Inflammation and Cardiovascular Health in Women

NCT ID: NCT04224181

Last Updated: 2024-02-20

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

COMPLETED

Total Enrollment

62 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-02-03

Study Completion Date

2023-11-09

Brief Summary

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Systemic immune activation and inflammation are believed to play a significant role in the development and clinical course of myocardial infarction (MI). Among women with HIV (WHIV), heightened systemic immune activation and inflammation persist, even when HIV infection is well-treated with contemporary antiretroviral therapeutic regimens. Moreover, WHIV in high-resource regions face a three-fold increased risk of myocardial infarction as compared with matched non-HIV-infected women. The goals of this study are to better understand ways in which HIV infection-incited systemic immune activation and inflammation augment MI risk among women.

Detailed Description

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The goals of this study are to better understand ways in which HIV infection-incited systemic immune activation and inflammation augment MI risk among women. To this end, WHIV and non-HIV-infected women will undergo structural and functional cardiovascular imaging studies (Cardiac PET, 99mTc-tilmanocept SPECT/CT, Contrast Enhanced Coronary and Aortic Computed Tomography Angiography) as well as vascular, metabolic/hormonal, and immune phenotyping. Measures of immune activation, arterial inflammation, and cardiovascular pathology will be compared between groups and interrelationships between these parameters will be assessed among WHIV.

Conditions

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HIV/AIDS Myocardial Infarction

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Women with HIV

Individuals with female nascent sex who have been diagnosed with HIV.

Cardiac PET

Intervention Type RADIATION

A scan examining blood flow to the heart

99mTc-tilmanocept SPECT/CT

Intervention Type RADIATION

A scan to look at inflammation in the arteries

Contrast Enhanced Coronary and Aortic Computed Tomography Angiography

Intervention Type RADIATION

A scan of the heart and surrounding blood vessels

Women without HIV

Individuals with female nascent sex who do not have HIV.

Cardiac PET

Intervention Type RADIATION

A scan examining blood flow to the heart

99mTc-tilmanocept SPECT/CT

Intervention Type RADIATION

A scan to look at inflammation in the arteries

Contrast Enhanced Coronary and Aortic Computed Tomography Angiography

Intervention Type RADIATION

A scan of the heart and surrounding blood vessels

Interventions

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Cardiac PET

A scan examining blood flow to the heart

Intervention Type RADIATION

99mTc-tilmanocept SPECT/CT

A scan to look at inflammation in the arteries

Intervention Type RADIATION

Contrast Enhanced Coronary and Aortic Computed Tomography Angiography

A scan of the heart and surrounding blood vessels

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* female nascent sex
* HIV
* age 40-79
* self-report of stable ART for at least 180 days prior to study entry - any regimen (no more than 30 days missed medication in the last 180 days)

Exclusion

* self-reported history of MI, stroke, coronary revascularization
* stable or unstable angina symptoms
* a pre-existing diagnosis of diabetes, being actively treated with oral or injectable antihyperglycemic medication
* current cocaine use
* current use of exogenous oral, or transdermal, injected, or depot estrogen or testosterone
* current treatment with prescription, systemic (oral, IV, or IM) steroids, or anti-inflammatory/immune suppressant medical therapies (excluding topical therapies, UV therapy, ASA-derivative therapies, or NSAIDs) for autoimmune/inflammatory diseases (psoriasis, RA, IBD, lupus), post-transplant care, asthma, or pain syndromes
* use of oral steroids or prescription oral anti-inflammatory/immune suppressant medication for \>7 days within the past 30 days prior to entry
* pregnant or breastfeeding
* eGFR \< 60 ml/min/1.73 m2 calculated by 2021 CKD-EPI Creatinine
* known severe allergy to iodinated contrast media (CCTA), dextrans/DTPA/radiometals (99mTc-tilmanocept SPECT/CT), or regadenoson/adenosine (cardiac PET/CT).
* self-reported significant radiation exposure (\>2 CT angiograms) received within the past 12 months
* concurrent enrollment in conflicting research study.

Non-HIV-infected women:
Minimum Eligible Age

40 Years

Maximum Eligible Age

79 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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National Institutes of Health (NIH)

NIH

Sponsor Role collaborator

Massachusetts General Hospital

OTHER

Sponsor Role lead

Responsible Party

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Markella V. Zanni,M.D.

Associate Professor of Medicine, Harvard Medical School

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Markella V. Zanni, MD

Role: PRINCIPAL_INVESTIGATOR

Massachusetts General Hospital

Locations

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Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Countries

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United States

Other Identifiers

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2019P001220

Identifier Type: -

Identifier Source: org_study_id

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