Precision Microbiota Interventions for Senoreduction Trial
PreMIS
Geroprotective Precision Medicine Strategies in PWH That Use Alcohol
1 other identifier
interventional
160
1 country
1
Brief Summary
People with HIV who drink alcohol are at increased risk for accelerated aging biology, including increased immune senescence. This randomized, double-blind, crossover clinical trial evaluates two generally recognized as safe (GRAS) microbiota-targeted interventions on immune senescence biomarkers.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1 hiv-infections
Started Apr 2026
Typical duration for phase_1 hiv-infections
1 active site
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
First Submitted
Initial submission to the registry
February 22, 2026
CompletedFirst Posted
Study publicly available on registry
March 10, 2026
CompletedStudy Start
First participant enrolled
April 1, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2029
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 1, 2029
March 10, 2026
March 1, 2026
3.7 years
February 22, 2026
March 5, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in circulating senescent T cell numbers
Change in circulating CD3+CD8+CD28-CD38+ T cell count (cells/µL) during treatment period. Measured by multiparameter flow cytometry. The primary endpoint is the within-participant difference in change from baseline.
Time 0 to Week 4 of treatment period
Secondary Outcomes (2)
Change in additional senescent T cell phenotypes
Baseline and Week 4
Change in epigenetic age estimation
Baseline and Week 4
Other Outcomes (2)
Change in additional senescent T cell phenotypes
time 0 to 4 weeks
Microbiome and metabolite profiles
Baseline and Week 4
Study Arms (2)
Sequence A: Probiotic then Blueberry Extract
EXPERIMENTALParticipants receive probiotic for 4 weeks, washout 6 weeks, then blueberry extract for 4 weeks.
Sequence B: Blueberry Extract then Probiotic
EXPERIMENTALParticipants receive blueberry extract for 4 weeks, washout 6 weeks, then probiotic for 4 weeks.
Interventions
Administered as 6 capsules daily (3 twice daily) for 4 weeks. Each daily dose contains 1×10\^10 CFU total in a 1:1 ratio of two strains. This is a GRAS dietary supplement and not an FDA-regulated investigational product.
Administered as 6 capsules daily (3 twice daily) for 4 weeks, providing 500 mg anthocyanins per day. This is a GRAS dietary supplement and not an FDA-regulated investigational product.
Eligibility Criteria
You may qualify if:
- Age ≥40 years
- People with HIV
- Recent alcohol use defined as ≥42 grams in the prior week and positive urine ethyl glucuronide (EtG)
You may not qualify if:
- Probiotic use in past 3 months
- Recent antibiotics or immunosuppressives
- Allergy to study products
- Pregnancy or breastfeeding
- Inability to comply
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
LSU Health
New Orleans, Louisiana, 70112, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
David A Welsh, MD
LSU Health New Orleans
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Masking Details
- Double (Participant, Investigator)
- Purpose
- BASIC SCIENCE
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
February 22, 2026
First Posted
March 10, 2026
Study Start
April 1, 2026
Primary Completion (Estimated)
December 1, 2029
Study Completion (Estimated)
December 1, 2029
Last Updated
March 10, 2026
Record last verified: 2026-03
Data Sharing
- IPD Sharing
- Will share
De-identified individual participant data will be shared upon reasonable request following publication, subject to data use agreements.