Metformin: Could This Affordable Diabetes Drug Unlock New Hope in Cancer Therapy?

Quick Answer: Metformin's repurposing for cancer gained momentum after studies showed diabetic patients taking it had significantly lower cancer rates and mortality. It is now studied as a gerotherapeutic agent targeting aging processes linked to cancer, with innovative research exploring higher doses, drug combinations (like immunotherapy), nanoformulations for targeted delivery, and personalized treatment based on biomarkers. If ongoing large trials confirm its benefits, metformin could make cancer care more accessible worldwide due to its affordability. However, robust randomized controlled trials are still needed to establish clear guidelines for its use in oncology. Historical Background Metformin originates from Galega officinalis, also known as Goat's Rue, a traditional herbal remedy used in Europe for diabetes-like symptoms for centuries. The active hypoglycemic compound galegine was isolated early in the 20th century. Metformin (dimethyl biguanide) was first synthesiz...