GLP-1 Receptor Agonists to Decrease Ethanol and CVD Risk in HIV

NCT ID: NCT07221214

Last Updated: 2025-11-12

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

NOT_YET_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-02-06

Study Completion Date

2030-07-31

Brief Summary

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The goal of this clinical trial is to learn if the drug semaglutide works to reduce alcohol intake among adults living with HIV. The main questions it aims to answer are:

1. Does semaglutide lower the average number of alcoholic beverages participants drink per week?
2. Does semaglutide lower the average number of cigarettes participants smoke per day?
3. Does semaglutide decrease the risk for cardiovascular disease among people living with HIV who drink alcohol and/or smoke tobacco?

Researchers will compare the effects of semaglutide to a placebo (a look-alike substance that contains no drug) to see if semaglutide works to lower the alcohol intake among participants each week.

Participants will:

1. Take semaglutide for 3 months
2. Visit the research clinic 3 times for checkups and tests
3. Provide blood samples, stool samples, and saliva samples for tests.

Detailed Description

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Conditions

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HIV Alcohol Smoking Cigarette Cardiovascular Disease Prevention

Keywords

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HIV alcohol smoking tobacco cardiovascular disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Semaglutide

drug intervention

Group Type EXPERIMENTAL

Semaglutide (Rybelsus®)

Intervention Type DRUG

experimental study medication

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo study product

Interventions

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Semaglutide (Rybelsus®)

experimental study medication

Intervention Type DRUG

Placebo

Placebo study product

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Ages 18-89
* Prior diagnosis of HIV-1
* Affiliated with Vanderbilt Comprehensive Care Clinic
* On current ART regimen for at least 90 days prior to study entry with no missed doses for at least 7 consecutive days.
* Most recent absolute CD4 count ≥ 300 cells/mm3 and drawn within 12 months of study enrollment
* BMI ≥ 23 (calculated at screening)
* Self-report of consuming alcohol in past 90 days
* AUDIT-C ≥ 3 (male)/ ≥ 2 (female)
* Has an established stable address at which they can receive mail and can be reached for the next 6 months
* Willing and able to complete study procedures and follow-ups

Exclusion Criteria

* Known allergy to semaglutdie
* Currently taking GLP-1 RA (in the past 3 months)
* History of diabetes defined by diagnosis in Problems List in medical record
* History of pancreatitis
* History of gastroparesis
* Gallbladder disease (in the past 3 months)
* History of medullary thyroid carcinoma
* Family history of medullary thyroid carcinoma
* History of multiple endocrine neoplasia syndrome type 2
* Family history of multiple endocrine neoplasia syndrome type 2
* Cognitive inability to consent
* Barrier to speaking, hearing, reading, or writing English
* Pregnant or breastfeeding, or planning to become pregnant in the next 6 months
* Too ill to complete study procedures
Minimum Eligible Age

18 Years

Maximum Eligible Age

89 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute on Alcohol Abuse and Alcoholism (NIAAA)

NIH

Sponsor Role collaborator

Norton Healthcare

OTHER

Sponsor Role collaborator

University of Louisville

OTHER

Sponsor Role collaborator

Vanderbilt University Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Hilary Tindle

Professor of Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hilary A Tindle, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

Vanderbilt University Medical Center

Central Contacts

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Hilary A Tindle, MD, MPH

Role: CONTACT

Phone: 615- 875-9726

Email: [email protected]

Grace Wallace, BS

Role: CONTACT

Phone: 615-936-5356

Email: [email protected]

Other Identifiers

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1P60AA032176

Identifier Type: NIH

Identifier Source: secondary_id

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1P60AA032176

Identifier Type: NIH

Identifier Source: org_study_id

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