Status:

COMPLETED

Obesity in HIV After Antiretroviral Therapy

Lead Sponsor:

Duke University

Collaborating Sponsors:

Janssen, LP

Conditions:

HIV

AIDS

Eligibility:

All Genders

18+ years

Brief Summary

This is a retrospective longitudinal study that evaluates the prevalence and incidence of overweight/obesity within an HIV-infected population before and after 12 and 24 months of a stable antiretrovi...

Eligibility Criteria

Inclusion

  • Inclusion Criteria for HIV-infected cohort:
  • Treatment-naive at study entry;
  • Subjects will need to remain on ART for 12 months as initiated with substitution allowed for toxicity management within the same class of drug;
  • Subjects within this group that remain on ART for an additional 12 months (total 24 months) as initiated with substitution allowed for toxicity management within the same class of drug will continue to be followed longitudinally for the 24 month period;
  • Availability of repository samples.
  • Inclusion Criteria for Control Cohort:
  • Followed in the Duke Primary Care Clinics during the years of inclusion with available data on weight, race and gender.

Exclusion

  • Exclusion Criteria for HIV-infected cohort:
  • Pregnancy during period of observation or within 6 months of study entry;
  • Malignancy (other than squamous or basal cell carcinomas of the skin);
  • Newly diagnosed thyroid disorder within 6 months of study entry;
  • Use of megace or marinol;
  • Long-term use of glucocorticoids (greater than 1 month of prednisone 5mg or higher or an equivalent dose of another glucocorticoid);
  • Use of androgenic steroids;
  • History of diabetes or use of glucose-lowering agents;
  • Use of the following psychiatric or anticonvulsant agents- thioridazine, olanzapine (zyprexa), clozapine (clozaril), quetiapine (seroquel), risperidone (risperdal), lithium, remeron, paxil, valproate, carbamazepine, gabapentin;
  • Concurrent treatment for hepatitis C infection;
  • Diagnosis of a new opportunistic infection (OI) as defined by the CDC during the 1st 12 months of ART.22 OIs include the following: PCP, toxoplasmosis, MAC, histoplasmosis, candidiasis, cryptococcus, coccidiodes, CMV, cryptosporidium, microsporidiosis, tuberculosis, bartonellosis, herpes simplex virus, HHV-8, human papillomavirus;
  • Diagnosis of congestive heart failure and receiving diuretic therapy;
  • End stage renal disease.
  • Exclusion Criteria for Control Cohort:
  • Pregnancy during period of observation or within 6 months of study entry;
  • Malignancy (other than squamous or basal cell carcinomas of the skin);
  • Newly diagnosed thyroid disorder within 6 months of study entry;
  • Long-term use of glucocorticoids (greater than 1 month of prednisone 5mg or higher or an equivalent dose of another glucocorticoid);
  • Use of androgenic steroids;
  • History of diabetes or use of glucose-lowering agents;
  • Use of the following psychiatric or anticonvulsant agents- thioridazine, olanzapine (zyprexa), clozapine (clozaril), quetiapine (seroquel), risperidone (risperdal), lithium, remeron, paxil, valproate, carbamazepine, gabapentin;
  • Treatment for hepatitis C infection during observation period;
  • Diagnosis of congestive heart failure and receiving diuretic therapy;
  • End stage renal disease.

Key Trial Info

Start Date :

November 1 2009

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

May 1 2014

Estimated Enrollment :

200 Patients enrolled

Trial Details

Trial ID

NCT01461876

Start Date

November 1 2009

End Date

May 1 2014

Last Update

October 14 2015

Active Locations (1)

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Duke University Medical Center

Durham, North Carolina, United States, 27710