Trial Outcomes & Findings for A Study of the Gut Barrier and Blood Vessel Inflammation in Individuals With and Without HIV (NCT NCT02431325)
NCT ID: NCT02431325
Last Updated: 2023-06-12
Results Overview
Change in maximum target to background ratio (TBRmax) of the most diseased segment (MDS) of the carotid index vessel. A negative number for the change in TBR implies a reduction in activity over time, which is considered an improvement in carotid arterial inflammation. Arterial FDG Uptake provides a measure of inflammation in the artery wall. TBR is target-to-background ratio (a measure of the ratio of the activity in the vessel wall divided by the blood background). The most diseased segment is the approximately 1-cm section of the vessel with the highest activity at baseline. The results are expressed as the change in the mean value, of the TBR, from baseline to 6 months.
COMPLETED
PHASE2
32 participants
Change from baseline at 6 months
2023-06-12
Participant Flow
Participant milestones
| Measure |
Teduglutide
Teduglutide, subcutaneous injection, 0.05 mg/kg/day, 6 months duration
Teduglutide
|
Placebo
Placebo, subcutaneous injection, 6 months duration
Placebo
|
|---|---|---|
|
Overall Study
STARTED
|
17
|
15
|
|
Overall Study
COMPLETED
|
9
|
12
|
|
Overall Study
NOT COMPLETED
|
8
|
3
|
Reasons for withdrawal
| Measure |
Teduglutide
Teduglutide, subcutaneous injection, 0.05 mg/kg/day, 6 months duration
Teduglutide
|
Placebo
Placebo, subcutaneous injection, 6 months duration
Placebo
|
|---|---|---|
|
Overall Study
Adverse Event
|
3
|
0
|
|
Overall Study
Lost to Follow-up
|
0
|
1
|
|
Overall Study
Withdrawal by Subject
|
1
|
2
|
|
Overall Study
Declined to take study medication
|
1
|
0
|
|
Overall Study
Withdrew before starting study medication
|
1
|
0
|
|
Overall Study
Placebo shortage
|
2
|
0
|
Baseline Characteristics
A Study of the Gut Barrier and Blood Vessel Inflammation in Individuals With and Without HIV
Baseline characteristics by cohort
| Measure |
Teduglutide
n=17 Participants
Teduglutide, subcutaneous injection, 0.05 mg/kg/day, 6 months duration
Teduglutide
|
Placebo
n=15 Participants
Placebo, subcutaneous injection, 6 months duration
Placebo
|
Total
n=32 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Continuous
|
58.3 years
n=5 Participants
|
54.6 years
n=7 Participants
|
56.1 years
n=5 Participants
|
|
Sex: Female, Male
Female
|
4 Participants
n=5 Participants
|
3 Participants
n=7 Participants
|
7 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
13 Participants
n=5 Participants
|
12 Participants
n=7 Participants
|
25 Participants
n=5 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
4 Participants
n=5 Participants
|
1 Participants
n=7 Participants
|
5 Participants
n=5 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
13 Participants
n=5 Participants
|
14 Participants
n=7 Participants
|
27 Participants
n=5 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 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
|
4 Participants
n=5 Participants
|
7 Participants
n=7 Participants
|
11 Participants
n=5 Participants
|
|
Race (NIH/OMB)
White
|
11 Participants
n=5 Participants
|
6 Participants
n=7 Participants
|
17 Participants
n=5 Participants
|
|
Race (NIH/OMB)
More than one race
|
2 Participants
n=5 Participants
|
1 Participants
n=7 Participants
|
3 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=5 Participants
|
1 Participants
n=7 Participants
|
1 Participants
n=5 Participants
|
|
Active Smoker
|
5 Participants
n=5 Participants
|
6 Participants
n=7 Participants
|
11 Participants
n=5 Participants
|
|
Current antiretroviral therapy (ART) use
|
17 Participants
n=5 Participants
|
15 Participants
