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Clinical trial to evaluate Metformin compared with placebo for reversal of accelerated aging in persons living with HIV 50 years or older
EU CTIS ID: 2024-512287-54-00
What this study is testing
To evaluate the anti-aging effect of metformin compared to placebo as assessed by difference in epigenetic age acceleration (EAA) by Phenoage at week 96
- Phase I and Phase II (Integrated)- Bioequivalence Study
A plain-language read of the study's public EU CTIS listing. The study team confirms the details.
Who can take part
You may be able to join if
- Participant must be 50 years old or older, at the time of signing the informed consent.
- Participants with HIV-1 infection and an uninterrupted ART regimen in the 3 months prior to study entry a. Only switch for tolerability/convenience/access reasons to generic drugs or switch from ritonavir to cobicistat would be allowed in the 3-month window and as long as the components of the regimen are unchanged.
- HIV viral load (VL) <50 copies/mL at screening and in the year prior to study entry. a. A blip (50-200 copies/ml) would be allowed within 12 months prior to inclusion in the study, if preceded and followed by an undetectable VL determination.
- CD4 count > 500 cel/μL at screening.
- Participants with normal vitamin B12 levels at screening
- Participants with normal HOMA-IR (≤ 2.6)
You likely can't join if
- Participants previously diagnosed with diabetes mellitus, prediabetes and body mass index > 30 kg/m2.
- Impaired renal function (estimated glomerular filtration rate <60 mL/min).
- Liver laboratory abnormalities: alanine aminotransferase (ALT) over 5 times the upper limit of normal (ULN) or ALT over 3xULN and bilirubin over 1.5xULN or any verified Grade 4 laboratory abnormality that to the investigators criteria would affect the safety of the participant if included in the study.
- Pregnant or breastfeeding women, women wishing to conceive or unwilling to commit to contraceptive methods.
- Any comorbidities or treatment with experimental drugs that according to the investigator could bias study results or entail additional risks for the participant.
- Participants with chronic hepatitis B and/or active hepatitis C or concurrent active or progressive liver disease.
See the full eligibility criteria
Who can join
- Participant must be 50 years old or older, at the time of signing the informed consent.
- Participants with HIV-1 infection and an uninterrupted ART regimen in the 3 months prior to study entry a. Only switch for tolerability/convenience/access reasons to generic drugs or switch from ritonavir to cobicistat would be allowed in the 3-month window and as long as the components of the regimen are unchanged.
- HIV viral load (VL) <50 copies/mL at screening and in the year prior to study entry. a. A blip (50-200 copies/ml) would be allowed within 12 months prior to inclusion in the study, if preceded and followed by an undetectable VL determination.
- CD4 count > 500 cel/μL at screening.
- Participants with normal vitamin B12 levels at screening
- Participants with normal HOMA-IR (≤ 2.6)
- Body mass index (BMI) less than 30 Kg/m2.
- Female participants with suspected or documented menopause a. Peri- or post-menopausal, defined as having no menstrual periods for at least 12 months prior to study entry, or skipping at least one menstrual period in the 12 months prior to study entry. Peri- or post-menopausal status will be determined for candidates who have had the uterus removed by an assessment of blood follicle stimulating hormone
- Capable of giving signed informed consent as described in Appendix 1 which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol.
What rules you out
- Participants previously diagnosed with diabetes mellitus, prediabetes and body mass index > 30 kg/m2.
- Impaired renal function (estimated glomerular filtration rate <60 mL/min).
- Liver laboratory abnormalities: alanine aminotransferase (ALT) over 5 times the upper limit of normal (ULN) or ALT over 3xULN and bilirubin over 1.5xULN or any verified Grade 4 laboratory abnormality that to the investigators criteria would affect the safety of the participant if included in the study.
- Pregnant or breastfeeding women, women wishing to conceive or unwilling to commit to contraceptive methods.
- Any comorbidities or treatment with experimental drugs that according to the investigator could bias study results or entail additional risks for the participant.
- Participants with chronic hepatitis B and/or active hepatitis C or concurrent active or progressive liver disease.
- Participants with history of any of the following comorbidities: stroke, heart failure, dementia, myocardial infarction and cancer or history of lactic acidosis.
- Participants with decreased tissue perfusion or hemodynamic instability due to infection or other causes
- Participants with active alcohol abuse: a. For men, heavy drinking is typically defined as consuming 15 drinks or more per week. b. For women, heavy drinking is typically defined as consuming 8 drinks or more per week.
- Participants unable to swallow study medication tablets during the treatment period.
- Participants receiving other medications that according to study drug label are contraindicated with metformin.
- Participants with hypersensitivity or intolerance to any of the components of the study interventions as determined by the investigator.
- Participants that are unwilling to abstain from participating in another interventional clinical trial during the study follow up.
The study team makes the final eligibility decision.
Questions & answers
Do participants get paid in this trial?
This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.
Is it free to join, and do I need insurance?
Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.
How long does this study last?
The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.
Who can join this trial?
This study is enrolling all sexes, 65+ years, 18-64 years. The study team makes the final eligibility decision.
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BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from EU CTIS; the study team decides eligibility.