A Phase 2 interventional study of CVC 150 mg and CVC 300 mg in HIV-1-infection and Elevated Cardiovascular Risk, sponsored by National Institute of Allergy and Infectious Diseases (NIAID). Completed at 19 sites in United States. Open to participants aged 45 Years and older. Per ClinicalTrials.gov, last updated 2025-07-16.
Sponsored by National Institute of Allergy and Infectious Diseases (NIAID) · Phase 2, Interventional, and Treatment
The study was conducted to determine if cenicriviroc mesylate (CVC) would decrease vascular inflammation as measured by 18F-fluorodeoxyglucose (FDG)-positron emission tomography (PET)/computed tomography (CT) imaging of the aorta and carotid arteries.
This was a double-blind, placebo-controlled phase II clinical trial comparing the intervention of CVC versus placebo for a duration of 24 weeks on arterial inflammation evaluated by FDG-PET/CT imaging.
A total of 110 participants were randomized 2:1 to the CVC arm (Arm A) or placebo for CVC arm (Arm B). Stratification by statin use at randomization ensured even distribution of statin use between the treatment groups.
Analyses were based on the efficacy population: all enrolled participants who completed at least 22 weeks of study treatment and remained on the same ART drug class throughout the study without use of prohibited medications.
Analysis of the primary outcome utilized multiple imputation by regression to impute missing data.
National Institute of Allergy and Infectious Diseases (NIAID) is the lead sponsor of 2,401 studies on the registry; 179 are open to participants now.
Of its 396 completed or terminated interventional studies of FDA-regulated products, 294 (74%) have results posted.
Counted across the registry records on this site, refreshed daily.
Key Inclusion Criteria:
Elevated cardiovascular risk defined as at least one of the following:
Key Exclusion Criteria:
Current use of any of the statins at the doses indicated:
Participants with pre-existing ART regimen of efavirenz (EFV) took CVC 300 mg. Participants with all other pre-existing ART regimens took CVC 150 mg.
Drug: CVC 150 mg · Drug: CVC 300 mg
Participants with pre-existing ART regimen of efavirenz (EFV) took placebo for CVC 300 mg. Participants with all other pre-existing ART regimens took placebo for CVC 150 mg.
Other: Placebo for CVC 150 mg · Other: Placebo for CVC 300 mg
Administered as one 150-mg tablet by mouth once a day with food.
Administered as two 150-mg tablets by mouth once a day with food.
Administered as one 150-mg matching placebo tablets by mouth once a day with food.
Administered as two 150-mg matching placebo tablets by mouth once a day with food.
Change (Expressed as Ratio to Baseline) in 18-FDG-PET Target-to-background Ratio (TBR) of the Most Diseased Segment (MDS) of the Index (Most-inflamed) Vessel.
Target-to-Background Ratio (TBR) measures the intensity of inflammation of a target arterial wall (aorta, left carotid, right carotid), relative to its respective blood background. Specifically, it is the ratio of the Standardized Uptake Value (SUV) of 18-FDG-PET in the target vessel to SUV in the blood background. A negative number for the change in TBR means a reduction in the target arterial wall inflammation over time. Index vessel is the vessel with the highest vessel TBR at baseline. The most diseased segment is the approximately 1-cm section of the vessel with the highest activity at baseline. The results are expressed as the ratio of TBR at week 24 to baseline. For the statistical analyses, results for the 6 and 9 missing values in Arm A and Arm B, respectively, were imputed using multiple imputation by regression.
Time frame: Measured at baseline and week 24
Change (Expressed as Ratio to Baseline) in Aortic TBR (and Other TBRs)
Target-to-Background Ratio (TBR) measures the intensity of inflammation of a target arterial wall (aorta, left carotid, right carotid), relative to its respective blood background. Specifically, it is the ratio of the Standard Uptake Value (SUV) of 18-FDG-PET in the target vessel to SUV in the blood background. A negative number for the change in TBR implies a reduction in the target arterial wall inflammation over time. The results are expressed as the ratio of TBR at week 24 to baseline.
Time frame: Measured at baseline and week 24
Change (Expressed as Ratio to Baseline) in Standardized Uptake Value (SUV) Measured in the Carotid Arteries and Aorta
Standard Uptake Value (SUV) measures the intensity of inflammation of a target arterial wall (aorta, left carotid, right carotid). Specifically, it is the average of all evaluable SUV for a given arterial vessel. A negative number for the change in SUV implies a reduction in the target arterial wall inflammation over time. The results are expressed as the ratio of SUV at week 24 to baseline.
Time frame: Measured at baseline and week 24
Change in Fasting Glucose
Fasting glucose (mg/dL) measures the level of sugar (glucose) in the blood after fasting (no eating or drinking except water) for at least 8 hours. Higher value of change means an increase in glucose levels over time. The results are expressed as the change in fasting glucose from baseline to week 24.