n=7 Participants
|
32 Participants
n=5 Participants
|
|
Current non-nucleoside reverse transcriptase inhibitors (NNRTIs) use
|
3 Participants
n=5 Participants
|
5 Participants
n=7 Participants
|
8 Participants
n=5 Participants
|
|
Current protease inhibitor (PI) use
|
4 Participants
n=5 Participants
|
4 Participants
n=7 Participants
|
8 Participants
n=5 Participants
|
|
Current integrase strand transfer inhibitor (INSTI) use
|
13 Participants
n=5 Participants
|
9 Participants
n=7 Participants
|
22 Participants
n=5 Participants
|
|
CD4+ T-cell count
|
639 cells/mm^3
STANDARD_DEVIATION 165 • n=5 Participants
|
685 cells/mm^3
STANDARD_DEVIATION 225 • n=7 Participants
|
660 cells/mm^3
STANDARD_DEVIATION 193 • n=5 Participants
|
|
Body mass index (BMI)
|
27.1 kg/m^2
STANDARD_DEVIATION 5.0 • n=5 Participants
|
28.6 kg/m^2
STANDARD_DEVIATION 4.4 • n=7 Participants
|
27.8 kg/m^2
STANDARD_DEVIATION 4.7 • n=5 Participants
|
|
Current statin use
|
7 Participants
n=5 Participants
|
4 Participants
n=7 Participants
|
11 Participants
n=5 Participants
|
|
HbA1c
|
5.5 HbA1c, %
STANDARD_DEVIATION 0.4 • n=5 Participants
|
5.6 HbA1c, %
STANDARD_DEVIATION 0.3 • n=7 Participants
|
5.6 HbA1c, %
STANDARD_DEVIATION 0.3 • n=5 Participants
|
|
Total cholesterol
|
180.82 mg/dL
STANDARD_DEVIATION 32.78 • n=5 Participants
|
186.33 mg/dL
STANDARD_DEVIATION 35.04 • n=7 Participants
|
183.41 mg/dL
STANDARD_DEVIATION 33.42 • n=5 Participants
|
|
Low density lipoprotein (LDL) cholesterol
|
102.53 mg/dL
STANDARD_DEVIATION 27.93 • n=5 Participants
|
113.93 mg/dL
STANDARD_DEVIATION 33.28 • n=7 Participants
|
107.88 mg/dL
STANDARD_DEVIATION 30.60 • n=5 Participants
|
|
High density lipoprotein (HDL) cholesterol
|
50.94 mg/dL
STANDARD_DEVIATION 16.54 • n=5 Participants
|
48.33 mg/dL
STANDARD_DEVIATION 17.54 • n=7 Participants
|
49.72 mg/dL
STANDARD_DEVIATION 16.79 • n=5 Participants
|
|
Triglycerides
|
136.59 mg/dL
STANDARD_DEVIATION 55.28 • n=5 Participants
|
120.47 mg/dL
STANDARD_DEVIATION 42.93 • n=7 Participants
|
129.03 mg/dL
STANDARD_DEVIATION 49.76 • n=5 Participants
|
PRIMARY outcome
Timeframe: Change from baseline at 6 monthsPopulation: The subset of participants with interpretable FDG-PET scans at baseline and study end, excluding one participant in the placebo group that discontinued ART during the intervention.
Change in maximum target to background ratio (TBRmax) of the most diseased segment (MDS) of the carotid index vessel. A negative number for the change in TBR implies a reduction in activity over time, which is considered an improvement in carotid arterial inflammation. Arterial FDG Uptake provides a measure of inflammation in the artery wall. TBR is target-to-background ratio (a measure of the ratio of the activity in the vessel wall divided by the blood background). The most diseased segment is the approximately 1-cm section of the vessel with the highest activity at baseline. The results are expressed as the change in the mean value, of the TBR, from baseline to 6 months.
Outcome measures
| Measure |
Teduglutide
n=5 Participants
Teduglutide, subcutaneous injection, 0.05 mg/kg/day, 6 months duration
Teduglutide
|
Placebo
n=10 Participants
Placebo, subcutaneous injection, 6 months duration
Placebo
|
|---|---|---|
|
Change in Arterial Target to Background Ratio of 18-Fluorodeoxyglucose Positron Emission Tomography (FDG-PET) Uptake
|
-0.28 ratio
Standard Deviation 0.29
|
0.01 ratio
Standard Deviation 0.35
|
PRIMARY outcome
Timeframe: Change from baseline at 6 monthsPopulation: The subset of participants with available metabolite assessments at baseline and study end, excluding one participant in the placebo group that discontinued ART during the intervention.
