Status:

COMPLETED

Growth Hormone Dynamics and Cardiac Steatosis in HIV

Lead Sponsor:

Massachusetts General Hospital

Conditions:

Human Immunodeficiency Virus

Lipodystrophy

Eligibility:

All Genders

40-70 years

Brief Summary

Cardiac steatosis is increased among individuals with HIV, and may predispose to cardiac mechanical dysfunction and subsequent heart failure. The pathogenesis and treatment of cardiac steatosis is not...

Eligibility Criteria

Inclusion

  • Men and women, ages 40-70 years
  • Documented HIV infection on stable antiretroviral therapy for ≥ 3 months
  • Abdominal obesity with waist circumference ≥ 102 cm in men, ≥ 88 cm in women
  • Indication for tesamorelin per clinical judgment

Exclusion

  • CD4 \< 100 cells/mm3 or HIV viral load \> 400 copies/mL
  • Current active AIDS-defining illness
  • History or symptoms consistent with heart failure
  • Standard contraindications to MRI including severe allergy to gadolinium
  • Glomerular filtration rate (eGFR) \< 45 mL/min/1.73 m2 within one month of MRI study
  • Use of growth hormone-releasing hormone (GHRH) or growth hormone (GH) within the past 6 months
  • HbA1c \> 7%, chronic insulin use within the past 6 months, and/or change in anti-diabetic agents within the past 3 months
  • Change in statin therapy within the past 3 months
  • Chronic corticosteroid use except intermittent topic steroid creams or inhalers
  • Pregnancy or breastfeeding

Key Trial Info

Start Date :

January 30 2019

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

April 19 2022

Estimated Enrollment :

23 Patients enrolled

Trial Details

Trial ID

NCT03826160

Start Date

January 30 2019

End Date

April 19 2022

Last Update

July 19 2022

Active Locations (1)

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1

Massachusetts General Hospital

Boston, Massachusetts, United States, 02114