Recruiting PHASE2 Weight Gain

New treatment option for Weight Gain

Official title Incretin Microdosing for Cardiometabolic Health in People With HIV

ClinicalTrials.gov ID: NCT07325500

What this study is testing

What is Dose escalation to 2 mg semaglutide weekly then semaglutide microdosing at 0.5 mg weekly?

Dose escalation to 2 mg semaglutide weekly then semaglutide microdosing at 0.5 mg weekly is an investigational medicine, given as an once-weekly injection under the skin, being studied as a potential treatment for weight gain.

Plain-language explanation of the investigational treatment - it is being studied and is not an approved or proven therapy. The study team can confirm the details.

What it's testing
The objectives of this study are as follows: Primary Objective To determine the rate of weight regain in people living with human immunodeficiency virus (HIV) (PWH) receiving semaglutide microdosing vs. no additional drug following induction therapy.
  • Phase 2: a mid-size study of how well it works
  • Time commitment: about 12 weeks

A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.

Who can take part

Ages 18 and older

You may be able to join if

  • Confirmed human immunodeficiency virus type 1 (HIV-1)
  • On antiretroviral therapy (ART) for greater than or equal to 24 weeks prior to entry and no change in regimen in the 12 weeks prior to entry or...
  • HIV-1 ribonucleic acid (RNA) \<200 copies/mL at screening
  • BMI greater than or equal to 30 kg/m2 or greater than or equal to 27 kg/m2 if also with greater than or equal to 1 weight-related comorbidity
  • If taking anti-inflammatory or blood-pressure-/lipid-/glucose-lowering medications, no change in dose for greater than or equal to 12 weeks prior to...

You likely can't join if

  • Weight greater than or equal to 400 pounds [due to dual X-ray absorptiometry (DXA) machine limitations] or unexplained weight change greater than or...
  • Diagnosis of or on treatment for diabetes mellitus (stable metformin dosing for pre-diabetes not excluded)
  • Current or planned use of medications for the treatment of obesity, or medications likely to cause significant changes in weight, during the study...
  • Plans to newly engage in formal, intensive physical activity or diet (such as ketogenic or very low carbohydrate) programs during the study period
  • Active eating disorder
  • Use of human growth hormone, tesamorelin or anabolic steroids \ 24 weeks prior to entry, or plans to start any of these medications while on study
See the full eligibility criteria
Who can join
  • Confirmed human immunodeficiency virus type 1 (HIV-1)
  • On antiretroviral therapy (ART) for greater than or equal to 24 weeks prior to entry and no change in regimen in the 12 weeks prior to entry or planned change for the study duration
  • HIV-1 ribonucleic acid (RNA) \<200 copies/mL at screening
  • BMI greater than or equal to 30 kg/m2 or greater than or equal to 27 kg/m2 if also with greater than or equal to 1 weight-related comorbidity
  • If taking anti-inflammatory or blood-pressure-/lipid-/glucose-lowering medications, no change in dose for greater than or equal to 12 weeks prior to entry and no plans to dose escalate for the study duration
  • All participants must be willing and able to provide written informed consent and undergo all required study procedures
What rules you out
  • Weight greater than or equal to 400 pounds [due to dual X-ray absorptiometry (DXA) machine limitations] or unexplained weight change greater than or equal to 5% in the 12 weeks prior to entry
  • Diagnosis of or on treatment for diabetes mellitus (stable metformin dosing for pre-diabetes not excluded)
  • Current or planned use of medications for the treatment of obesity, or medications likely to cause significant changes in weight, during the study period
  • Plans to newly engage in formal, intensive physical activity or diet (such as ketogenic or very low carbohydrate) programs during the study period
  • Active eating disorder
  • Use of human growth hormone, tesamorelin or anabolic steroids \ 24 weeks prior to entry, or plans to start any of these medications while on study
  • Active, severe delayed gastric emptying
  • Prior bariatric surgery or major gastric surgery or plans for weight reduction surgery while on study
  • Known retinopathy
  • Personal or first-degree relative history of medullary thyroid carcinoma or multiple endocrine neoplasia type 2
  • Untreated, poorly controlled or previously undiagnosed thyroid disease
  • Chronic pancreatitis
  • Known allergy/sensitivity to Glucagon-Like Peptide-1 Receptor Agonist (GLP-1RA)
  • Poorly controlled or previously undiagnosed thyroid disease, defined as thyroid-stimulating hormone (TSH) \ 10 milli-international units per liter (mIU/L) at screening
  • Active drug or alcohol use that, in the opinion of the investigator, would interfere with adherence to study requirements
  • Pregnancy, nursing or plans for either during the study period
  • Use of planned use of any immunomodulatory therapy HIV vaccine, investigational therapy or tumor necrosis factor (TNF-α) therapy during the study period
  • Current serious illness requiring systemic treatment and/or hospitalization, in the opinion of site investigator

The study team makes the final eligibility decision.

Where it's taking place

  • Houston, Texas, United States

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 study runs about 12 weeks per participant, based on its public description. The team confirms the exact schedule and number of visits before you enroll.

Who can join this trial?

This study is enrolling all sexes, 18 years and older. The study team makes the final eligibility decision.

Where is this trial taking place?

Study sites include Houston, Texas, United States. Enter your location above to see the nearest site and check your eligibility.

Explore other conditions

BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from ClinicalTrials.gov; the study team decides eligibility.