Change in plasma citrulline is calculated as log2 of the ratio of plasma citrulline at study end to baseline. Citrulline is a measure of functional small bowel mass, so a positive number is considered an improvement in intestinal epithelial integrity.
Outcome measures
| Measure |
Teduglutide
n=8 Participants
Teduglutide, subcutaneous injection, 0.05 mg/kg/day, 6 months duration
Teduglutide
|
Placebo
n=10 Participants
Placebo, subcutaneous injection, 6 months duration
Placebo
|
|---|---|---|
|
Change in Intestinal Epithelial Integrity
|
0.39 log2 ratio
Standard Deviation 0.67
|
-0.10 log2 ratio
Standard Deviation 0.22
|
PRIMARY outcome
Timeframe: Change from baseline at 6 monthsPopulation: The subset of participants with soluble CD14 available at baseline and study end, excluding one participant in the placebo group that discontinued ART during the intervention.
Soluble CD14 is a marker of monocyte activation. An increase in soluble CD14 concentration indicates an increase in inflammation.
Outcome measures
| Measure |
Teduglutide
n=8 Participants
Teduglutide, subcutaneous injection, 0.05 mg/kg/day, 6 months duration
Teduglutide
|
Placebo
n=10 Participants
Placebo, subcutaneous injection, 6 months duration
Placebo
|
|---|---|---|
|
Change in Soluble CD14 Concentration
|
117.70 ng/mL
Standard Deviation 387.56
|
142.85 ng/mL
Standard Deviation 242.01
|
SECONDARY outcome
Timeframe: Change from baseline at 6 monthsPopulation: The subset of participants with available biopsy samples from endoscopies at baseline and study end, excluding one participant in the placebo group that discontinued ART during the intervention.
Change in CD161+CCR6+ (Th17) cells as a percentage of CD4+ T-cells in the duodenum. An increase in Th17 cells indicates a beneficial restoration of this CD4+ T-cell population in the small intestine, which are pathologically depleted in people with HIV.
Outcome measures
| Measure |
Teduglutide
n=7 Participants
Teduglutide, subcutaneous injection, 0.05 mg/kg/day, 6 months duration
Teduglutide
|
Placebo
n=10 Participants
Placebo, subcutaneous injection, 6 months duration
Placebo
|
|---|---|---|
|
Change in Intestinal CD4+ T-cells
|
13.17 percentage of CD4+ T-cells
Standard Deviation 18.15
|
-4.81 percentage of CD4+ T-cells
Standard Deviation 15.98
|
SECONDARY outcome
Timeframe: Change from baseline at 6 monthsPopulation: The subset of participants with peripheral blood flow cytometry data available at baseline and study end, excluding one participant in the placebo group that discontinued ART during the intervention. Two participants in the placebo group did not have interpretable data for this monocyte population.
Change in pro-inflammatory monocytes. A positive change indicates increased inflammation.
Outcome measures
| Measure |
Teduglutide
n=7 Participants
Teduglutide, subcutaneous injection, 0.05 mg/kg/day, 6 months duration
Teduglutide
|
Placebo
n=8 Participants
Placebo, subcutaneous injection, 6 months duration
Placebo
|
|---|---|---|
|
Change in CD14+CD86+CD40+ Monocytes
|
-19.24 percentage of CD14+ monocytes
Standard Deviation 14.12
|
-3.31 percentage of CD14+ monocytes
Standard Deviation 13.97
|
SECONDARY outcome
Timeframe: Change from baseline at 6 monthsPopulation: The subset of participants with peripheral blood flow cytometry at baseline and study end, excluding one participant in the placebo group that discontinued ART during the intervention.
Change in activated CD8+ T Cells. A positive change indicates increased inflammation.
Outcome measures
| Measure |
Teduglutide
n=7 Participants
Teduglutide, subcutaneous injection, 0.05 mg/kg/day, 6 months duration
Teduglutide
|
Placebo
n=10 Participants
Placebo, subcutaneous injection, 6 months duration
Placebo
|
|---|---|---|
|
Change in HLA-DR+CD38+ CD8+ T Cells
|
-0.33 percentage of T Cells
Standard Deviation 0.68
|
0.67 percentage of T Cells
Standard Deviation 1.22
|
SECONDARY outcome
Timeframe: Change from baseline at 6 monthsPopulation: The subset of participants with peripheral blood flow cytometry at baseline and study end, excluding one participant in the placebo group that discontinued ART during the intervention.
