Testosterone for HIV-Positive Men With Reduced Serum Testosterone Levels and Abdominal Fat

NCT ID: NCT00009555

Last Updated: 2021-11-01

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

Clinical Phase

PHASE4

Total Enrollment

86 participants

Study Classification

INTERVENTIONAL

Study Completion Date

2006-03-31

Brief Summary

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The purpose of this study is to see if treatment with testosterone will reduce abdominal fat in HIV-positive men.

Many HIV patients on antiretroviral therapy show an increase in abdominal fat. Studies have shown that treatment with testosterone may decrease abdominal fat. This study will determine if testosterone will reduce abdominal fat in HIV patients.

Detailed Description

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Reports suggest that many HIV-infected patients on antiretroviral therapy experience an increase in abdominal fat. The mechanisms of abdominal fat accumulation in HIV-infected patients are not known. Studies have shown: treatment with testosterone gel reduces total body fat in young, androgen-deficient men; testosterone replacement in middle-aged men with mid-segment obesity decreases visceral fat; and replacement doses of testosterone decrease fat mass and augment lean body mass in HIV-infected men with androgen deficiency. Therefore, there is a strong rationale for evaluating the effectiveness of testosterone replacement in HIV-infected men with visceral obesity and low testosterone levels.

Patients are stratified based on their viral load. Patients receive either testosterone gel or placebo applied to the skin once daily for 24 weeks. Patients remain on their current antiretroviral regimens, which are not supplied through the study. Patients who receive testosterone during the first 24 weeks are eligible to receive it for an additional 24 weeks. Patients on placebo are followed for an additional 24 weeks. Clinical and laboratory evaluations for visceral fat changes are performed throughout the study.

Conditions

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HIV Infections

Keywords

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Testosterone Anthropometry Obesity Abdomen

Study Design

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Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Interventions

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Testosterone

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Patients may be eligible for this study if they:

* Are HIV-positive.
* Have been taking anti-HIV medications for at least 12 weeks before study entry and plan to continue taking them for an additional 24 weeks.
* Are male and between 18 and 70 years old.
* Have a measurement of greater than 100 cm around the abdomen.
* Can report an increase in abdominal size after taking antiretroviral drugs.
* Have a viral load less than 10,000 copies/ml within 6 weeks prior to screening.
* Have a serum total testosterone between 125 and 400 ng/dl. If serum total testosterone is greater than 400 ng/dl, bioavailable testosterone must be less than 115 ng/dl or free testosterone must be less than 50 pg/ml.

Exclusion Criteria

Patients will not be eligible for this study if they:

* Take certain drugs, including testosterone derivatives, glucocorticoids, appetite stimulants, dronabinol, megestrol acetate, androstenediols, oxandrolone, or other anabolic agents such as dehydroepiandrosterone (DHEA) or growth hormone within 12 weeks prior to study entry.
* Take hydroxyurea within 30 days of study entry.
* Take drugs for diabetes.
* Have diabetes.
* Take granulocyte-macrophage colony-stimulating factor (GM-CSF). (Granulocyte colony-stimulating factor (G-CSF) is allowed.)
* Take cytokines, cytokine inhibitors, or ketoconazole.
* Take ritonavir with simvastatin or lovastatin.
* Have an active opportunistic infection. Patients on treatment for at least 12 weeks will be allowed.
* Have 5-7 loose stools per day or diarrhea for more than 1 week, within 6 weeks of study entry.
* Have a blood pressure greater than 160 over 100.
* Have certain heart problems.
* Have a breast mass that has not been diagnosed.
* Have active cancer.
* Have had prostate cancer or certain other prostate problems.
* Are allergic to any part of the testosterone gel.
* Have a history of blood clots.
* Have a history of sleep apnea.
* Are receiving experimental treatment.
* Are receiving experimental drugs in other studies and do not know if they are taking the drug or placebo.
* Abuse drugs or alcohol in a way that would interfere with the study.
* Are dieting or doing heavy exercising.
* Have a viral load of 10,000 copies/ml or more at screening
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

MALE

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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Shalender Bhasin

Role: STUDY_CHAIR

Cecilia Shikuma

Role: STUDY_CHAIR

Locations

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USC CRS

Los Angeles, California, United States

Site Status

Charles R. Drew Univ. of Medicine and Science, Div. of Infectious Diseases

Los Angeles, California, United States

Site Status

Stanford CRS

Palo Alto, California, United States

Site Status

Ucsd, Avrc Crs

San Diego, California, United States

Site Status

Ucsf Aids Crs

San Francisco, California, United States

Site Status

Santa Clara Valley Med. Ctr.

San Jose, California, United States

Site Status

San Mateo County AIDS Program

San Mateo, California, United States

Site Status

Marin County Dept. of Health & Human Services, HIV/AIDS Program & Specialty Clinic

San Rafael, California, United States

Site Status

University of Colorado Hospital CRS

Aurora, Colorado, United States

Site Status

Queens Med. Ctr.

Honolulu, Hawaii, United States

Site Status

Univ. of Hawaii at Manoa, Leahi Hosp.

Honolulu, Hawaii, United States

Site Status

Northwestern University CRS

Chicago, Illinois, United States

Site Status

Rush Univ. Med. Ctr. ACTG CRS

Chicago, Illinois, United States

Site Status

Indiana Univ. School of Medicine, Infectious Disease Research Clinic

Indianapolis, Indiana, United States

Site Status

Indiana Univ. School of Medicine, Wishard Memorial

Indianapolis, Indiana, United States

Site Status

Methodist Hosp. of Indiana

Indianapolis, Indiana, United States

Site Status

IHV Baltimore Treatment CRS

Baltimore, Maryland, United States

Site Status

University of Minnesota, ACTU

Minneapolis, Minnesota, United States

Site Status

St. Louis ConnectCare, Infectious Diseases Clinic

St Louis, Missouri, United States

Site Status

Washington U CRS

St Louis, Missouri, United States

Site Status

Univ. of Nebraska Med. Ctr., Durham Outpatient Ctr.

Omaha, Nebraska, United States

Site Status

NY Univ. HIV/AIDS CRS

New York, New York, United States

Site Status

Univ. of Cincinnati CRS

Cincinnati, Ohio, United States

Site Status

Hosp. of the Univ. of Pennsylvania CRS

Philadelphia, Pennsylvania, United States

Site Status

Univ. of Pennsylvania Health System, Presbyterian Med. Ctr.

Philadelphia, Pennsylvania, United States

Site Status

Pitt CRS

Pittsburgh, Pennsylvania, United States

Site Status

Puerto Rico-AIDS CRS

San Juan, , Puerto Rico

Site Status

Countries

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United States Puerto Rico

Other Identifiers

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10175

Identifier Type: REGISTRY

Identifier Source: secondary_id

ACTG A5079

Identifier Type: -

Identifier Source: secondary_id

AACTG A5079

Identifier Type: -

Identifier Source: secondary_id

A5079

Identifier Type: -

Identifier Source: org_study_id