HIV heart risk: can two drug combos tame weight and cholesterol?
NCT ID NCT06317051
First seen Jun 27, 2026 · Last updated Jul 23, 2026 · Updated 2 times
Summary
This study tests two drug combinations in 300 people with HIV who have gained weight or have high cholesterol. One part compares dapagliflozin (a diabetes drug) to a placebo for weight loss. The other compares a two-drug statin combo to a single statin for lowering cholesterol. The goal is to reduce heart disease risk in this group.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Dapagliflozin, Rosuvastatin/Ezetimibe, Pitavastatin
- What this could lead to
- If successful, this could offer a way to manage weight and cholesterol in people with HIV, reducing their risk of heart disease.
- What could go wrong
- This is a mid-stage trial with 300 participants, so results may not apply to everyone. The drugs may cause side effects like muscle pain or kidney issues.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
-
About 300 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2024
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- Lead sponsor
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A government agency
The lead sponsor is a government body.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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40 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age 40-75 years and at least one of the following risk factors: 1. BMI \> 7% increase or \> 5kg weight gain since INSTI commencement, or 2. BMI ≥ 30 kg/m2 2. BMI ≥18 kg/m2 prior to INSTI commencement 3. Currently taking INSTI-based ART 4. Sustained virologic response, defined as viral load \<200 copies/mL for at least 12 months 5. Current CD4 \>250 cells/mm3 6. Informed consent for trial participation Exclusion Criteria: 1. Currently taking a protease inhibitor 2. Indicated to take or already taking high intensity statin 3. estimated glomerular filtration rate (eGFR) \< 30 ml/min/1.73m2 4. Currently taking an SGLT-2 inhibitor or glucagon-like peptide 1 (GLP-1) agonist 5. Absolute contraindication or absolute indication to SGLT2 inhibitor therapy 6. Absolute contraindication to pitavastatin, rosuvastatin, ezetimibe or combination of rosuvastatin/ezetimibe 7. Pregnant or breast feeding 8. Severe hepatic impairment (Child Pugh B or C) 9. Participants receiving any excluded/contraindicated medication 10. Participants who are enrolled into an additional interventional study. 11. Expected inability or unwillingness to participate in study procedures. 12. In the opinion of the investigator, participation in a trial is not in the best interest of the patient.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Austin Health
Melbourne, Victoria, 3084, Australia
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CART-CRS
Chennai, Tamil Nadu, 600113, India
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Desmond Tutu Health Foundation
Cape Town, 7925, South Africa
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HIV-NAT
Bangkok, Thailand
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Hospital Ramos Mejía
Buenos Aires, Argentina
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Infectious Diseases Institute, Makerere University
Kampala, Uganda
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Institute of Human Virology, Nigeria
Abuja, Nigeria
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St Vincent's Hospital
Sydney, New South Wales, 2010, Australia
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Universiti Malaya Medical Centre
Kuala Lumpur, Malaysia
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University of Zimbabwe Clinical Research Centre
Harare, Zimbabwe
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