Change in activated CD4+ T Cells. A positive change indicates increased inflammation.
Outcome measures
| Measure |
Teduglutide
n=7 Participants
Teduglutide, subcutaneous injection, 0.05 mg/kg/day, 6 months duration
Teduglutide
|
Placebo
n=10 Participants
Placebo, subcutaneous injection, 6 months duration
Placebo
|
|---|---|---|
|
Change in HLA-DR+CD38+ CD4+ T Cells
|
0.0013 percentage of T Cells
Standard Deviation 0.19
|
0.058 percentage of T Cells
Standard Deviation 0.31
|
SECONDARY outcome
Timeframe: Change from baseline at 6 monthsPopulation: The subset of participants with soluble CD163 data available at baseline and study end, excluding one participant in the placebo group that discontinued ART during the intervention.
An increase in soluble CD163 concentration indicates an increase in inflammation.
Outcome measures
| Measure |
Teduglutide
n=8 Participants
Teduglutide, subcutaneous injection, 0.05 mg/kg/day, 6 months duration
Teduglutide
|
Placebo
n=9 Participants
Placebo, subcutaneous injection, 6 months duration
Placebo
|
|---|---|---|
|
Change in Soluble CD163 Concentration
|
-9.26 ng/mL
Standard Deviation 102.74
|
22.77 ng/mL
Standard Deviation 85.95
|
SECONDARY outcome
Timeframe: Change from baseline at 6 monthsPopulation: The subset of participants with I-FABP data available at baseline and study end, excluding one participant in the placebo group that discontinued ART during the intervention.
An increase in I-FABP indicates an increase in intestinal mucosal damage.
Outcome measures
| Measure |
Teduglutide
n=8 Participants
Teduglutide, subcutaneous injection, 0.05 mg/kg/day, 6 months duration
Teduglutide
|
Placebo
n=9 Participants
Placebo, subcutaneous injection, 6 months duration
Placebo
|
|---|---|---|
|
Change in Intestinal Fatty Acid Binding Protein Concentration
|
-270.04 pg/mL
Interval -675.05 to 1858.38
|
-215.27 pg/mL
Interval -458.12 to 213.77
|
SECONDARY outcome
Timeframe: Change from baseline at 6 monthsPopulation: The subset of participants with metabolite assessments at baseline and study end, excluding one participant in the placebo group that discontinued ART during the intervention.
Change in plasma riboflavin is calculated as log2 of the ratio of plasma riboflavin at study end to baseline. A positive number indicates an increase in riboflavin levels.
Outcome measures
| Measure |
Teduglutide
n=8 Participants
Teduglutide, subcutaneous injection, 0.05 mg/kg/day, 6 months duration
Teduglutide
|
Placebo
n=10 Participants
Placebo, subcutaneous injection, 6 months duration
Placebo
|
|---|---|---|
|
Change in Plasma Riboflavin Concentration
|
0.55 log2 ratio
Standard Deviation 0.77
|
-0.36 log2 ratio
Standard Deviation 0.89
|
SECONDARY outcome
Timeframe: Change from baseline at 6 monthsPopulation: The subset of participants with bone density scans at baseline and study end, excluding one participant in the placebo group that discontinued ART during the intervention.
Change in femoral neck bone mineral density. An increase in bone mineral density is beneficial for bone health.
Outcome measures
| Measure |
Teduglutide
n=6 Participants
Teduglutide, subcutaneous injection, 0.05 mg/kg/day, 6 months duration
Teduglutide
|
Placebo
n=10 Participants
Placebo, subcutaneous injection, 6 months duration
Placebo
|
|---|---|---|
|
Change in Bone Mineral Density
|
0.015 g/cm^2
Standard Deviation 0.021
|
-0.0078 g/cm^2
Standard Deviation 0.022
|
SECONDARY outcome
Timeframe: Change from baseline at 6 monthsPopulation: The subset of participants with available cardiac CT data at baseline and study end, excluding one participant in the placebo group that discontinued ART during the intervention.
Noncalcified plaque volume. Increased noncalcified plaque volume may indicate increased atherosclerosis.
