A Comparison of Two Caloric Supplements in the Prevention of Weight Loss in Patients With AIDS Who Take Daily Multivitamin and Mineral Supplements

NCT ID: NCT00001077

Last Updated: 2013-10-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

536 participants

Study Classification

OBSERVATIONAL

Study Start Date

1996-06-30

Study Completion Date

1998-04-30

Brief Summary

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To compare a caloric supplement containing peptides and medium-chain triglycerides, a caloric supplement containing whole protein and long-chain triglycerides, and no caloric supplement for the prevention of weight loss in individuals with AIDS who take a daily multivitamin and mineral supplement.

Detailed Description

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Patients will be randomized to one of 3 study arms:

Arm 1 - Peptamen drinks + multivitamin and mineral supplement, taken in addition to regular diet for 4 months Arm 2 - NuBasics drinks or equivalent amounts of NuBasics soups or bars + multivitamin and mineral supplement, taken in addition to regular diet for 4 months Arm 3 - Multivitamin and mineral supplement, taken in addition to regular diet for 4 months.

At months 0, 2, and 4, patients will be assessed for weight, body cell mass, patient-reported physical activity level, and dietary intake (by 24-hour dietary recall). At months 2 and 4, they will also be assessed for compliance with study regimen. Patients who complete their 4 month follow up visit will be provided with a 30 day supply of the caloric supplement of their choice (Peptamen or NuBasics) and a 30 day supply of the study multivitamin supplement.

Conditions

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HIV Infections HIV Wasting Syndrome

Keywords

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Weight Loss Acquired Immunodeficiency Syndrome Nutritional Support

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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1

Participants will receive peptamen drinks and multivitamin and mineral supplements, taken in addition to a regular diet for 4 months

Multivitamin and mineral supplements

Intervention Type DIETARY_SUPPLEMENT

Oral tablets taken daily

Peptamen

Intervention Type DIETARY_SUPPLEMENT

Solution received daily

2

Participants will receive NuBasics drinks or equivalent amounts of NuBasics soups or bars and daily multivitamin and mineral supplements, taken in addition to a regular diet for 4 months

Multivitamin and mineral supplements

Intervention Type DIETARY_SUPPLEMENT

Oral tablets taken daily

NuBasics

Intervention Type DIETARY_SUPPLEMENT

Solution or dietary bar received daily

3

Participants will receive multivitamin and mineral supplements, taken in addition to a regular diet for 4 months

Multivitamin and mineral supplements

Intervention Type DIETARY_SUPPLEMENT

Oral tablets taken daily

Interventions

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Multivitamin and mineral supplements

Oral tablets taken daily

Intervention Type DIETARY_SUPPLEMENT

Peptamen

Solution received daily

Intervention Type DIETARY_SUPPLEMENT

NuBasics

Solution or dietary bar received daily

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

Patients must have:

* HIV infection.
* Stable weight.
* CD4+ cell count \<200 cells/mm3.
* Life expectancy of at least 6 months.
* Parent or legal guardian to sign written, informed consent for patients \< 18 years old.

Exclusion Criteria

Co-existing Condition:

Patients with any of the following symptoms or conditions are excluded:

* Active opportunistic infection, requiring acute treatment.
* Malignancy (other than stable cutaneous Kaposi's sarcoma that does not require systemic chemotherapy).
* Diabetes mellitus or other conditions requiring special dietary restrictions.
* Body mass index (BMI) \>= 29.0 kg/m2.
* Disorders or conditions that, in the treating clinician's opinion, may prevent adequate compliance with protocol requirements.

Concurrent Medication:

Excluded:

* Growth hormone.
* Megestrol acetate (Megace).
* Cyproheptadine (Periactin).
* Dronabinol (Marinol).
* Thalidomide.
* Anabolic steroids (e.g., nandrolone decanoate)(Deca-durabolin).
* Pharmacologic-dose corticosteroids (e.g., \> 15 mg/day prednisone equivalent)

NOTE:

* Men requiring testosterone replacement therapy for documented hypogonadism may be enrolled.
* Caloric nutritional supplements deemed by the clinician to promote weight gain or maintenance.

Patients with the following prior condition are excluded:

* History of phenylketonuria.

Prior Medication:

Excluded within the past 2 weeks:

* Use of caloric nutritional supplements for more than 5 days deemed by the clinician to promote weight gain or maintenance.

