TH9507 in Patients With HIV-Associated Lipodystrophy

NCT ID: NCT00123253

Last Updated: 2013-11-27

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

412 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-06-30

Study Completion Date

2007-04-30

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

HIV lipodystrophy affects a significant proportion of patients treated with combination antiretroviral therapy (ART) and is characterized by excess visceral fat accumulation and loss of extremity and subcutaneous fat, in association with dyslipidemia and insulin resistance. Data from a previous randomized, placebo-controlled trial demonstrated that daily administration of 2mg TH9507, a growth hormone releasing factor (GRF), to HIV patients with an excess of abdominal fat accumulation for 12 weeks resulted in decreases in visceral adipose tissue (VAT) and trunk fat, with no significant changes in limb fat and subcutaneous adipose tissue (SAT). This study is aimed at further assessing the efficacy and safety of 2 mg TH9507 in a larger population of HIV patients treated with ART and experiencing an excess of abdominal fat accumulation.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

HIV Infections Lipodystrophy

Keywords

Explore important study keywords that can help with search, categorization, and topic discovery.

HIV Lipodystrophy Abdominal fat accumulation Growth hormone releasing factor/Growth hormone releasing hormone Treatment Experienced

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

TH9507

Intervention Type DRUG

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Ages 18 to 65 years inclusive
* HIV positive; CD4 cell counts \>100 cells/mm3; viral load \<10,000 copies/mL (stable for 8 weeks)
* On stable ART regimen for at least 8 weeks prior to randomization
* Have evidence of abdominal fat accumulation defined by the following anthropometric cut off values:

* For males: waist circumference \> 95 cm and waist to hip ratio \> 0.94;
* For females: waist circumference \> 94 cm and waist to hip ratio \> 0.88.
* Females of childbearing potential not pregnant or lactating; normal mammography within 6 months of study.
* Signed informed consent

Exclusion Criteria

* Body mass index \< 20 kg/m2
* Opportunistic infection; HIV-related disease within 3 months of study.
* History of malignancy; active neoplasm.
* Prostate-specific antigen (PSA) \>5 ng/mL at screening
* Hypopituitarism; history of pituitary tumor/surgery; head irradiation; head trauma that has affected the somatotropic axis.
* Untreated hypothyroidism
* Type 1 diabetics and type 2 diabetics on oral hypoglycemic or insulin sensitizing agent within 6 months of study
* ALT or AST \> 3 x ULN; serum creatinine \> 133 mmol/L (1.5 mg/dL); hemoglobin more than 20 g/L below LLN; fasting blood glucose \> 8.33 mmol/L (150 mg/dL); fasting triglycerides \> 11.3 mmol/L (0.99 g/dL).
* Untreated hypertension
* Change in anti-hyperlipemic regimen within 3 months prior to study
* Change in testosterone regimen and/or supraphysiological dose of testosterone
* Estrogen therapy
* Anoretics/anorexigenics or anti-obesity agents within 3 months of study
* Growth hormone (GH); GH secretagogues; growth hormone releasing factor (GRF) products; IGF-1; or IGFBP-3 within 6 months of study.
* Drug or alcohol dependence or use of methadone within 6 months of study entry
* Participation in a clinical trial with any investigational drug/device within 30 days of screening.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Theratechnologies

INDUSTRY

Sponsor Role lead

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Steven Grinspoon, MD

Role: PRINCIPAL_INVESTIGATOR

Massachusetts General Hospital

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

UCLA School of Medicine

Los Angeles, California, United States

Site Status

Office of Dr. Michael Somero

Palm Springs, California, United States

Site Status

UCSD Medical Center

San Diego, California, United States

Site Status

Kaiser Permanente

San Francisco, California, United States

Site Status

AIDS Research Alliance

West Hollywood, California, United States

Site Status

Capital Medical Associates

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

Site Status

Bach & Godofsky

Bradenton, Florida, United States

Site Status

Office of Dr. Gary Richmond

Fort Lauderdale, Florida, United States

Site Status

Care Resource Miami

Miami, Florida, United States

Site Status

Orlando Immunology Center

Orlando, Florida, United States

Site Status

Infectious Disease Associates

Sarasota, Florida, United States

Site Status

Treasure Coast Infectious Disease Consultant (TDIDC)

Vero Beach, Florida, United States

Site Status

AIDS Research Consortium Atlanta (ARCA)

Atlanta, Georgia, United States

Site Status

Northern Healthcare

Chicago, Illinois, United States

Site Status

Rush University Medical Center

Chicago, Illinois, United States

Site Status

Indiana University Department of Medicine

Indianapolis, Indiana, United States

Site Status

Institute of Human Virology

Baltimore, Maryland, United States

Site Status

Johns Hopkins University School of Medicine

Baltimore, Maryland, United States

Site Status

Community Research Initiative of New England

Boston, Massachusetts, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Tufts University School of Medicine