Outcome measures
| Measure |
Teduglutide
n=6 Participants
Teduglutide, subcutaneous injection, 0.05 mg/kg/day, 6 months duration
Teduglutide
|
Placebo
n=10 Participants
Placebo, subcutaneous injection, 6 months duration
Placebo
|
|---|---|---|
|
Change in Plaque Volume on Cardiac Computed Tomography Angiography
|
-0.74 mm^3
Interval -9.86 to 0.81
|
0.00 mm^3
Interval -13.08 to 0.14
|
SECONDARY outcome
Timeframe: Change from baseline at 6 monthsPopulation: The subset of participants with HbA1c assessed at baseline and study end, excluding one participant in the placebo group that discontinued ART during the intervention.
A higher hemoglobin A1c percentage indicates a higher blood glucose level over a 3 month average.
Outcome measures
| Measure |
Teduglutide
n=8 Participants
Teduglutide, subcutaneous injection, 0.05 mg/kg/day, 6 months duration
Teduglutide
|
Placebo
n=10 Participants
Placebo, subcutaneous injection, 6 months duration
Placebo
|
|---|---|---|
|
Change in Hemoglobin A1c Percentage
|
-0.1 HbA1c, %
Interval -0.1 to 0.2
|
-0.1 HbA1c, %
Interval -0.3 to 0.0
|
SECONDARY outcome
Timeframe: Change from baseline at 6 monthsPopulation: The subset of participants with fasting glucose and fasting insulin assessed at baseline and study end, excluding one participant in the placebo group that discontinued ART during the intervention and one participant in the active group that was not fasting for the study end blood draw.
A higher HOMA-IR indicates greater insulin resistance. Values greater than 2 suggests insulin resistance. HOMA-IR was calculated using a formula based on Matthews et al. Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia. 1985;28(7):412-419.
Outcome measures
| Measure |
Teduglutide
n=7 Participants
Teduglutide, subcutaneous injection, 0.05 mg/kg/day, 6 months duration
Teduglutide
|
Placebo
n=10 Participants
Placebo, subcutaneous injection, 6 months duration
Placebo
|
|---|---|---|
|
Change in Homeostatic Model Assessment-Insulin Resistance (HOMA-IR)
|
-0.40 index
Standard Deviation 2.86
|
1.13 index
Standard Deviation 3.20
|
SECONDARY outcome
Timeframe: Change from baseline at 6 monthsPopulation: The subset of participants with single-slice abdominal CT scans performed at baseline and study end, excluding one participant in the placebo group that discontinued ART during the intervention.
Abdominal VAT area was measured using single-slice abdominal CT at the level of the fourth lumbar vertebra. VAT is considered metabolically unhealthy fat.
Outcome measures
| Measure |
Teduglutide
n=6 Participants
Teduglutide, subcutaneous injection, 0.05 mg/kg/day, 6 months duration
Teduglutide
|
Placebo
n=10 Participants
Placebo, subcutaneous injection, 6 months duration
Placebo
|
|---|---|---|
|
Change in Visceral Adipose Tissue (VAT) Area
|
-12.09 cm^2
Standard Deviation 46.59
|
-7.94 cm^2
Standard Deviation 32.72
|
SECONDARY outcome
Timeframe: Change from baseline at 6 monthsPopulation: The subset of participants with single-slice abdominal CT scans performed at baseline and study end, excluding one participant in the placebo group that discontinued ART during the intervention.
Abdominal SAT area was measured using single-slice abdominal CT at the level of the fourth lumbar vertebra.
Outcome measures
| Measure |
Teduglutide
n=6 Participants
Teduglutide, subcutaneous injection, 0.05 mg/kg/day, 6 months duration
Teduglutide
|
Placebo
n=10 Participants
Placebo, subcutaneous injection, 6 months duration
Placebo
|
|---|---|---|
|
Change in Subcutaneous Adipose Tissue (SAT) Area
|
-9.71 cm^2
Standard Deviation 39.91
|
-0.11 cm^2
Standard Deviation 17.60
|
SECONDARY outcome
Timeframe: Change from baseline at 6 monthsPopulation: The subset of participants with heights and weights measured at baseline and study end, excluding one participant in the placebo group that discontinued ART during the intervention.
