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CompletedNCT02856269Updated Feb 11, 2022Results posted

Zinc Supplementation and Cardiovascular Risk in HIV

An interventional study of Zinc gluconate in HIV and Inflammation, sponsored by Grace McComsey. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-02-11.

Sponsored by Grace McComsey · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
52
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this pilot study is to determine whether zinc supplementation significantly affects immune activation in HIV-infected subjects.

Read the detailed description

Zinc is a dietary supplement with compelling preclinical evidence for potential health benefit that could be expanded not only to the entire HIV population, but also to other inflammatory conditions that share many facets of HIV infection, namely the persistent intestinal barrier dysfunction, monocyte activation and heightened inflammation state.

02

Conditions studied

  • HIV
  • Inflammation

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Keywords

  • Zinc
03

In context

Inflammation

3,439 studies on the registry are indexed under Inflammation; 629 are open to participants now.

This study's enrollment of 52 is close to the median of 50 across 2,437 interventional studies indexed under Inflammation.

Browse Inflammation studies →

Lead sponsor

This is the only study on the registry with Grace McComsey as lead sponsor.

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-1 infection
  • Age ≥18 years
  • Zinc level ≤0.75 mg/L
  • Receiving a stable antiretroviral regimen with no plans to change during study
  • Documentation of an HIV-1 RNA level of ≤400 copies/mL
  • No diarrhea or nausea/vomiting for the last month

Exclusion criteria

Exclusion Criteria:

  • Pregnancy/lactation
  • Presence of inflammatory condition
  • Regular use of agents that may affect inflammation in the last 3 months. The regular use of NSAIDS, aspirin, or statins will be allowed as long as dose has been stable for the last 3 months and is not expected to change during the study.
  • Presence of active neoplastic diseases requiring chemotherapy and/or use of immunosuppressive drugs
  • Known cardiovascular disease
  • Uncontrolled diabetes
  • Allergy or intolerance to zinc sulfate.
  • Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) > 2.5 x Upper limit of normal (ULN)
  • Hemoglobin \< 9.0 g/dL
  • glomerular filtration rate (GFR) \< 50 mL/min
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
52 participants (actual)

Study arms

  • Active comparator
    45 mg daily

    Participants in this arm will take a daily 45 mg dose of zinc gluconate.

    Dietary Supplement: Zinc gluconate

  • Active comparator
    90 mg daily

    Participants in this arm will take a daily 90 mg dose of zinc gluconate.

    Dietary Supplement: Zinc gluconate

Interventions

  • Dietary supplementZinc gluconate

    Participants will take a daily dose of zinc gluconate.

06

What researchers measure

Primary outcomes

  1. Percentage of Participants With Decreased Inflammation Markers sCD14, sTNF-RI, and High Sensitivity C Reactive Protein (Hs-CRP)

    Percentage of participants with the following inflammatory markers decrease (sCD14) Soluble cluster of differentiation 14, (sTNF-RI) soluble Tumor Necrosis Factor alpha receptor I, (hs-CRP) High sensitivity C-reactive protein. These inflammatory markers are measured in the blood by enzyme-linked immunoassay ELISA.

    Time frame: Baseline and 16 Weeks

Secondary outcomes

  1. Percentage of Participants That Reached the Zinc Sufficient Level After Treatment

    After treatment, zinc was measured in the blood. Patients are considered sufficient if zinc levels \>75 μg/dL.

    Time frame: 16 Weeks

07

Results

Posted Feb 11, 2022
Limitations and caveats
Due to the small sample size and short study period, we cannot establish causation. We did not include a placebo control group for comparison. Our study focused on participants with treated HIV and documented zinc deficiency in the United States. We did not obtain dietary or physical activity patterns. Participants with treated HIV and documented zinc deficiency resided in the United States, therefore our findings cannot be generalized to different populations or to resource limited settings.

Participant flow

Participants were recruited based on physician referral at University Hospitals Cleveland Medical Center between September 2016 and February 2018.