Time frame: Measured at baseline and week 24
Change (Expressed as Ratio to Baseline) in Fasting Insulin and Homeostasis Model Assessment-estimated Insulin Resistance (HOMA-IR)
Insulin is a hormone crucial in regulating blood sugar levels. HOMA-IR is a calculation used to assess insulin resistance and is calculated with the formula: insulin (uIU/mL) \* glucose (mg/dL) / 405. Higher value of change in insulin and HOMA-IR means an increase in insulin resistance over time. The results are expressed as the ratio of fasting insulin or HOMA-IR at week 24 to baseline.
Time frame: Measured at baseline and week 24
Change (Expressed as Ratio to Baseline) in Biomarkers of Inflammation (IL-6, hsCRP, and MCP-1)
The cytokine, Interleukin-6 (IL-6, pg/mL); protein, high-sensitivity C Reactive Protein (hsCRP, mg/L); and chemokine, monocyte chemoattractant protein-1 (MCP-1, pg/mL) are all markers of inflammation. Higher value of change means an increase in the biomarker levels over time. Higher levels of these biomarkers indicates inflammation. MCP-1 is a ligand of CCR2 that was expected to increase with CVC. The results are expressed as the ratio of hsCRP, IL-6, or MCP-1 at week 24 to baseline.
Time frame: Measured at baseline and week 24
Change in Biomarkers of Immune Activation (sCD14 and sCD163)
The soluble proteins soluble-CD14 (sCD14, ng/mL) and soluble-CD163 (sCD163, ng/mL) are all markers of monocyte/macrophage activation. Higher value of change means an increase in the biomarker levels over time. Higher levels of sCD14 and sCD163 occur in response to inflammation and infection. The results are expressed as the difference between sCD14 or sCD163 from baseline to week 24.
Time frame: Measured at baseline and week 24
Change (Expressed as Ratio to Baseline) in Plasma Levels of Chemokine Receptor 5 (CCR5) Ligands (RANTES and MIP-1 Beta)
The chemokines macrophage inflammatory protein-1 alpha and beta (MIP-1 alpha and beta, pg/mL) as well as the chemokine, RANTES (ng/mL), are markers of inflammation. Higher value of change means an increase in the biomarker levels over time. Higher levels of these biomarkers indicates inflammation. RANTES and MIP-1 beta are ligands of CCR5 that were expected to increase with CVC. The results are expressed as the ratio of RANTES or MIP-1 beta at week 24 to baseline.
Time frame: Measured at baseline and week 24
110 participants were enrolled from 19 US clinical research sites between May 30, 2023 and January 5, 2024.
| Milestone | CVC Arm (Arm A) | Placebo for CVC Arm (Arm B) |
|---|---|---|
| Started | 74 | 36 |
| Completed | 70 | 36 |
| Not completed | 4 | 0 |
| Withdrew: Took prohibited medications | 2 | 0 |
| Withdrew: Non-compliance with study drug | 1 | 0 |
| Withdrew: Adverse event | 1 | 0 |
| Milestone | CVC Arm (Arm A) | Placebo for CVC Arm (Arm B) |
|---|---|---|
| Started | 70 | 36 |
| Completed | 59 | 34 |
| Not completed | 11 | 2 |
| Withdrew: Took prohibited medications | 3 | 1 |
| Withdrew: Prematurely discontinued study treatment before week 22 | 8 | 1 |
Target-to-Background Ratio (TBR) measures the intensity of inflammation of a target arterial wall (aorta, left carotid, right carotid), relative to its respective blood background. Specifically, it is the ratio of the Standardized Uptake Value (SUV) of 18-FDG-PET in the target vessel to SUV in the blood background. A negative number for the change in TBR means a reduction in the target arterial wall inflammation over time. Index vessel is the vessel with the highest vessel TBR at baseline. The most diseased segment is the approximately 1-cm section of the vessel with the highest activity at baseline. The results are expressed as the ratio of TBR at week 24 to baseline. For the statistical analyses, results for the 6 and 9 missing values in Arm A and Arm B, respectively, were imputed using multiple imputation by regression.
| Fold-change | CVC Arm (Arm A) | Placebo for CVC Arm (Arm B) |
|---|---|---|
| Change (Expressed as Ratio to Baseline) in 18-FDG-PET Target-to-background Ratio (TBR) of the Most Diseased Segment (MDS) of the Index (Most-inflamed) Vessel. | 0.95 (0.85 to 1.01) | 0.93 (0.87 to 1.02) |
Target-to-Background Ratio (TBR) measures the intensity of inflammation of a target arterial wall (aorta, left carotid, right carotid), relative to its respective blood background. Specifically, it is the ratio of the Standard Uptake Value (SUV) of 18-FDG-PET in the target vessel to SUV in the blood background. A negative number for the change in TBR implies a reduction in the target arterial wall inflammation over time. The results are expressed as the ratio of TBR at week 24 to baseline.