Boston, Massachusetts, United States

Site Status

Community Research Initiative of New England (CRI West)

Springfield, Massachusetts, United States

Site Status

Hennepin County Medical Centre

Minneapolis, Minnesota, United States

Site Status

AIDS Community Research Initiative of America

New York, New York, United States

Site Status

Bellevue Hospital Center New York University

New York, New York, United States

Site Status

St Luke's Roosevelt Hospital Centre

New York, New York, United States

Site Status

St Vincent Catholic Medical Centre

New York, New York, United States

Site Status

University of Cincinnati Medical Center

Cincinnati, Ohio, United States

Site Status

Fanno Creek Clinic, LLC

Portland, Oregon, United States

Site Status

Drexel University College of Medicine

Philadelphia, Pennsylvania, United States

Site Status

Central Texas Clinical Research

Austin, Texas, United States

Site Status

Dallas VA Medical Centre

Dallas, Texas, United States

Site Status

The University of Texas Medical School

Houston, Texas, United States

Site Status

Infectious Disease Physicians Inc.

Annandale, Virginia, United States

Site Status

Swedish Medical Center

Seattle, Washington, United States

Site Status

Southern Alberta Clinic

Calgary, Alberta, Canada

Site Status

St-Paul's Hospital

Vancouver, British Columbia, Canada

Site Status

Sunnybrook and Women College Health Sciences Centre

Toronto, Ontario, Canada

Site Status

Windsor Regional Hospital

Windsor, Ontario, Canada

Site Status

Clinique Médicale du Quartier Latin

Montreal, Quebec, Canada

Site Status

Clinique Médicale L'Actuel

Montreal, Quebec, Canada

Site Status

Montreal General Hospital

Montreal, Quebec, Canada

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States Canada

References

Explore related publications, articles, or registry entries linked to this study.

Fourman LT, Czerwonka N, Feldpausch MN, Weiss J, Mamputu JC, Falutz J, Morin J, Marsolais C, Stanley TL, Grinspoon SK. Visceral fat reduction with tesamorelin is associated with improved liver enzymes in HIV. AIDS. 2017 Oct 23;31(16):2253-2259. doi: 10.1097/QAD.0000000000001614.

Reference Type DERIVED
PMID: 28832410 (View on PubMed)

Stanley TL, Falutz J, Marsolais C, Morin J, Soulban G, Mamputu JC, Assaad H, Turner R, Grinspoon SK. Reduction in visceral adiposity is associated with an improved metabolic profile in HIV-infected patients receiving tesamorelin. Clin Infect Dis. 2012 Jun;54(11):1642-51. doi: 10.1093/cid/cis251. Epub 2012 Apr 10.

Reference Type DERIVED
PMID: 22495074 (View on PubMed)

Falutz J, Mamputu JC, Potvin D, Moyle G, Soulban G, Loughrey H, Marsolais C, Turner R, Grinspoon S. Effects of tesamorelin (TH9507), a growth hormone-releasing factor analog, in human immunodeficiency virus-infected patients with excess abdominal fat: a pooled analysis of two multicenter, double-blind placebo-controlled phase 3 trials with safety extension data. J Clin Endocrinol Metab. 2010 Sep;95(9):4291-304. doi: 10.1210/jc.2010-0490. Epub 2010 Jun 16.

Reference Type DERIVED
PMID: 20554713 (View on PubMed)

Falutz J, Potvin D, Mamputu JC, Assaad H, Zoltowska M, Michaud SE, Berger D, Somero M, Moyle G, Brown S, Martorell C, Turner R, Grinspoon S. Effects of tesamorelin, a growth hormone-releasing factor, in HIV-infected patients with abdominal fat accumulation: a randomized placebo-controlled trial with a safety extension. J Acquir Immune Defic Syndr. 2010 Mar;53(3):311-22. doi: 10.1097/QAI.0b013e3181cbdaff.

Reference Type DERIVED
PMID: 20101189 (View on PubMed)

Falutz J, Allas S, Blot K, Potvin D, Kotler D, Somero M, Berger D, Brown S, Richmond G, Fessel J, Turner R, Grinspoon S. Metabolic effects of a growth hormone-releasing factor in patients with HIV. N Engl J Med. 2007 Dec 6;357(23):2359-70. doi: 10.1056/NEJMoa072375.

Reference Type DERIVED
PMID: 18057338 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

TH9507/III/LIPO/010

Identifier Type: -

Identifier Source: org_study_id

NCT00435136

Identifier Type: -

Identifier Source: nct_alias