Trial Outcomes & Findings for Effect of Methamphetamine on Residual Latent HIV Disease Study (NCT NCT03825536)

NCT ID: NCT03825536

Last Updated: 2025-08-29

Results Overview

The change in HIV reservoir size (as measured by cell-associated HIV RNA levels) over a 4 hour study period.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

14 participants

Primary outcome timeframe

4 hours

Results posted on

2025-08-29

Participant Flow

Participant milestones

Participant milestones
Measure
Oral Methamphetamine, Then Placebo Oral Capsule
Participants will be randomized to oral methamphetamine first then placebo oral capsule using a random number generator. When oral methamphetamine is administered, an initial 10 mg of oral methamphetamine study drug will be administered to assess tolerability, followed by a subsequent 15 mg oral dose two hours later. Then the participant will receive the placebo oral capsule for their second treatment phase starting at approximately Day 77. For the placebo treatment, one placebo capsule will be administered orally on treatment day, followed by a second oral placebo capsule two hours later. Oral Methamphetamine: An initial 10 mg of oral methamphetamine (over-encapsulated to look similar to placebo capsule) study drug will be administered to assess tolerability, followed by a subsequent 15 mg oral dose (over-encapsulated to look similar to placebo capsule) two hours later. Placebo oral capsule: One placebo capsule will be administered orally on treatment day, followed by a second oral placebo capsule two hours later.
Placebo Oral Capsule, Then Oral Methamphetamine
Participants will be randomized to a placebo oral capsule first, then oral methamphetamine using a random number generator. For the placebo treatment, one placebo capsule will be administered orally on treatment day, followed by a second oral placebo capsule two hours later. Then the participant will receive the oral methamphetamine capsule for their second treatment phase starting at approximately Day 77. When oral methamphetamine is administered, an initial 10 mg of oral methamphetamine study drug will be administered to assess tolerability, followed by a subsequent 15 mg oral dose two hours later. Oral Methamphetamine: An initial 10 mg of oral methamphetamine (over-encapsulated to look similar to placebo capsule) study drug will be administered to assess tolerability, followed by a subsequent 15 mg oral dose (over-encapsulated to look similar to placebo capsule) two hours later. Placebo oral capsule: One placebo capsule will be administered orally on treatment day, followed by a second oral placebo capsule two hours later.
First Intervention (30 Days)
STARTED
7
7
First Intervention (30 Days)
COMPLETED
5
6
First Intervention (30 Days)
NOT COMPLETED
2
1
Washout (30 Days)
STARTED
5
6
Washout (30 Days)
COMPLETED
5
5
Washout (30 Days)
NOT COMPLETED
0
1
Second Intervention (30 Days)
STARTED
5
5
Second Intervention (30 Days)
COMPLETED
5
5
Second Intervention (30 Days)
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Effect of Methamphetamine on Residual Latent HIV Disease Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Oral Methamphetamine, Then Placebo Oral Capsule
n=5 Participants
Participants will be randomized to oral methamphetamine first then placebo oral capsule using a random number generator. When oral methamphetamine is administered, an initial 10 mg of oral methamphetamine study drug will be administered to assess tolerability, followed by a subsequent 15 mg oral dose two hours later. Then the participant will receive the placebo oral capsule for their second treatment phase starting at approximately Day 77. For the placebo treatment, one placebo capsule will be administered orally on treatment day, followed by a second oral placebo capsule two hours later. Oral Methamphetamine: An initial 10 mg of oral methamphetamine (over-encapsulated to look similar to placebo capsule) study drug will be administered to assess tolerability, followed by a subsequent 15 mg oral dose (over-encapsulated to look similar to placebo capsule) two hours later. Placebo oral capsule: One placebo capsule will be administered orally on treatment day, followed by a second oral placebo capsule two hours later.
Placebo Oral Capsule, Then Oral Methamphetamine
n=5 Participants
Participants will be randomized to a placebo oral capsule first, then oral methamphetamine using a random number generator. For the placebo treatment, one placebo capsule will be administered orally on treatment day, followed by a second oral placebo capsule two hours later. Then the participant will receive the oral methamphetamine capsule for their second treatment phase starting at approximately Day 77. When oral methamphetamine is administered, an initial 10 mg of oral methamphetamine study drug will be administered to assess tolerability, followed by a subsequent 15 mg oral dose two hours later. Oral Methamphetamine: An initial 10 mg of oral methamphetamine (over-encapsulated to look similar to placebo capsule) study drug will be administered to assess tolerability, followed by a subsequent 15 mg oral dose (over-encapsulated to look similar to placebo capsule) two hours later. Placebo oral capsule: One placebo capsule will be administered orally on treatment day, followed by a second oral placebo capsule two hours later.
Total
n=10 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
5 Participants
n=5 Participants
5 Participants
n=7 Participants
10 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
45.6 years
STANDARD_DEVIATION 9.50 • n=5 Participants
44.4 years
STANDARD_DEVIATION 9.34 • n=7 Participants
45 years
STANDARD_DEVIATION 8.91 • n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
5 Participants
n=7 Participants
10 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
4 Participants
n=5 Participants
3 Participants
n=7 Participants
7 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
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 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
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
White
3 Participants
n=5 Participants
5 Participants
n=7 Participants
8 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
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
5 participants
n=5 Participants
5 participants
n=7 Participants
10 participants
n=5 Participants

