Treatment of Abnormal Adipose Tissue Accumulation in Human Immunodeficiency Virus (HIV) Patients
A Phase III, Multi-Center, Randomized, Double-Blind, Placebo-Controlled, Parallel Group Study of the Safety and Efficacy of Serostim®, r-hGH in the Treatment and Maintenance of Human Immunodeficiency HIV-Associated Adipose Redistribution Syndrome, or HARS
The primary objective of the study is to determine if Serostim® 4 mg administered daily for 12 weeks as treatment for the abnormal fat accumulation and distribution associated with HIV-associated Adipose Redistribution Syndrome (HARS) reduces Visceral Adipose Tissue (VAT, measured by CT scan) more effectively than placebo.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
completed
Actual enrollment (reported)
326 participants
Study completion date
September 28, 2005
Actual (reported)
Listed locations
2 countries · 31 sites
Trial Relationships
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
Treatment Period I: Change From Baseline in Absolute Area of Visceral Adipose Tissue (VAT) at Week 12
Absolute area of VAT was measured by cross-sectional computed tomography (CT) scan at the level of the L4-5 inter-vertebral disk. CT scanning was to be used to assess the cross sectional area of abdominal fat and its distribution between the visceral and subcutaneous compartments, as measured at L4-L5.
Baseline, Week 12
Secondary Outcomes (4)
Treatment Period I: Change From Baseline in Trunk Fat at Week 12
Baseline, Week 12
Change From Baseline in Patient Reported Outcome of Body Image Distress at Week 12
Baseline, Week 12
Treatment Period I: Change From Baseline in Non- High-density Lipoprotein (Non-HDL) Cholesterol at Week 12
Baseline, Week 12
Treatment Period II: Failure Rate at Week 36 Based on Visceral Adipose Tissue (VAT) For Subjects Who Received Serostim® 4 mg in Period I
Week 36
Study Arms (5)
Period I: Placebo
PLACEBO COMPARATOR
Subjects will receive placebo matched to serostim® as subcutaneous injection daily for a period of 12 weeks.
Drug: Placebo
Period I: Serostim® 4 mg
EXPERIMENTAL
Subjects will receive Serostim® as subcutaneous injection at a maximum dose of 4 milligram (mg) per day based on body weight for a period of 12 weeks.
Drug: Serostim® 4 mg
Period II: Serostim® 4 mg to Placebo
EXPERIMENTAL
All subjects who will be initially randomized to Serostim® 4 mg arm in Period I and will receive placebo matched to Serostim® on alternate days for 24 weeks in Period II.
Interventions
PlaceboDrug
Placebo matched to serostim® as subcutaneous injection.
Period I: PlaceboPeriod II: Placebo to Placebo/Serostim® 4 mgPeriod II: Serostim® 4 mg to Placebo
Serostim® 4 mgDrug
Serostim® as subcutaneous injection at a maximum dose of 4 milligram (mg) per day based on body weight.
Eligibility Criteria
Age18 Years - 60 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)
You may qualify if:
Have written laboratory documentation of an HIV infection by one of the following methods:
Detectable viral load measured by polymerase chain reaction (PCR) amplification, branched chain DNA (bDNA) signal amplification or the presence of p24 antigen.
EMD Serono Inc., a business of Merck KGaA, Darmstadt, Germany
STUDY DIRECTOR
Publication Agreements
PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes
Enrollment
326 participants (actual enrollment reported by the registry).
Study Design
Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR
Study Record Dates
First Submitted
May 13, 2004
First Posted
May 17, 2004
Study Start
May 28, 2004
Actual (reported)
NCT00008528
T-20 With Anti-HIV Combination Therapy for Patients With Prior Anti-HIV Drug Treatment and/or Drug Resistance to Each of the Three Classes of Approved Anti-HIV Drugs
All subjects who will be initially randomized to Serostim® 4 mg arm in Period I and will receive Serostim® 2 mg on alternate days for 24 weeks in Period II.
Drug: Serostim® 2 mg
Period II: Placebo to Placebo/Serostim® 4 mg
EXPERIMENTAL
All subjects who will be initially randomized to Placebo arm in Period I continue receiving placebo matched to Serostim® on alternate days for 12 weeks followed by Serostim® 4 mg daily 12 weeks.
Drug: PlaceboDrug: Serostim® 4 mg
Also known as: recombinant human growth hormone (r-hGH)
Period I: Serostim® 4 mgPeriod II: Placebo to Placebo/Serostim® 4 mg
Serostim® 2 mgDrug
Serostim® 2 mg as subcutaneous injection on alternate days.
Also known as: recombinant human growth hormone (r-hGH)
Period II: Serostim® 4 mg to Serostim® 2 mg
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Presence of HIV antibodies confirmed by either Western blot or immunofluorescence assay.
Written laboratory documentation of an HIV infection must be obtained prior to randomization. In the absence of documented historical confirmation, an assay of HIV antibodies will be included in the Screening Laboratory Panel. Results will be confirmed with a Western Blot.
Have evidence of excess abdominal adipose deposition when measured by the anthropometric methodology, using the following cut off values:
Men: Waist circumference \>88.2 cm AND waist: hip ratio \>= 0.95.
