Use of a Nutritional Supplement to Treat Diabetic Symptoms in HIV-Infected Adults

NCT ID: NCT00109746

Last Updated: 2016-03-23

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

PHASE1/PHASE2

Total Enrollment

39 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-11-30

Study Completion Date

2010-06-30

Brief Summary

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The purpose of this study is to determine the effectiveness of the nutritional supplement chromium picolinate in improving insulin resistance, a symptom of diabetes, in HIV-infected patients. The ultimate goal is to find a simple therapy that can prevent the development of diabetes in individuals with HIV.

Detailed Description

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Insulin resistance occurs when blood glucose levels get too high for the body to respond. Certain anti-HIV drugs are associated with increased insulin resistance and may lead to abnormal fat distribution, hypertension, and type 2 diabetes mellitus. The dietary supplement chromium picolinate has been shown to safely improve insulin sensitivity in patients with type 2 diabetes mellitus with no serious side effects. However, the effects of the supplement have not been thoroughly examined in HIV-infected individuals. This study will determine the effectiveness of chromium picolinate in improving insulin resistance in HIV-infected individuals.

This study will last 2 months. Participants will be randomly assigned to receive either chromium picolinate or placebo once a day for 2 months. Participants will have four overnight visits at the research center and two additional daytime visits for safety monitoring. During the overnight visits, participants will undergo a euglycemic hyperinsulinemic clamp, in which a continuous infusion of insulin is given through a vein and glucose levels are monitored through blood samples taken every 5 to 10 minutes. Fat tissue biopsies will also be conducted at the overnight study visits. During the safety monitoring visits, blood collection will occur for kidney and liver function tests, CD4 count, and viral load assessment.

Conditions

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Insulin Resistance HIV Infections

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Chromium Picolinate

HIV+ and control may receive 500µg of chromium picolinate or placebo twice daily for two months.

Group Type ACTIVE_COMPARATOR

chromium picolinate

Intervention Type DIETARY_SUPPLEMENT

HIV+ and control may receive 500µg of chromium picolinate or placebo twice daily for two months.

Placebo

HIV+ and control may receive 500µg of chromium picolinate or placebo twice daily for two months.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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chromium picolinate

HIV+ and control may receive 500µg of chromium picolinate or placebo twice daily for two months.

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* HIV infected
* Currently taking an anti-HIV drug regimen
* Insulin Resistant:fasting glucose between 5.56 and 7mmol/L and/or two hour post-glucose load between 7.78 and 11.11mmol/L

Exclusion Criteria

* Cancer
* Acute illness that would interfere with the study
* Hypogonadism
* Hypothyroidism
* Untreated hypertension
* CD4 count less than 300 cells/mm3
* Viral load greater than 35,000 copies/ml
* Untreated hepatitis C virus infection
* Pregnancy
* Diabetes
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Office of Dietary Supplements (ODS)

NIH

Sponsor Role collaborator

National Center for Complementary and Integrative Health (NCCIH)

NIH

Sponsor Role lead

Responsible Party

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Marie Gelato

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Marie C. Gelato, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

State University of New York/General Clinical Research Center

Locations

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State University of New York/General Clinical Research Center

Stony Brook, New York, United States

Site Status

Countries

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United States

References

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El-Sadr WM, Mullin CM, Carr A, Gibert C, Rappoport C, Visnegarwala F, Grunfeld C, Raghavan SS. Effects of HIV disease on lipid, glucose and insulin levels: results from a large antiretroviral-naive cohort. HIV Med. 2005 Mar;6(2):114-21. doi: 10.1111/j.1468-1293.2005.00273.x.

Reference Type BACKGROUND
PMID: 15807717 (View on PubMed)

Howard AA, Floris-Moore M, Arnsten JH, Santoro N, Fleischer N, Lo Y, Schoenbaum EE. Disorders of glucose metabolism among HIV-infected women. Clin Infect Dis. 2005 May 15;40(10):1492-9. doi: 10.1086/429824. Epub 2005 Apr 11.

Reference Type BACKGROUND
PMID: 15844072 (View on PubMed)

Taiwo BO. Insulin resistance, HIV infection, and anti-HIV therapies. AIDS Read. 2005 Apr;15(4):171-6, 179-80.

Reference Type BACKGROUND
PMID: 15844237 (View on PubMed)

Other Identifiers

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R21 AT002499-01A1

Identifier Type: -

Identifier Source: org_study_id

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