PRIMARY outcome

Timeframe: 4 hours

The change in HIV reservoir size (as measured by cell-associated HIV RNA levels) over a 4 hour study period.

Outcome measures

Outcome measures
Measure
Oral Methamphetamine, Then Placebo Oral Capsule
n=5 Participants
Participants will be randomized to oral methamphetamine first then placebo oral capsule using a random number generator. When oral methamphetamine is administered, an initial 10 mg of oral methamphetamine study drug will be administered to assess tolerability, followed by a subsequent 15 mg oral dose two hours later. Then the participant will receive the placebo oral capsule for their second treatment phase starting at approximately Day 77. For the placebo treatment, one placebo capsule will be administered orally on treatment day, followed by a second oral placebo capsule two hours later. Oral Methamphetamine: An initial 10 mg of oral methamphetamine (over-encapsulated to look similar to placebo capsule) study drug will be administered to assess tolerability, followed by a subsequent 15 mg oral dose (over-encapsulated to look similar to placebo capsule) two hours later. Placebo oral capsule: One placebo capsule will be administered orally on treatment day, followed by a second oral placebo capsule two hours later.
Placebo Oral Capsule, Then Oral Methamphetamine
n=5 Participants
Participants will be randomized to a placebo oral capsule first, then oral methamphetamine using a random number generator. For the placebo treatment, one placebo capsule will be administered orally on treatment day, followed by a second oral placebo capsule two hours later. Then the participant will receive the oral methamphetamine capsule for their second treatment phase starting at approximately Day 77. When oral methamphetamine is administered, an initial 10 mg of oral methamphetamine study drug will be administered to assess tolerability, followed by a subsequent 15 mg oral dose two hours later. Oral Methamphetamine: An initial 10 mg of oral methamphetamine (over-encapsulated to look similar to placebo capsule) study drug will be administered to assess tolerability, followed by a subsequent 15 mg oral dose (over-encapsulated to look similar to placebo capsule) two hours later. Placebo oral capsule: One placebo capsule will be administered orally on treatment day, followed by a second oral placebo capsule two hours later.
HIV Transcription (Cell-associated HIV RNA) in Peripheral Blood
10.45 copies/million cells
Interval 1.3 to 31.79
57.38 copies/million cells
Interval 27.59 to 404.7

SECONDARY outcome

Timeframe: 4 hours

The change in plasma pro-inflammatory IL-1B levels over a 4 hour study period.

Outcome measures

Outcome measures
Measure
Oral Methamphetamine, Then Placebo Oral Capsule
n=10 Participants
Participants will be randomized to oral methamphetamine first then placebo oral capsule using a random number generator. When oral methamphetamine is administered, an initial 10 mg of oral methamphetamine study drug will be administered to assess tolerability, followed by a subsequent 15 mg oral dose two hours later. Then the participant will receive the placebo oral capsule for their second treatment phase starting at approximately Day 77. For the placebo treatment, one placebo capsule will be administered orally on treatment day, followed by a second oral placebo capsule two hours later. Oral Methamphetamine: An initial 10 mg of oral methamphetamine (over-encapsulated to look similar to placebo capsule) study drug will be administered to assess tolerability, followed by a subsequent 15 mg oral dose (over-encapsulated to look similar to placebo capsule) two hours later. Placebo oral capsule: One placebo capsule will be administered orally on treatment day, followed by a second oral placebo capsule two hours later.
Placebo Oral Capsule, Then Oral Methamphetamine
n=10 Participants
Participants will be randomized to a placebo oral capsule first, then oral methamphetamine using a random number generator. For the placebo treatment, one placebo capsule will be administered orally on treatment day, followed by a second oral placebo capsule two hours later. Then the participant will receive the oral methamphetamine capsule for their second treatment phase starting at approximately Day 77. When oral methamphetamine is administered, an initial 10 mg of oral methamphetamine study drug will be administered to assess tolerability, followed by a subsequent 15 mg oral dose two hours later. Oral Methamphetamine: An initial 10 mg of oral methamphetamine (over-encapsulated to look similar to placebo capsule) study drug will be administered to assess tolerability, followed by a subsequent 15 mg oral dose (over-encapsulated to look similar to placebo capsule) two hours later. Placebo oral capsule: One placebo capsule will be administered orally on treatment day, followed by a second oral placebo capsule two hours later.
Systemic Inflammation (Plasma Pro-inflammatory Cytokine Levels)
0.875 pg/uL
Interval 0.0 to 3.473
0.054 pg/uL
Interval -0.032 to 0.56

