Trial Outcomes & Findings for Depression Therapy to Improve Cardiovascular Risk in HIV (NCT NCT02309372)

NCT ID: NCT02309372

Last Updated: 2020-07-14

Results Overview

Changes in flow-mediated dilation of the brachial artery from baseline to week 12. This is calculated by the FMD value at Week 12 minus the FMD value at baseline.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

54 participants

Primary outcome timeframe

Baseline and Week 12 of participation

Results posted on

2020-07-14

Participant Flow

Participant milestones

Participant milestones
Measure
Cognitive Behavioral Therapy (CBT)
Those assigned to the CBT arm will undergo therapy with the Beating the Blues (BtB) computerized intervention. Beating the Blues: Computerized depression treatment intervention
Usual Care
No specific depression care will be provided through this study for those assigned to this arm. However, the participant's caregiver may choose to provide depression treatment outside of this trial.
Overall Study
STARTED
27
27
Overall Study
COMPLETED
24
25
Overall Study
NOT COMPLETED
3
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Cognitive Behavioral Therapy (CBT)
Those assigned to the CBT arm will undergo therapy with the Beating the Blues (BtB) computerized intervention. Beating the Blues: Computerized depression treatment intervention
Usual Care
No specific depression care will be provided through this study for those assigned to this arm. However, the participant's caregiver may choose to provide depression treatment outside of this trial.
Overall Study
Lost to Follow-up
3
2

Baseline Characteristics

Depression Therapy to Improve Cardiovascular Risk in HIV

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cognitive Behavioral Therapy (CBT)
n=27 Participants
Those assigned to the CBT arm will undergo therapy with the Beating the Blues (BtB) computerized intervention. Beating the Blues: Computerized depression treatment intervention
Usual Care
n=27 Participants
No specific depression care will be provided through this study for those assigned to this arm. However, the participant's caregiver may choose to provide depression treatment outside of this trial.
Total
n=54 Participants
Total of all reporting groups
Age, Continuous
44.6 years
STANDARD_DEVIATION 9.8 • n=5 Participants
45.6 years
STANDARD_DEVIATION 11.9 • n=7 Participants
45.1 years
STANDARD_DEVIATION 10.8 • n=5 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
5 Participants
n=7 Participants
9 Participants
n=5 Participants
Sex: Female, Male
Male
23 Participants
n=5 Participants
22 Participants
n=7 Participants
45 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
21 Participants
n=5 Participants
15 Participants
n=7 Participants
36 Participants
n=5 Participants
Race (NIH/OMB)
White
6 Participants
n=5 Participants
10 Participants
n=7 Participants
16 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline and Week 12 of participation

Changes in flow-mediated dilation of the brachial artery from baseline to week 12. This is calculated by the FMD value at Week 12 minus the FMD value at baseline.

Outcome measures

Outcome measures
Measure
Cognitive Behavioral Therapy (CBT)
n=24 Participants
Those assigned to the CBT arm will undergo therapy with the Beating the Blues (BtB) computerized intervention. Beating the Blues: Computerized depression treatment intervention
Usual Care
n=25 Participants
No specific depression care will be provided through this study for those assigned to this arm. However, the participant's caregiver may choose to provide depression treatment outside of this trial.
Change in Brachial Artery Flow-mediated Dilation From Baseline to Week 12
-0.47 absolute percent change
Standard Deviation 2.65
0.29 absolute percent change
Standard Deviation 2.93

SECONDARY outcome

Timeframe: Baseline and 12 weeks

Population: Participants who had blood samples available for analysis at both baseline and Week 12

Interleukin-6 (IL-6) is a measure of systemic inflammation. This is calculated by the IL-6 value at Week 12 minus the IL-6 value at baseline.

Outcome measures

Outcome measures
Measure
Cognitive Behavioral Therapy (CBT)
n=23 Participants
Those assigned to the CBT arm will undergo therapy with the Beating the Blues (BtB) computerized intervention. Beating the Blues: Computerized depression treatment intervention
Usual Care
n=24 Participants
No specific depression care will be provided through this study for those assigned to this arm. However, the participant's caregiver may choose to provide depression treatment outside of this trial.
Changes in Circulating IL-6 From Baseline to Week 12
2.38 pg/mL
Standard Deviation 8.71
1.24 pg/mL
Standard Deviation 4.16

SECONDARY outcome

Timeframe: 12 weeks

Population: Participants who had blood samples available for analysis at both baseline and Week 12

hsCRP (high sensitivity C-reactive protein) is a measure of systemic inflammation. This is calculated by the hsCRP value at Week 12 minus the hsCRP value at baseline.

Outcome measures

Outcome measures
Measure
Cognitive Behavioral Therapy (CBT)
n=23 Participants
Those assigned to the CBT arm will undergo therapy with the Beating the Blues (BtB) computerized intervention. Beating the Blues: Computerized depression treatment intervention
Usual Care
n=24 Participants
No specific depression care will be provided through this study for those assigned to this arm. However, the participant's caregiver may choose to provide depression treatment outside of this trial.
Change in hsCRP From Baseline to Week 12
1.22 mg/L
Standard Deviation 3.89
1.06 mg/L
Standard Deviation 4.71

SECONDARY outcome

Timeframe: 12 weeks

Population: Participants who had blood samples available for analysis at both baseline and Week 12

D-dimer is a measure of systemic coagulation. This is calculated by the D-dimer value at Week 12 minus the D-dimer value at baseline.

Outcome measures

Outcome measures
Measure
Cognitive Behavioral Therapy (CBT)
n=23 Participants
Those assigned to the CBT arm will undergo therapy with the Beating the Blues (BtB) computerized intervention. Beating the Blues: Computerized depression treatment intervention
Usual Care
n=24 Participants
No specific depression care will be provided through this study for those assigned to this arm. However, the participant's caregiver may choose to provide depression treatment outside of this trial.
Change in D-dimer From Baseline to Week 12
3.69 ng/mL
Standard Deviation 466
-10.26 ng/mL
Standard Deviation 651

Adverse Events

Cognitive Behavioral Therapy (CBT)

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Usual Care

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Cognitive Behavioral Therapy (CBT)
n=27 participants at risk
Those assigned to the CBT arm will undergo therapy with the Beating the Blues (BtB) computerized intervention. Beating the Blues: Computerized depression treatment intervention
Usual Care
n=27 participants at risk
No specific depression care will be provided through this study for those assigned to this arm. However, the participant's caregiver may choose to provide depression treatment outside of this trial.
Psychiatric disorders
Suicidal ideation
3.7%
1/27 • 6 months
0.00%
0/27 • 6 months
Nervous system disorders
Migraine
3.7%
1/27 • 6 months
0.00%
0/27 • 6 months
Musculoskeletal and connective tissue disorders
Elevated creatine kinase
3.7%
1/27 • 6 months
0.00%
0/27 • 6 months
Respiratory, thoracic and mediastinal disorders
Cough
3.7%
1/27 • 6 months
0.00%
0/27 • 6 months
Psychiatric disorders
Alcohol abuse
3.7%
1/27 • 6 months
0.00%
0/27 • 6 months
Musculoskeletal and connective tissue disorders
Arthroplasty of toe
0.00%
0/27 • 6 months
3.7%
1/27 • 6 months

Additional Information

Samir K. Gupta, MD, MS

Indiana University School of Medicine

Phone: 3172747926

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place