Women: Waist circumference \>75.3 cm AND waist: hip ratio \>= 0.9.
Are taking antiretroviral medication(s) which is (are) approved or is (are) available under a Treatment IND. The regimen must have remained stable for 30 days prior to study entry. Subjects must also agree not to discontinue or to change their regimen for the duration of the study except as judged medically necessary.
Have parameter values less than the following limits (using results from the central laboratory):
AST, ALT, and amylase \<= 3 times the upper limit of normal (Screening).
Be between 18 and 60 years of age (inclusive) unless local law dictates different limits.
+12 more criteria
You may not qualify if:
Have an active AIDS-defining opportunistic complication (OC) as defined by the CDC or have had an untreated or suspected serious systemic infection, or have had a persistent fever \>= 101°F (38.3°C) during the 30 days prior to study entry.
Any active or past history of malignancy, except for localized cutaneous Kaposi's sarcoma (fewer than 10 lesions, none of which are larger than 2 cm, and not on active therapy). Such exceptions must be confirmed in writing by the Serono Study Director.
Have a CNS mass or active CNS process associated with neurological findings.
Have unstable or untreated hypertension, defined as \>= 140/90 mm Hg at the time of the Screening Visit, and/or have initiated or changed antihypertensive therapy in the 30 days prior to Study Day 1.
Have an acute critical illness treated in an intensive care unit, e.g., due to complications following open heart or abdominal surgery, multiple accidental trauma, or acute respiratory failure.
Have a recent history of sleep apnea or intermittent upper respiratory obstruction.
Have any condition, which interferes with informed consent or protocol compliance including, but not limited to, active substance abuse and/or dementia.
Are unable to comply with the Concomitant Therapy restrictions including:
therapy for obesity including therapy with anorexigenic or fat reducing drugs
anti-diabetic or insulin sensitizing medications
systemic glucocorticoids
systemic chemotherapy, interferon or radiation therapy treatment
progestational agents, unless used for oral contraception or post-menopausal hormone replacement therapy
appetite stimulants
investigational agents, unless approved in advance by the study medical director. Specifically, experimental antiretroviral agents are disallowed, unless available under a treatment IND or expanded access program (30 days).
+11 more criteria
Contact the study team to confirm eligibility.
San Francisco, California, 94118, United States
Northern California Institute for Research and Education, Inc.
San Francisco, California, 94121, United States
Harbor-UCLA Medical Ctr Research & Education Institute
Torrance, California, 90502, United States
AIDS Alliance
West Hollywood, California, 90069, United States
University of Colorado Health Sciences Center
Denver, Colorado, 80262, United States
1640 Rhode Island Avenue, N.W.
Washington D.C., District of Columbia, 20036, United States
Office Of Dr Gary Richmond
Fort Lauderdale, Florida, 33316, United States
3661 South Miami Avenue
Miami, Florida, 33133, United States
Care Resources
Miami, Florida, 33137, United States
Infectious Disease Associates
Sarasota, Florida, 34239, United States
AIDS Research Consortium of Atlanta
Atlanta, Georgia, 30308, United States
Rush University Medical Center
Chicago, Illinois, 60612, United States
Indiana University Infectious Disease Research Clinic
Indianapolis, Indiana, 46202, United States
Tufts University School of Medicine
Boston, Massachusetts, 02111, United States
Community Research Initiative of New England
Boston, Massachusetts, 02215, United States
Community Research Initiative Of New England
Springfield, Massachusetts, 01107, United States
Hennepin County Medical Center
Minneapolis, Minnesota, 55415, United States
Albany Medical College
Albany, New York, 12208, United States
Weill Medical College of Cornell Universtiy
New York, New York, 10021, United States
St. Luke's Roosevelt Hospital
New York, New York, 10025, United States
Bronx Women's Interagency HIV Study
The Bronx, New York, 10467, United States
Central Texas Clincial research
Austin, Texas, 78705, United States
IDP Research
Annandale, Virginia, 22003, United States
Office of Daniel Coulston, M.D.
Spokane, Washington, 99204, United States
AIDS Research Program
Vancouver, British Columbia, V6Z 1Y6, Canada
Urogenital Diseases
Immunologic Deficiency Syndromes
Immune System Diseases
Skin Diseases, Metabolic
Skin Diseases
Skin and Connective Tissue Diseases
Lipid Metabolism Disorders
Metabolic Diseases
Nutritional and Metabolic Diseases
Intervention Hierarchy (Ancestors)
Pituitary Hormones, AnteriorPituitary HormonesPeptide HormonesHormonesHormones, Hormone Substitutes, and Hormone AntagonistsPeptidesAmino Acids, Peptides, and Proteins
Primary Completion
September 28, 2005
Actual (reported)
Study Completion
September 28, 2005
Actual (reported)
Last Updated
July 20, 2018
Results First Posted
July 20, 2018
Record last verified: 2017-09
Source record
Download the complete ClinicalTrials.gov record imported by Syfrah, including fields not shown in this page. The registry may contain a newer revision.
Source: ClinicalTrials.gov.
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