Metformin and Systemic Inflammation in HIV

NCT ID: NCT03774108

Last Updated: 2019-12-19

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

PHASE4

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-12-15

Study Completion Date

2020-01-08

Brief Summary

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The purposes of this study are to find out if: metformin can be combined with anti-HIV drugs to reduce systemic inflammation measured by the determination of cytokines and other series of serum markers. To determine if the concomitant administration of metformin with TARA improves the immune function on the CD4 T cell count and its relation with the CD8 T cells, during the treatment and after its interruption.

To this end, in the present study, patients with prediabetes (who meet the fasting impaired glucose criteria) will be identified and treated with metformin or placebo for 8 weeks, receiving stable TARA and with a CD4 + level\> 200 cells / μL.

40 patients from the HIV Unit of the Civil Hospital of Guadalajara "Fray Antonio Alcalde" will be included in this study and the intervention will last 8 weeks.

Detailed Description

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Conditions

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PreDiabetes HIV-1-infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Metformin Experimental Arm

Metformin 850mg/12 hours, oral, 8 weeks

Group Type EXPERIMENTAL

Metformin Hydrochloride 850 MG

Intervention Type DRUG

8 weeks tratment with oral metformin

Placebo Comparator Arm

Placebo pills/12hours, oral, 8 weeks

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

8 weeks tratment with oral placebo

Interventions

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Metformin Hydrochloride 850 MG

8 weeks tratment with oral metformin

Intervention Type DRUG

Placebo

8 weeks tratment with oral placebo

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Both sexes,
* Age ≥18 years of age
* With a diagnosis of HIV-1 infection,
* That they are receiving TARE for at least 12 months (time necessary to establish a stable reservoir),
* Patients with undetectable viral load (\<40 copies / mL) for at least 12 months,
* Have a CD4 + level\> 200 cells / μL,
* That they do not have a diagnosis of co-infection with HCV or HBV,
* Patients who do not have a severe alcohol intake (\<21 glasses / week in men and \<14 glasses / week in women),
* Patients who do not use drugs during the last 90 days prior to the screening visit, or during the study,
* Who wish to participate voluntarily in the study and give their written consent.

Exclusion Criteria

* Individuals with a known hypersensitivity / allergy to metformin.
* Patients with contraindications to the use of metformin \*.
* Individuals who are actively involved in an experimental therapy study or who have received experimental therapy in the last 6 months.
* People suffering from stage IV-V chronic kidney disease, uncontrolled heart failure or active infections.
* Individuals with diabetes mellitus (according to the criteria of the American Diabetes Association \*).
* Patients with indication for the use of statins, aspirin or immunomodulators.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospital Civil de Guadalajara

OTHER

Sponsor Role lead

Responsible Party

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Moises Ramos Solano

Associate professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Hospital Civil de Guadalajara

Guadalajara, Jalisco, Mexico

Site Status

Countries

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Mexico

References

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Slim J, Saling CF. A Review of Management of Inflammation in the HIV Population. Biomed Res Int. 2016;2016:3420638. doi: 10.1155/2016/3420638. Epub 2016 Sep 27.

Reference Type BACKGROUND
PMID: 27766258 (View on PubMed)

Arafath S, Campbell T, Yusuff J, Sharma R. Prevalence of and Risk Factors for Prediabetes in Patients Infected With HIV. Diabetes Spectr. 2018 May;31(2):139-143. doi: 10.2337/ds17-0009.

Reference Type BACKGROUND
PMID: 29773933 (View on PubMed)

Nou E, Lo J, Grinspoon SK. Inflammation, immune activation, and cardiovascular disease in HIV. AIDS. 2016 Jun 19;30(10):1495-509. doi: 10.1097/QAD.0000000000001109.

Reference Type BACKGROUND
PMID: 27058351 (View on PubMed)

Saisho Y. Metformin and Inflammation: Its Potential Beyond Glucose-lowering Effect. Endocr Metab Immune Disord Drug Targets. 2015;15(3):196-205. doi: 10.2174/1871530315666150316124019.

Reference Type BACKGROUND
PMID: 25772174 (View on PubMed)

Other Identifiers

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114/18

Identifier Type: -

Identifier Source: org_study_id