Current partner codePEPTIDESDE
NCT00123253·Phase 3·INTERVENTIONAL

TH9507 in Patients With HIV-Associated Lipodystrophy

Status

Completed

Phase

Phase 3

Enrollment

412

Locations

42

Results

Not posted

Publications

5

Study summary

What the protocol is testing.

HIV lipodystrophy affects a significant proportion of patients treated with combination antiretroviral therapy (ART) and is characterized by excess visceral fat accumulation and loss of extremity and subcutaneous fat, in association with dyslipidemia and insulin resistance. Data from a previous randomized, placebo-controlled trial demonstrated that daily administration of 2mg TH9507, a growth hormone releasing factor (GRF), to HIV patients with an excess of abdominal fat accumulation for 12 weeks resulted in decreases in visceral adipose tissue (VAT) and trunk fat, with no significant changes in limb fat and subcutaneous adipose tissue (SAT). This study is aimed at further assessing the efficacy and safety of 2 mg TH9507 in a larger population of HIV patients treated with ART and experiencing an excess of abdominal fat accumulation.

Interventions

Treatment arms and agents.

DRUG

TH9507

Timeline

From registration to results.

  1. First posted

    Jul 22, 2005

  2. Study start

    Jun 2005

  3. Primary completion

    Nov 2006

  4. Study completion

    Apr 2007

  5. Results posted

    Not reported

  6. Registry updated

    Nov 27, 2013

Outcomes

What the study measures.

Primary outcomes

Visceral adipose tissue (VAT)

Secondary outcomes

Not reported in the indexed record.

Eligibility

Who can take part.

Minimum age
18 Years
Maximum age
65 Years
Sex
ALL
Healthy volunteers
No

Inclusion Criteria: * Ages 18 to 65 years inclusive * HIV positive; CD4 cell counts \>100 cells/mm3; viral load \<10,000 copies/mL (stable for 8 weeks) * On stable ART regimen for at least 8 weeks prior to randomization * Have evidence of abdominal fat accumulation defined by the following anthropometric cut off values: * For males: waist circumference \> 95 cm and waist to hip ratio \> 0.94; * For females: waist circumference \> 94 cm and waist to hip ratio \> 0.88. * Females of childbearing potential not pregnant or lactating; normal mammography within 6 months of study. * Signed informed consent Exclusion Criteria: * Body mass index \< 20 kg/m2 * Opportunistic infection; HIV-related disease within 3 months of study. * History of malignancy; active neoplasm. * Prostate-specific antigen (PSA) \>5 ng/mL at screening * Hypopituitarism; history of pituitary tumor/surgery; head irradiation; head trauma that has affected the somatotropic axis. * Untreated hypothyroidism * Type 1 diabetics and type 2 diabetics on oral hypoglycemic or insulin sensitizing agent within 6 months of study * ALT or AST \> 3 x ULN; serum creatinine \> 133 mmol/L (1.5 mg/dL); hemoglobin more than 20 g/L below LLN; fasting blood glucose \> 8.33 mmol/L (150 mg/dL); fasting triglycerides \> 11.3 mmol/L (0.99 g/dL). * Untreated hypertension * Change in anti-hyperlipemic regimen within 3 months prior to study * Change in testosterone regimen and/or supraphysiological dose of testosterone * Estrogen therapy * Anoretics/anorexigenics or anti-obesity agents within 3 months of study * Growth hormone (GH); GH secretagogues; growth hormone releasing factor (GRF) products; IGF-1; or IGFBP-3 within 6 months of study. * Drug or alcohol dependence or use of methadone within 6 months of study entry * Participation in a clinical trial with any investigational drug/device within 30 days of screening.

Study locations

42 registered sites.

Canada · United States. Showing up to 24 locations stored in the fast local snapshot.

