Pradesh, India.ORCID https://orcid.org/0009-0004-9950-8804

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Neurological disorders such as Alzheimer's disease (AD) and multiple sclerosis (MS) involve progressive nerve cell loss and current treatments mainly provide symptomatic relief without stopping disease progression. Drug repurposing offers a promising approach to address this gap. Metformin, a widely used oral anti-diabetic drug, is being studied in central nervous system (CNS) disorders due to its multiple effects, including activating the adenosine monophosphate-activated protein kinase (AMPK) pathway, supporting neuroprotection and promoting remyelination. Purpose: To systematically analyse the current clinical trial landscape of metformin repurposing in CNS disorders. Methods: Data were collected exclusively from ClinicalTrials.gov. The search focused on neurological, neurodegenerative and neurodevelopmental conditions while excluding trials mainly targeting type 2 diabetes or cancer. After screening, 23 clinical studies were selected. Extracted data emphasised disease types, therapeutic goals and measurable neurobiological and functional outcomes. Results: Research on metformin in CNS disorders is active, with over two-thirds of trials being completed ( Conclusion: This analysis shows growing interest in repurposing metformin as a potential disease-modifying therapy for CNS disorders, with a focus on neurorepair and biomarker-based assessment. Larger, well-designed randomised controlled trials are still needed to confirm efficacy in humans.

Indexed as

adenosine monophosphate–activated protein kinase (AMPK) pathwayClinicalTrials.govdrug repurposingMetforminsystematic review

Identifiers

PMID41930282
PMCPMC13038476

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.