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临床试验/NCT07221214
NCT07221214招募中2 期

GLP-1 Receptor Agonists to Decrease Ethanol and CVD Risk in HIV - GL1DER HIV RCT

Vanderbilt University Medical Center1 个研究点 分布在 1 个国家目标入组 200 人开始时间: 2026年4月17日最近更新:
干预措施

试验速览

阶段
2 期
状态
招募中
入组人数
200
试验地点
1
主要终点
Average drinks/week past 30 days at 3 months

研究概览

简要总结

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.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

年龄范围
18 Years 至 89 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • 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

排除标准

  • Known allergy to semaglutide
  • 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

研究组 & 干预措施

Semaglutide

Experimental

drug intervention

干预措施: Semaglutide (Rybelsus®) (Drug)

Placebo

Placebo Comparator

干预措施: Placebo (Drug)

结局指标

主要结局

Average drinks/week past 30 days at 3 months

时间窗: 3 Months

Average drinks/week past 30 days (via Timeline Follow Back (TLFB))

次要结局

  • Average cigarettes per day (cpd) past 30 days at 3 months(3 Months)
  • Systemic inflammation (IL-6) at 3 months(6 Months)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Hilary Tindle

Professor of Medicine

Vanderbilt University Medical Center

研究点 (1)

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