NCT03531749

Brief Summary

Human immunodeficiency virus (HIV) infection continues to be a pandemic, Mexico has around 184,000 people infected by this virus. A common metabolic problem for these patients is oxidative stress (OS), which has been related with the progression of the disease and the presence of comorbidities. Pomegranate is a fruit rich in antioxidants, which potentially can inhibit or reduce deleterious metabolic compounds resulting from OS; however; it has never been tested in patients infected with HIV. The present project was done in patients HIV+ from state of Hidalgo in order to see the effects of microencapsulated red pomegranate juice (MRPJ) and ascorbic acid (AA) on antioxidant activity and lipid peroxidation both biomarkers of oxidative stress. Sixty subjects were recruited, 30 HIV positive (HIV+) and 30 HIV negative (HIV-). Three subgroups (n=10) were formed from each group: 1) supplemented with (1g/d) MRPJ; 2) supplemented with 1g/d AA; and 3) control group (unsupplemented). The intervention lasted 90 days and blood samples were taken four times: at the beginning and every 30 days. Antioxidant activity in the blood serum was measured by the DPPH (2,2-diphenyl-1-picrylhydrazyl) and ABTS + (2,2'-azino-bis(3-ethylbenzothiazoline-6-sulphonic acid) methods while lipid peroxidation by malondialdehyde (MDA) levels which was measured by TBARS method. The baseline results showed a significant decrease of antioxidant activity in HIV+ groups compared to the HIV- groups, although there was no significant difference in lipid peroxidation, as measured by MDA assay levels. Several studies suggest that the reduction of antioxidant activity is a consequence of the infection and the antiretroviral treatment, although the organism tries to reestablish it unbalance it usually fails, thus (OS) is significant in these patients. The groups that received AA had antioxidant activity greater than the MRPJ treated. MRPJ treatment, however, the groups that received MRPJ had significantly reduced lipid peroxidation. Reduced lipid peroxidation could have more beneficial effects on HIV+ subjects since the reduction of markers of OS, such as lipid peroxidation, has been associated with reductions in the risk of death from HIV.

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
60

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jan 2017

Shorter than P25 for not_applicable

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 1, 2017

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2017

Completed
6 months until next milestone

First Submitted

Initial submission to the registry

November 1, 2017

Completed
7 months until next milestone

First Posted

Study publicly available on registry

May 22, 2018

Completed
Last Updated

May 22, 2018

Status Verified

May 1, 2018

Enrollment Period

4 months

First QC Date

November 1, 2017

Last Update Submit

May 8, 2018

Conditions

Outcome Measures

Primary Outcomes (1)

  • Biochemical analyses to determine antioxidant capacity

    Four different tests for antioxidant activity were utilized. Plasma antioxidant capacity, catalase, H2O2, and TBARS

    At 0 time (baseline)

Secondary Outcomes (1)

  • Biochemical analyses to determine antioxidant capacity

    30 days after intervention

Study Arms (6)

HIV+ MRPJ

EXPERIMENTAL

Supplementation with microencapsulated (1g/d) for 90 days

Dietary Supplement: HIV+ MRPJ

HIV+ ascorbic acid

EXPERIMENTAL

Supplementation with ascorbic acid (1g/d) for 90 days

Dietary Supplement: HIV+ ascorbic acid

HIV- MRPJ

EXPERIMENTAL

Supplementation with microencapsulated (1g/d) for 90 days

Dietary Supplement: HIV+ MRPJ

HIV- ascorbic acid

EXPERIMENTAL

Supplementation with ascorbic acid (1g/d) for 90

Dietary Supplement: HIV+ ascorbic acid

HIV- Control

NO INTERVENTION

Unsupplemented

HIV+ Control

NO INTERVENTION

Unsupplemented

Interventions

HIV+ MRPJDIETARY_SUPPLEMENT

supplemented with (1g/d) MRPJ

HIV+ MRPJHIV- MRPJ
HIV+ ascorbic acidDIETARY_SUPPLEMENT

Supplemented with (1g/d) AA

HIV+ ascorbic acidHIV- ascorbic acid

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Over 18 years
  • Having a positive HIV diagnosis
  • Having antiretroviral treatment
  • Status of one of the following clinical categories A1, A2, B1 and B2 at the time of the study start,
  • Residents of the city of Pachuca

You may not qualify if:

  • Subjects taking antioxidants
  • Pregnant women.
  • Subjects taking of angiotensin-converting enzyme inhibitors (e.g.captopril or enalapril).
  • subjects who do not comply with at least 95% of the adherence of the supplementation

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

HIV Seropositivity

Condition Hierarchy (Ancestors)

HIV InfectionsBlood-Borne InfectionsCommunicable DiseasesInfectionsSexually Transmitted Diseases, ViralSexually Transmitted DiseasesLentivirus InfectionsRetroviridae InfectionsRNA Virus InfectionsVirus DiseasesGenital DiseasesUrogenital DiseasesImmunologic Deficiency SyndromesImmune System Diseases

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Masking Details
A prospective double-blind, randomized clinical trial of microencapsulated of red pomegranate to treat HIV-infected patients
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: A prospective double-blind randomized clinical trial
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor-Researcher

Study Record Dates

First Submitted

November 1, 2017

First Posted

May 22, 2018

Study Start

January 1, 2017

Primary Completion

May 1, 2017

Study Completion

May 1, 2017

Last Updated

May 22, 2018

Record last verified: 2018-05

Data Sharing

IPD Sharing
Will not share