BMI is a measure of adiposity.
Outcome measures
| Measure |
Teduglutide
n=6 Participants
Teduglutide, subcutaneous injection, 0.05 mg/kg/day, 6 months duration
Teduglutide
|
Placebo
n=10 Participants
Placebo, subcutaneous injection, 6 months duration
Placebo
|
|---|---|---|
|
Change in Body Mass Index (BMI)
|
-0.33 kg/m^2
Standard Deviation 0.94
|
-0.27 kg/m^2
Standard Deviation 1.14
|
SECONDARY outcome
Timeframe: Change from baseline at week 12 and at week 24Population: The subset of participants with complete depression scales obtained by self-administered survey at baseline, 12 weeks, and 24 weeks, excluding one participant in the placebo group that discontinued ART during the intervention. Some participants that had depression scales at 24 weeks did not have them available at 12 weeks.
Change in the Center for Epidemiological Studies-Depression (CES-D) score. Scores range from 0 to 60, with high scores indicating greater depressive symptoms.
Outcome measures
| Measure |
Teduglutide
n=7 Participants
Teduglutide, subcutaneous injection, 0.05 mg/kg/day, 6 months duration
Teduglutide
|
Placebo
n=11 Participants
Placebo, subcutaneous injection, 6 months duration
Placebo
|
|---|---|---|
|
Change in Depressive Symptoms
Change from baseline at week 24
|
1 CES-D score
Interval -3.0 to 3.0
|
-3 CES-D score
Interval -6.0 to 0.0
|
|
Change in Depressive Symptoms
Change from baseline at week 12
|
0 CES-D score
Interval -3.0 to 4.0
|
3 CES-D score
Interval -1.0 to 13.0
|
SECONDARY outcome
Timeframe: Change from baseline at week 24Population: The subset of participants with neurocognitive testing results at baseline and study end, excluding one participant in the placebo group that discontinued ART during the intervention.
The Global Neurocognitive Z-Score is calculated as an average of the z-scores from the following neurocognitive assessments: Hopkins Verbal Learning Test (HVLT) Total Recall, HVLT Delayed Recall, HVLT Retention, HVLT Recognition, Wechsler Adult Intelligence Scale (WAIS) Digit Span Forward, WAIS Digit Span Backward, WAIS Digit Span Sequence, Stroop Word, Stroop Color, Stroop Color Word, Stroop Interference, Grooved Pegboard Dominant, and Grooved Pegboard Nondominant. A z-score of 0 corresponds with the population mean, and a positive z-score indicates better neurocognitive function than the population mean. A positive change indicates an improvement in neurocognitive function, and a negative change indicates a detriment to performance over time.
Outcome measures
| Measure |
Teduglutide
n=5 Participants
Teduglutide, subcutaneous injection, 0.05 mg/kg/day, 6 months duration
Teduglutide
|
Placebo
n=9 Participants
Placebo, subcutaneous injection, 6 months duration
Placebo
|
|---|---|---|
|
Change in Cognitive Performance, Defined as a Global Neurocognitive Z-score
|
0.23 z-score
Standard Deviation 0.39
|
-0.04 z-score
Standard Deviation 0.85
|
SECONDARY outcome
Timeframe: Change from baseline at week 24Population: The subset of participants with neurocognitive testing results at baseline and study end, excluding one participant in the placebo group that discontinued ART during the intervention.
Change in motor-specific performance z-score. A z-score of 0 corresponds with the population mean, and a positive z-score indicates better motor-specific performance than the population mean. A positive change indicates an improvement in motor-specific performance, and a negative change indicates a detriment to performance over time.
