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CompletedNCT00109746NTUpdated Mar 23, 2016

Use of a Nutritional Supplement to Treat Diabetic Symptoms in HIV-Infected Adults

A Phase 1/2 interventional study of chromium picolinate in Insulin Resistance and HIV Infections, sponsored by National Center for Complementary and Integrative Health (NCCIH). Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-03-23.

Sponsored by National Center for Complementary and Integrative Health (NCCIH) · Phase 1/2, Interventional, and Health services research

Phase
Phase 1/2
Study type
Interventional
Enrollment
39
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine the effectiveness of the nutritional supplement chromium picolinate in improving insulin resistance, a symptom of diabetes, in HIV-infected patients. The ultimate goal is to find a simple therapy that can prevent the development of diabetes in individuals with HIV.

Read the detailed description

Insulin resistance occurs when blood glucose levels get too high for the body to respond. Certain anti-HIV drugs are associated with increased insulin resistance and may lead to abnormal fat distribution, hypertension, and type 2 diabetes mellitus. The dietary supplement chromium picolinate has been shown to safely improve insulin sensitivity in patients with type 2 diabetes mellitus with no serious side effects. However, the effects of the supplement have not been thoroughly examined in HIV-infected individuals. This study will determine the effectiveness of chromium picolinate in improving insulin resistance in HIV-infected individuals.

This study will last 2 months. Participants will be randomly assigned to receive either chromium picolinate or placebo once a day for 2 months. Participants will have four overnight visits at the research center and two additional daytime visits for safety monitoring. During the overnight visits, participants will undergo a euglycemic hyperinsulinemic clamp, in which a continuous infusion of insulin is given through a vein and glucose levels are monitored through blood samples taken every 5 to 10 minutes. Fat tissue biopsies will also be conducted at the overnight study visits. During the safety monitoring visits, blood collection will occur for kidney and liver function tests, CD4 count, and viral load assessment.

02

Conditions studied

  • Insulin Resistance
  • HIV Infections

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Keywords

  • HIV
  • Treatment Experienced
  • Anti-Retroviral Agents
  • Antiretroviral Therapy, Highly Active
  • Picolinic acid
  • Dietary Supplements
03

In context

Insulin Resistance

1,959 studies on the registry are indexed under Insulin Resistance; 305 are open to participants now.

This study's enrollment of 39 is close to the median of 40 across 1,535 interventional studies indexed under Insulin Resistance.

Browse Insulin Resistance studies →

Lead sponsor

National Center for Complementary and Integrative Health (NCCIH) is the lead sponsor of 218 studies on the registry; 7 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • HIV infected
  • Currently taking an anti-HIV drug regimen
  • Insulin Resistant:fasting glucose between 5.56 and 7mmol/L and/or two hour post-glucose load between 7.78 and 11.11mmol/L

Exclusion criteria

Exclusion Criteria:

  • Cancer
  • Acute illness that would interfere with the study
  • Hypogonadism
  • Hypothyroidism
  • Untreated hypertension
  • CD4 count less than 300 cells/mm3
  • Viral load greater than 35,000 copies/ml
  • Untreated hepatitis C virus infection
  • Pregnancy
  • Diabetes
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
39 participants (actual)

Study arms

  • Active comparator
    Chromium Picolinate

    HIV+ and control may receive 500µg of chromium picolinate or placebo twice daily for two months.

    Dietary Supplement: chromium picolinate

  • No intervention
    Placebo

    HIV+ and control may receive 500µg of chromium picolinate or placebo twice daily for two months.

Interventions

  • Dietary supplementchromium picolinate

    HIV+ and control may receive 500µg of chromium picolinate or placebo twice daily for two months.

06

What researchers measure

Primary outcomes

  1. Improvement in insulin sensitivity

    Time frame: 8 weeks

07

Study locations

1 site
  • State University of New York/General Clinical Research Center
    Stony Brook, New York 11794, United States
08

References and documents

Publications

  • El-Sadr WM, Mullin CM, Carr A, Gibert C, Rappoport C, Visnegarwala F, Grunfeld C, Raghavan SS. Effects of HIV disease on lipid, glucose and insulin levels: results from a large antiretroviral-naive cohort. HIV Med. 2005 Mar;6(2):114-21. doi: 10.1111/j.1468-1293.2005.00273.x. PubMed 15807717 ↗
  • Howard AA, Floris-Moore M, Arnsten JH, Santoro N, Fleischer N, Lo Y, Schoenbaum EE. Disorders of glucose metabolism among HIV-infected women. Clin Infect Dis. 2005 May 15;40(10):1492-9. doi: 10.1086/429824. Epub 2005 Apr 11. PubMed 15844072 ↗
  • Taiwo BO. Insulin resistance, HIV infection, and anti-HIV therapies. AIDS Read. 2005 Apr;15(4):171-6, 179-80. PubMed 15844237 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 23, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00109746
Lead sponsor
National Center for Complementary and Integrative Health (NCCIH)
Collaborators
Office of Dietary Supplements (ODS)
Responsible party
Marie Gelato (Principal Investigator, Stony Brook University) — Principal investigator
First posted
May 3, 2005
Start date
Nov 2005
Primary completion
May 2009
Completion
Jun 2010
Last update
Mar 23, 2016

Study contacts

Marie C. Gelato, MD, PhD
principal investigator · State University of New York/General Clinical Research Center

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2013. You cannot join it, but the record below documents what was studied.

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