UCLA School of Medicine

Los Angeles, California, United States

Office of Dr. Michael Somero

Palm Springs, California, United States

UCSD Medical Center

San Diego, California, United States

Kaiser Permanente

San Francisco, California, United States

AIDS Research Alliance

West Hollywood, California, United States

Capital Medical Associates

Washington D.C., District of Columbia, United States

Bach & Godofsky

Bradenton, Florida, United States

Office of Dr. Gary Richmond

Fort Lauderdale, Florida, United States

Care Resource Miami

Miami, Florida, United States

Orlando Immunology Center

Orlando, Florida, United States

Infectious Disease Associates

Sarasota, Florida, United States

Treasure Coast Infectious Disease Consultant (TDIDC)

Vero Beach, Florida, United States

AIDS Research Consortium Atlanta (ARCA)

Atlanta, Georgia, United States

Northern Healthcare

Chicago, Illinois, United States

Rush University Medical Center

Chicago, Illinois, United States

Indiana University Department of Medicine

Indianapolis, Indiana, United States

Institute of Human Virology

Baltimore, Maryland, United States

Johns Hopkins University School of Medicine

Baltimore, Maryland, United States

Community Research Initiative of New England

Boston, Massachusetts, United States

Massachusetts General Hospital

Boston, Massachusetts, United States

Tufts University School of Medicine

Boston, Massachusetts, United States

Community Research Initiative of New England (CRI West)

Springfield, Massachusetts, United States

Hennepin County Medical Centre

Minneapolis, Minnesota, United States

AIDS Community Research Initiative of America

New York, New York, United States

Publications

Results and literature.

PMID 28832410Fourman LT, Czerwonka N, Feldpausch MN, Weiss J, Mamputu JC, Falutz J, Morin J, Marsolais C, Stanley TL, Grinspoon SK. Visceral fat reduction with tesamorelin is associated with improved liver enzymes in HIV. AIDS. 2017 Oct 23;31(16):2253-2259. doi: 10.1097/QAD.0000000000001614.PMID 22495074Stanley TL, Falutz J, Marsolais C, Morin J, Soulban G, Mamputu JC, Assaad H, Turner R, Grinspoon SK. Reduction in visceral adiposity is associated with an improved metabolic profile in HIV-infected patients receiving tesamorelin. Clin Infect Dis. 2012 Jun;54(11):1642-51. doi: 10.1093/cid/cis251. Epub 2012 Apr 10.PMID 20554713Falutz J, Mamputu JC, Potvin D, Moyle G, Soulban G, Loughrey H, Marsolais C, Turner R, Grinspoon S. Effects of tesamorelin (TH9507), a growth hormone-releasing factor analog, in human immunodeficiency virus-infected patients with excess abdominal fat: a pooled analysis of two multicenter, double-blind placebo-controlled phase 3 trials with safety extension data. J Clin Endocrinol Metab. 2010 Sep;95(9):4291-304. doi: 10.1210/jc.2010-0490. Epub 2010 Jun 16.PMID 20101189Falutz J, Potvin D, Mamputu JC, Assaad H, Zoltowska M, Michaud SE, Berger D, Somero M, Moyle G, Brown S, Martorell C, Turner R, Grinspoon S. Effects of tesamorelin, a growth hormone-releasing factor, in HIV-infected patients with abdominal fat accumulation: a randomized placebo-controlled trial with a safety extension. J Acquir Immune Defic Syndr. 2010 Mar;53(3):311-22. doi: 10.1097/QAI.0b013e3181cbdaff.PMID 18057338Falutz J, Allas S, Blot K, Potvin D, Kotler D, Somero M, Berger D, Brown S, Richmond G, Fessel J, Turner R, Grinspoon S. Metabolic effects of a growth hormone-releasing factor in patients with HIV. N Engl J Med. 2007 Dec 6;357(23):2359-70. doi: 10.1056/NEJMoa072375.

Primary links

Continue at the source.

Related trials

More studies on Tesamorelin.

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