Outcome measures
| Measure |
Teduglutide
n=5 Participants
Teduglutide, subcutaneous injection, 0.05 mg/kg/day, 6 months duration
Teduglutide
|
Placebo
n=9 Participants
Placebo, subcutaneous injection, 6 months duration
Placebo
|
|---|---|---|
|
Change in Domain-specific Cognitive Performance, Defined as a Domain-specific Neurocognitive Z-score
|
1.73 z-score
Standard Deviation 2.48
|
-0.52 z-score
Standard Deviation 1.72
|
Adverse Events
Teduglutide
Placebo
Serious adverse events
Adverse event data not reported
Other adverse events
| Measure |
Teduglutide
n=17 participants at risk
Teduglutide, subcutaneous injection, 0.05 mg/kg/day, 6 months duration
Teduglutide
|
Placebo
n=15 participants at risk
Placebo, subcutaneous injection, 6 months duration
Placebo
|
|---|---|---|
|
Gastrointestinal disorders
Abdominal or epigastric pain, discomfort, cramping
|
29.4%
5/17 • Baseline, 6 months
|
20.0%
3/15 • Baseline, 6 months
|
|
Gastrointestinal disorders
Burping, gas
|
17.6%
3/17 • Baseline, 6 months
|
6.7%
1/15 • Baseline, 6 months
|
|
Gastrointestinal disorders
Bloating
|
35.3%
6/17 • Baseline, 6 months
|
20.0%
3/15 • Baseline, 6 months
|
|
Gastrointestinal disorders
Constipation
|
23.5%
4/17 • Baseline, 6 months
|
13.3%
2/15 • Baseline, 6 months
|
|
Gastrointestinal disorders
Loose stool, diarrhea
|
11.8%
2/17 • Baseline, 6 months
|
26.7%
4/15 • Baseline, 6 months
|
|
Gastrointestinal disorders
Nausea, emesis
|
11.8%
2/17 • Baseline, 6 months
|
0.00%
0/15 • Baseline, 6 months
|
|
Gastrointestinal disorders
Decreased appetite
|
5.9%
1/17 • Baseline, 6 months
|
0.00%
0/15 • Baseline, 6 months
|
|
Gastrointestinal disorders
Viral gastroenteritis
|
0.00%
0/17 • Baseline, 6 months
|
6.7%
1/15 • Baseline, 6 months
|
|
Gastrointestinal disorders
Esophagitis
|
5.9%
1/17 • Baseline, 6 months
|
0.00%
0/15 • Baseline, 6 months
|
|
Gastrointestinal disorders
Colonoscopy procedure-related adverse event
|
11.8%
2/17 • Baseline, 6 months
|
13.3%
2/15 • Baseline, 6 months
|
|
Gastrointestinal disorders
Emesis following IV contrast
|
0.00%
0/17 • Baseline, 6 months
|
6.7%
1/15 • Baseline, 6 months
|
|
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tubular adenoma
|
0.00%
0/17 • Baseline, 6 months
|
20.0%
3/15 • Baseline, 6 months
|
|
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Hyperplastic polyp
|
11.8%
2/17 • Baseline, 6 months
|
6.7%
1/15 • Baseline, 6 months
|
|
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Sessile serrated polyp and polypoid of colonic mucosa
|
0.00%
0/17 • Baseline, 6 months
|
6.7%
1/15 • Baseline, 6 months
|
|
Injury, poisoning and procedural complications
Bruising at injection site
|
11.8%
2/17 • Baseline, 6 months
|
20.0%
3/15 • Baseline, 6 months
|
|
Injury, poisoning and procedural complications
Bleeding at injection site
|
0.00%
0/17 • Baseline, 6 months
|
6.7%
1/15 • Baseline, 6 months
|
|
Injury, poisoning and procedural complications
Numbness at injection site
|
0.00%
0/17 • Baseline, 6 months
|
6.7%
1/15 • Baseline, 6 months
|
|
Injury, poisoning and procedural complications
Itching, burning at injection site
|
0.00%
0/17 • Baseline, 6 months
|
6.7%
1/15 • Baseline, 6 months
|
|
Metabolism and nutrition disorders
Self-reported weight loss
|
5.9%
1/17 • Baseline, 6 months
|
0.00%
0/15 • Baseline, 6 months
|
|
Metabolism and nutrition disorders
Self-reported weight gain
|
0.00%
0/17 • Baseline, 6 months
|
20.0%
3/15 • Baseline, 6 months
|
|
General disorders
Lightheadedness when taking the study drug and antiretroviral therapy together
|
0.00%
0/17 • Baseline, 6 months
|
6.7%
1/15 • Baseline, 6 months
|
|
Respiratory, thoracic and mediastinal disorders
Respiratory symptoms
|
23.5%
4/17 • Baseline, 6 months
|
0.00%
0/15 • Baseline, 6 months
|
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place
Restriction type: LTE60