| Fold-change | CVC Arm (Arm A) | Placebo for CVC Arm (Arm B) |
|---|---|---|
| Aorta TBR | 1.00 (0.93 to 1.09) | 0.99 (0.91 to 1.11) |
| Bilateral Carotid TBR | 0.99 (0.89 to 1.09) | 1.02 (0.89 to 1.11) |
Standard Uptake Value (SUV) measures the intensity of inflammation of a target arterial wall (aorta, left carotid, right carotid). Specifically, it is the average of all evaluable SUV for a given arterial vessel. A negative number for the change in SUV implies a reduction in the target arterial wall inflammation over time. The results are expressed as the ratio of SUV at week 24 to baseline.
| Fold-change | CVC Arm (Arm A) | Placebo for CVC Arm (Arm B) |
|---|---|---|
| Aorta SUV | 1.00 (0.93 to 1.11) | 1.00 (0.88 to 1.10) |
| Bilateral Carotid SUV | 1.02 (0.94 to 1.11) | 1.00 (0.89 to 1.06) |
Fasting glucose (mg/dL) measures the level of sugar (glucose) in the blood after fasting (no eating or drinking except water) for at least 8 hours. Higher value of change means an increase in glucose levels over time. The results are expressed as the change in fasting glucose from baseline to week 24.
| mg/dL | CVC Arm (Arm A) | Placebo for CVC Arm (Arm B) |
|---|---|---|
| Change in Fasting Glucose | 1.00 (-9.00 to 8.00) | -0.50 (-13.00 to 8.00) |
Insulin is a hormone crucial in regulating blood sugar levels. HOMA-IR is a calculation used to assess insulin resistance and is calculated with the formula: insulin (uIU/mL) \* glucose (mg/dL) / 405. Higher value of change in insulin and HOMA-IR means an increase in insulin resistance over time. The results are expressed as the ratio of fasting insulin or HOMA-IR at week 24 to baseline.
| Fold-change | CVC Arm (Arm A) | Placebo for CVC Arm (Arm B) |
|---|---|---|
| Fasting insulin | 0.91 (0.67 to 1.28) | 0.89 (0.57 to 1.31) |
| HOMA-IR | 0.85 (0.63 to 1.37) | 0.90 (0.46 to 1.48) |
The cytokine, Interleukin-6 (IL-6, pg/mL); protein, high-sensitivity C Reactive Protein (hsCRP, mg/L); and chemokine, monocyte chemoattractant protein-1 (MCP-1, pg/mL) are all markers of inflammation. Higher value of change means an increase in the biomarker levels over time. Higher levels of these biomarkers indicates inflammation. MCP-1 is a ligand of CCR2 that was expected to increase with CVC. The results are expressed as the ratio of hsCRP, IL-6, or MCP-1 at week 24 to baseline.
| Fold-change | CVC Arm (Arm A) | Placebo for CVC Arm (Arm B) |
|---|---|---|
| hsCRP | 0.85 (0.51 to 1.30) | 0.84 (0.61 to 1.48) |
| Interleukin-6 | 0.99 (0.78 to 1.64) | 1.10 (0.71 to 1.56) |
| MCP-1 | 5.00 (3.96 to 6.04) | 0.99 (0.86 to 1.36) |
The soluble proteins soluble-CD14 (sCD14, ng/mL) and soluble-CD163 (sCD163, ng/mL) are all markers of monocyte/macrophage activation. Higher value of change means an increase in the biomarker levels over time. Higher levels of sCD14 and sCD163 occur in response to inflammation and infection. The results are expressed as the difference between sCD14 or sCD163 from baseline to week 24.
| ng/mL | CVC Arm (Arm A) | Placebo for CVC Arm (Arm B) |
|---|---|---|
| Soluble CD14 | -16.2 (-147 to 112) | 6.66 (-115 to 155) |
| Soluble CD163 | -21.8 (-93.9 to 50.5) | 17.4 (-67.3 to 68.8) |
The chemokines macrophage inflammatory protein-1 alpha and beta (MIP-1 alpha and beta, pg/mL) as well as the chemokine, RANTES (ng/mL), are markers of inflammation. Higher value of change means an increase in the biomarker levels over time. Higher levels of these biomarkers indicates inflammation. RANTES and MIP-1 beta are ligands of CCR5 that were expected to increase with CVC. The results are expressed as the ratio of RANTES or MIP-1 beta at week 24 to baseline.