Participant flow — Overall Study
Milestone45 mg Daily90 mg Daily
Started2527
Completed2424
Not completed13

Outcome measures

PrimaryPercentage of Participants With Decreased Inflammation Markers sCD14, sTNF-RI, and High Sensitivity C Reactive Protein (Hs-CRP)

Percentage of participants with the following inflammatory markers decrease (sCD14) Soluble cluster of differentiation 14, (sTNF-RI) soluble Tumor Necrosis Factor alpha receptor I, (hs-CRP) High sensitivity C-reactive protein. These inflammatory markers are measured in the blood by enzyme-linked immunoassay ELISA.

Time frame:
Baseline and 16 Weeks
Reported as:
Count of participants · Participants
Percentage of Participants With Decreased Inflammation Markers sCD14, sTNF-RI, and High Sensitivity C Reactive Protein (Hs-CRP)
Participants45 mg Daily90 mg Daily
sCD141515
sTNF-RI1415
hs-CRP1215
Statistical analysis
  • 45 mg Daily vs 90 mg Daily · Cohen's d value: 0.8The Cohen's d is calculated after Box-Cox transformation. Small effect \<= 0.2, Medium effect \[0.3, 0.8\]; Large effect \>0.8
SecondaryPercentage of Participants That Reached the Zinc Sufficient Level After Treatment

After treatment, zinc was measured in the blood. Patients are considered sufficient if zinc levels \>75 μg/dL.

Time frame:
16 Weeks
Reported as:
Number · percentage of participants
Percentage of Participants That Reached the Zinc Sufficient Level After Treatment
percentage of participants45 mg Daily90 mg Daily
Percentage of Participants That Reached the Zinc Sufficient Level After Treatment8896

Adverse events

Collected over 16 Weeks. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
45 mg Daily0/25 (0%)0/25 (0%)0/25 (0%)
90 mg Daily0/27 (0%)0/27 (0%)1/27 (3.7%)
Most frequent other events
Most frequent other events
Event45 mg Daily90 mg Daily
NauseaGastrointestinal disorders0/251/27
Abdominal crampsGastrointestinal disorders0/251/27

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)45 mg Daily90 mg DailyTotal
<=18 years000
Between 18 and 65 years23124
>=65 years22628
Age, Continuous
Age, Continuous(years)45 mg Daily90 mg DailyTotal
Median54 (48 to 60)47 (38 to 54.50)49 (38 to 60)
Sex: Female, Male
Sex: Female, Male(Participants)45 mg Daily90 mg DailyTotal
Female5712
Male202040
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)45 mg Daily90 mg DailyTotal
Hispanic or Latino033
Not Hispanic or Latino252449
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)45 mg Daily90 mg DailyTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American182038
White7714
More than one race000
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)45 mg Daily90 mg DailyTotal
United States252752
Zinc levels
Zinc levels(μg/dL)45 mg Daily90 mg DailyTotal
Median74.00 (64.00 to 83.00)73.00 (66.00 to 86.00)73 (64 to 86)
08

Study locations

1 site
  • University Hospitals Cleveland Medical Center
    Cleveland, Ohio 44106, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Dec 8, 2016
  • Informed consent form · Nov 14, 2017

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 11, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02856269
Lead sponsor
Grace McComsey
Collaborators
National Center for Complementary and Integrative Health (NCCIH)
Responsible party
Grace McComsey (MD, University Hospitals Cleveland Medical Center) — Sponsor-investigator
First posted
Aug 4, 2016
Start date
Sep 2016
Primary completion
Apr 16, 2018
Completion
Apr 16, 2018
Results posted
Feb 11, 2022
Last update
Feb 11, 2022

Study contacts

Grace McComsey, MD
principal investigator · University Hospitals Cleveland Medical Center

Oversight

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

Not currently enrolling

This study is completed, as verified in Feb 2022. You cannot join it, but the record below documents what was studied.

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