Metformin for HIV Inflammation

NCT ID: NCT02383563

Last Updated: 2015-03-09

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

12 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-02-28

Study Completion Date

2016-02-29

Brief Summary

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This proposal seeks to assess the impact of 24 weeks of metformin on non-calcified plaques and calcified plaques assessed by coronary CT angiography, and on whether these changes can be explained by metformin-induced phenotypic and secretory changes of monocytes.

Detailed Description

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Conditions

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HIV Coronary Artery Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Metformin Treatment Arm

500 mg metformin Extended Release tablets - one tablet daily increased at 4 weeks to 2 tablets (1000 mg) daily.

Group Type ACTIVE_COMPARATOR

metformin extended release

Intervention Type DRUG

Observational Arm

Observation only

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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metformin extended release

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* HIV+
* on suppressive ART stable for \> 1 year
* Age \> 45 years
* Ability and willingness to provide written informed consent

Exclusion Criteria

* Uncontrolled chronic medical condition or cancer
* Acute illness within 2 weeks of entry
* Diagnosis of diabetes or impaired fasting glucose
* Chronic diarrhea
* Known hypersensitivity or contraindication to metformin use
* Hepatitis C co-infection
* Serum B12 level below the reference normal range as listed by the commercial laboratory (Diagnostic Laboratory Services)
* Pregnancy, or intent to become pregnant
* Any immunomodulator, HIV vaccine, any other vaccine, or investigational therapy within 30 days of study entry.
* Current or past history of coronary artery disease or congestive heart failure
* Resting heart rate \> 100 beats/min
* Presence of conduction abnormalities or pathologic arrhythmia on EKG
* The following lab values: Hemoglobin \< 9.0 g/dL; Absolute neutrophil count \< 1000/μL; Platelet count \< 50,000/μL; and AST (SGOT) and ALT (SGPT) \> 5x ULN
* Calculated creatinine clearance (Cockcroft and Gault) \< 60 ml/min
* Patients over 450 lbs
* History of iodine allergy or X-ray contrast allergy
* History of allergy to metoprolol
* Active or recent past history (within past 2 years) of illicit substance or alcohol use or abuse which, in the judgment of the Investigator, will interfere with the patient's ability to comply with the protocol requirements
* Patients in whom there are other reasons that the CAC/CTA procedure is contra-indicated or who are at higher risk of adverse events
* Patients, who, in the opinion of the Investigator, are unable to comply with the dosing schedule and protocol evaluation or for whom the study may not be advisable
Minimum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of General Medical Sciences (NIGMS)

NIH

Sponsor Role collaborator

University of Hawaii

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Cecilia M Shikuma, MD

Role: PRINCIPAL_INVESTIGATOR

University of Hawaii

Locations

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Hawaii Center for AIDS

Honolulu, Hawaii, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Nancy Hanks, RN

Role: CONTACT

808 692-1336

Debra Ogata-Arakaki, RN

Role: CONTACT

808 692-1332

Facility Contacts

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Cecilia Shikuma, MD

Role: primary

808-692-1328

Debra Ogata-Arakaki, RN

Role: backup

808 692-1332

Other Identifiers

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P30GM103341

Identifier Type: NIH

Identifier Source: secondary_id

View Link

H028

Identifier Type: -

Identifier Source: org_study_id

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