Excluded within the past 30 days:

* Growth hormone.
* Megestrol acetate (Megace).
* Cyproheptadine (Periactin).
* Dronabinol (Marinol).
* Thalidomide.
* Anabolic steroids (e.g., nandrolone decanoate)(Deca-durabolin)
* Pharmacologic-dose corticosteroids (e.g., \> 15 mg/day prednisone equivalent).

NOTE:

* Men requiring testosterone replacement therapy for documented hypogonadism may be enrolled.
Minimum Eligible Age

13 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Allergy and Infectious Diseases (NIAID)

NIH

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gilbert CL

Role: STUDY_CHAIR

Wheeler D

Role: STUDY_CHAIR

Locations

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Community Consortium / UCSF

San Francisco, California, United States

Site Status

Denver CPCRA / Denver Public Hlth

Denver, Colorado, United States

Site Status

Washington Reg AIDS Prog / Dept of Infect Dis

Washington D.C., District of Columbia, United States

Site Status

AIDS Research Consortium of Atlanta

Atlanta, Georgia, United States

Site Status

Rush Presbyterian - Saint Luke's Med Ctr

Chicago, Illinois, United States

Site Status

AIDS Research Alliance - Chicago

Chicago, Illinois, United States

Site Status

Louisiana Comm AIDS Rsch Prog / Tulane Univ Med

New Orleans, Louisiana, United States

Site Status

Baltimore Trials

Baltimore, Maryland, United States

Site Status

Wayne State Univ / WSU / DMC HIV / AIDS Program

Detroit, Michigan, United States

Site Status

Henry Ford Hosp

Detroit, Michigan, United States

Site Status

Southern New Jersey AIDS Cln Trials / Dept of Med

Camden, New Jersey, United States

Site Status

North Jersey Community Research Initiative

Newark, New Jersey, United States

Site Status

Partners in Research - New Mexico

Albuquerque, New Mexico, United States

Site Status

Partners Research

Albuquerque, New Mexico, United States

Site Status

Harlem AIDS Treatment Group / Harlem Hosp Ctr

New York, New York, United States

Site Status

Portland Veterans Adm Med Ctr / Rsch & Education Grp

Portland, Oregon, United States

Site Status

Philadelphia FIGHT

Philadelphia, Pennsylvania, United States

Site Status

Countries

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United States

References

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Gibert CL, Muurahainen N, Collins G, Williams B, Raghavan S, Bartsch G, Wheeler D. Body composition in HIV-infected men and women in 1996-1997 (CPCRA 038). Int Conf AIDS. 1998;12:554 (abstract no 32169)

Reference Type BACKGROUND

Williams SB, Collins G, Muurahainen N, Bartsch G, Gibert C, Raghavan SS, Wheeler D. Protein intake is associated with body cell mass in weight-stable HIV+ men with CD4 < 200 cells/mm3: CPCRA 038. Int Conf AIDS. 1998;12:841-2 (abstract no 42339)

Reference Type BACKGROUND

Muurahainen N, Mulligan K. Clinical trials update in human immunodeficiency virus wasting. Semin Oncol. 1998 Apr;25(2 Suppl 6):104-11.

Reference Type BACKGROUND
PMID: 9625392 (View on PubMed)

Muurahainen N, Collins G, Wheeler D, Mateo N, Madans M, Bartsch G, Gilbert C. Body cell mass (BCM) in HIV-infected (HIV+) males in the community programs for clinical research on AIDS (CPCRA) in 1996-1997. Int Conf AIDS. 1998;12:840 (abstract no 42333)

Reference Type BACKGROUND

Gibert CL, Wheeler DA, Collins G, Madans M, Muurahainen N, Raghavan SS, Bartsch G. Randomized, controlled trial of caloric supplements in HIV infection. Terry Beirn Community Programs for Clinical Research on AIDS. J Acquir Immune Defic Syndr. 1999 Nov 1;22(3):253-9. doi: 10.1097/00126334-199911010-00006.

Reference Type BACKGROUND
PMID: 10770345 (View on PubMed)

Other Identifiers

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11588

Identifier Type: REGISTRY

Identifier Source: secondary_id

CPCRA 038

Identifier Type: -

Identifier Source: org_study_id