SECONDARY outcome

Timeframe: 4 hours

The change in host gene expression as measured by RNA-seq over a 4 hour study period

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 4 hours

The change in tyramine (TAAR1 signaling metabolite) levels over a 4 hour study period.

Outcome measures

Outcome measures
Measure
Oral Methamphetamine, Then Placebo Oral Capsule
n=9 Participants
Participants will be randomized to oral methamphetamine first then placebo oral capsule using a random number generator. When oral methamphetamine is administered, an initial 10 mg of oral methamphetamine study drug will be administered to assess tolerability, followed by a subsequent 15 mg oral dose two hours later. Then the participant will receive the placebo oral capsule for their second treatment phase starting at approximately Day 77. For the placebo treatment, one placebo capsule will be administered orally on treatment day, followed by a second oral placebo capsule two hours later. Oral Methamphetamine: An initial 10 mg of oral methamphetamine (over-encapsulated to look similar to placebo capsule) study drug will be administered to assess tolerability, followed by a subsequent 15 mg oral dose (over-encapsulated to look similar to placebo capsule) two hours later. Placebo oral capsule: One placebo capsule will be administered orally on treatment day, followed by a second oral placebo capsule two hours later.
Placebo Oral Capsule, Then Oral Methamphetamine
n=9 Participants
Participants will be randomized to a placebo oral capsule first, then oral methamphetamine using a random number generator. For the placebo treatment, one placebo capsule will be administered orally on treatment day, followed by a second oral placebo capsule two hours later. Then the participant will receive the oral methamphetamine capsule for their second treatment phase starting at approximately Day 77. When oral methamphetamine is administered, an initial 10 mg of oral methamphetamine study drug will be administered to assess tolerability, followed by a subsequent 15 mg oral dose two hours later. Oral Methamphetamine: An initial 10 mg of oral methamphetamine (over-encapsulated to look similar to placebo capsule) study drug will be administered to assess tolerability, followed by a subsequent 15 mg oral dose (over-encapsulated to look similar to placebo capsule) two hours later. Placebo oral capsule: One placebo capsule will be administered orally on treatment day, followed by a second oral placebo capsule two hours later.
Trace Amine Receptor 1 (TAAR1) Signaling Metabolite Levels in in Peripheral Blood
-215.901 ug
Interval -296.094 to -132.644
-171.506 ug
Interval -340.327 to -92.9

Adverse Events

Oral Methamphetamine

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

Placebo Oral Capsule

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Oral Methamphetamine
n=14 participants at risk
An initial 10 mg of oral methamphetamine (over-encapsulated to look similar to placebo capsule) study drug was administered to assess tolerability, followed by a subsequent 15 mg oral dose (over-encapsulated to look similar to placebo capsule) two hours later.
Placebo Oral Capsule
n=14 participants at risk
One placebo oral capsule was administered orally on treatment day, followed by a second oral placebo capsule two hours later.
Vascular disorders
Hypertension
7.1%
1/14 • Number of events 1 • 4 months
Regular monitoring of vitals (e.g. BP, O2 levels) and ECG by MD present before and after administration of dosages on treatment days.
0.00%
0/14 • 4 months
Regular monitoring of vitals (e.g. BP, O2 levels) and ECG by MD present before and after administration of dosages on treatment days.

Additional Information

Sulggi A. Lee

University of California, San Francisco

Phone: 415-735-5127

Results disclosure agreements

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