In contrast, a small pilot randomized clinical trial of metformin in combination with first-line chemotherapy did not show a meaningful effect on progression-free survival, although a positive trend was observed and the negative modulation of the pro-tumor IGF-1 signaling axis was observed [ 72 ].
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Divergent Metabolic Effects of Metformin Merge to Enhance Eicosapentaenoic Acid Metabolism and Inhibit Ovarian Cancer In Vivo.
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Metformin treatment showed a trend towards increased expression of 5-LOX and 15-LOX in tumors compared to the control at mRNA and protein levels ( Figure 10 C,D).