| Fold-change | CVC Arm (Arm A) | Placebo for CVC Arm (Arm B) |
|---|---|---|
| MIP-1 beta | 2.44 (1.82 to 3.54) | 1.07 (0.92 to 2.07) |
| RANTES | 0.98 (0.80 to 1.22) | 1.06 (0.92 to 1.29) |
Collected over From study entry to completion at Week 24 or premature study discontinuation.. Non-serious events are listed at a 1% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| CVC Arm (Arm A) | 0/74 (0%) | 4/74 (5.4%) | 44/74 (59.5%) |
| Placebo for CVC Arm (Arm B) | 0/36 (0%) | 2/36 (5.6%) | 20/36 (55.6%) |
| Event | CVC Arm (Arm A) | Placebo for CVC Arm (Arm B) |
|---|---|---|
| Cerebrovascular accidentNervous system disorders | 0/74 | 1/36 |
| Urinary retentionRenal and urinary disorders | 0/74 | 1/36 |
| Respiratory tract infection viralInfections and infestations | 1/74 | 0/36 |
| Blood triglycerides increasedInvestigations | 1/74 | 0/36 |
| MyelopathyNervous system disorders | 1/74 | 0/36 |
| Intentional self-injuryPsychiatric disorders | 1/74 | 0/36 |
| PriapismReproductive system and breast disorders | 1/74 | 0/36 |
| Event | CVC Arm (Arm A) | Placebo for CVC Arm (Arm B) |
|---|---|---|
| Glomerular filtration rate decreasedInvestigations | 21/74 | 5/36 |
| Creatinine renal clearance decreasedInvestigations | 5/74 | 4/36 |
| Blood glucose increasedInvestigations | 4/74 | 3/36 |
| COVID-19Infections and infestations | 6/74 | 2/36 |
| Blood triglycerides increasedInvestigations | 1/74 | 2/36 |
| Amylase increasedInvestigations | 4/74 | 1/36 |
| ColitisGastrointestinal disorders | 0/74 | 1/36 |
| Gastrooesophageal reflux diseaseGastrointestinal disorders | 0/74 | 1/36 |
| ParonychiaInfections and infestations | 0/74 | 1/36 |
| SinusitisInfections and infestations | 2/74 | 1/36 |
Population is based on enrolled participants who initiated study treatment.
| Age, Continuous(years) | CVC Arm (Arm A) | Placebo for CVC Arm (Arm B) | Total |
|---|---|---|---|
| Median | 58 (51 to 62) | 58 (54 to 65) | 58 (53 to 63) |
| Age, Customized(Participants) | CVC Arm (Arm A) | Placebo for CVC Arm (Arm B) | Total |
|---|---|---|---|
| Age Groups — 45-54 | 25 | 11 | 36 |
| Age Groups — 55-64 | 37 | 16 | 53 |
| Age Groups — 65-74 | 12 | 8 | 20 |
| Age Groups — 75+ | 0 | 1 | 1 |
| Sex: Female, Male(Participants) | CVC Arm (Arm A) | Placebo for CVC Arm (Arm B) | Total |
|---|---|---|---|
| Female | 23 | 7 | 30 |
| Male | 51 | 29 | 80 |
| Ethnicity (NIH/OMB)(Participants) | CVC Arm (Arm A) | Placebo for CVC Arm (Arm B) | Total |
|---|---|---|---|
| Hispanic or Latino | 13 | 8 | 21 |
| Not Hispanic or Latino | 61 | 28 | 89 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | CVC Arm (Arm A) | Placebo for CVC Arm (Arm B) | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 |
| Asian | 0 | 0 | 0 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 26 | 12 | 38 |
| White | 46 | 24 | 70 |
| More than one race | 0 | 0 | 0 |
| Unknown or Not Reported | 2 | 0 | 2 |
| Gender Identity(Participants) | CVC Arm (Arm A) | Placebo for CVC Arm (Arm B) | Total |
|---|---|---|---|
| Cisgender | 72 | 36 | 108 |
| Transgender Spectrum | 2 | 0 | 2 |
| Body Mass Index (BMI)(kg/m^2) | CVC Arm (Arm A) | Placebo for CVC Arm (Arm B) | Total |
|---|---|---|---|
| Median | 28.5 (25.5 to 32.2) | 28.7 (24.6 to 33.2) | 28.5 (25.1 to 32.8) |
| BMI Groups(Participants) | CVC Arm (Arm A) | Placebo for CVC Arm (Arm B) | Total |
|---|---|---|---|
| Underweight (< 18.5) | 0 | 0 | 0 |
| Normal (18.5 - 24.9) | 16 | 11 | 27 |
| Overweight (25 - 29.9) | 31 | 8 | 39 |
| Obese (30+) | 27 | 17 | 44 |
28 further baseline measures are reported on the registry.
Documents are hosted by the registry — open the source record to download them.
Plan to share: Yes — Results will be published in a manuscript and supporting information submitted to NHLBI BioData Catalyst® (BDC) (including data dictionaries and case report forms).
Supporting information: Study protocol, Sap
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National Institute of Allergy and Infectious Diseases (NIAID)