12 Participants Needed

Tirzepatide for Weight Loss in People With HIV

HC
Overseen ByHICFA Clinical Coordinator
Age: 18+
Sex: Any
Trial Phase: Phase 2
Sponsor: University of Hawaii
Must be taking: Antiretroviral therapy
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores the use of tirzepatide, a medication, to aid weight loss in people with HIV. It targets adults with well-controlled HIV who are overweight or obese. The study measures weight changes over 12 weeks, along with other health markers such as liver fat and inflammation. This trial may suit individuals with HIV who manage their condition well and also have conditions like high blood pressure or sleep apnea, in addition to being overweight or obese. As a Phase 2 trial, it evaluates tirzepatide's effectiveness in an initial, smaller group, allowing participants to contribute to important research.

Do I have to stop taking my current medications for the trial?

The trial does not specify if you need to stop taking your current medications. However, it does require that you have been on a stable antiretroviral therapy (ART) for at least one year before joining the study.

Is there any evidence suggesting that tirzepatide is likely to be safe for humans?

Research has shown that tirzepatide is generally safe for patients, but some side effects include nausea, vomiting, diarrhea, and constipation. More real-world safety information about tirzepatide is needed, making ongoing studies crucial for a better understanding of its safety. Although tirzepatide is already approved for other uses, indicating a degree of safety, further studies are necessary to confirm its safety specifically for people living with HIV.12345

Why do researchers think this study treatment might be promising for weight loss in people with HIV?

Tirzepatide is unique because it targets both GLP-1 and GIP receptors, which are hormones involved in regulating insulin and appetite. This dual action may offer more effective weight loss compared to existing options for people with HIV, which typically focus on diet and lifestyle changes or single hormone pathways. Researchers are excited because tirzepatide's mechanism could provide significant weight reduction and improved metabolic health, offering a new avenue of hope for those struggling with weight management in the context of HIV.

What evidence suggests that tirzepatide might be an effective treatment for weight loss in people with HIV?

Research has shown that tirzepatide, the investigational treatment in this trial, can aid in weight loss. In earlier studies, participants with HIV who took tirzepatide lost an average of 10.4 kg, while those who did not take it lost only 1.7 kg. Additionally, 60% of participants with HIV lost at least 5% of their body weight. In another study, those who continued taking tirzepatide lost 25.3% of their weight, compared to 9.9% for those on a placebo. These findings suggest that tirzepatide could be a promising option for weight loss in people with HIV.13567

Are You a Good Fit for This Trial?

This trial is for overweight or obese adults with well-controlled HIV-1 on stable antiretroviral therapy (ART) for at least a year. Participants must have an HIV-1 RNA level below 200 copies/mL for over six months and be diagnosed with obesity-related conditions like dyslipidemia, hypertension, cardiovascular disease, or sleep apnea.

Inclusion Criteria

My HIV-1 infection is well controlled.
I am overweight.
I have been HIV positive for at least a year, confirmed by tests.
See 5 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive tirzepatide (TZP) with dose escalation every 4 weeks to a final dose of 7.5mg

12 weeks
Weekly visits for dose escalation

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks
1 visit (in-person)

Biorepository Sample Collection

Blood specimens are collected for future research related to HIV, cardiometabolic diseases, inflammation, and the immune system

Up to 7 years post-study completion

What Are the Treatments Tested in This Trial?

Interventions

  • Tirzepatide
Trial Overview The study tests Tirzepatide's effects on weight loss and chronic inflammation in people with HIV. Starting at a low dose of 2.5 mg weekly, the medication will be increased every four weeks to a maximum of 7.5mg. Researchers will monitor changes in body weight, composition, liver health, inflammatory markers, and cardiometabolic indicators over twelve weeks.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: TirzepatideExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Hawaii

Lead Sponsor

Trials
122
Recruited
55,200+

Citations

NCT06935838 | Effects of Tirzepatide on Weight Loss and ...Secondary outcomes will be changes in body composition, liver fat content and liver stiffness, inflammatory markers, cardiometabolic markers (lipids and HbA1c), ...
Glucagon-Like Peptide-1 Receptor Agonism for Persons ...After the 36- week lead-in period, weight loss was 25.3% for those with continued use of tirzepatide and only 9.9% for participants randomly assigned to placebo ...
New weight-loss drugs appear safe and effective for ...HIV-positive people with diabetes lost 10.4kg, on average, compared with 1.7kg for HIV-negative people, or 8.0% versus 1.5% of their baseline ...
Do weight-loss drugs work for people with HIV?What's more, 60% of people with HIV achieved at least 5% weight loss, compared with 33% of HIV-negative participants. In this cohort, people ...
Semaglutide and Tirzepatide for Obesity: Effectiveness and ...Key Trial Results Related to Weight Loss Outcomes for Tirzepatide. Trials. Follow-Up. Arms N. % Weight Loss from. Baseline to One. Year, Mean. ≥ ...
Real-World Safety Concerns of TirzepatideDespite its efficacy, real-world safety data remain limited. This study analyzed post-marketing adverse events (AEs) associated with tirzepatide ...
GLP-1s and HIV: What You Need to Know Before StartingResearchers concluded that a low dose (1 mg) of semaglutide weekly was safe and effective in improving MASLD among people living with HIV and ...
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