ClinicalTrials.gg
RecruitingNCT05858034Updated Aug 27, 2026

Identifying Challenges to Healthy Aging in Persons With Human Immunodeficiency Virus (HIV) Age 50 and Older

An interventional study of Customized activity plan and Customized nutrition plan in HIV and Aging, sponsored by Wake Forest University Health Sciences. Recruiting at 1 site in United States. Open to participants aged 50 Years and older. Per ClinicalTrials.gov, last updated 2026-08-27.

Primary conditionAcquired Immunodeficiency Syndrome(the registry's first term)UnverifiedIs this wrong?The registry often attaches Acquired Immunodeficiency Syndrome to studies about something else, and this study's title and listed conditions do not name it. No better condition is named, so the registry's term is kept.

Sponsored by Wake Forest University Health Sciences · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Started Jun 2023; still recruiting 3 years 4 months later.

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Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Non-randomized
Ages
50 Years and older
Sex
All
01

Study summary

The primary objective of this study is to identify and characterize frailty and pre-frailty in persons age 50 and older living with human immunodeficiency virus (HIV) followed by the Atrium Health Wake Forest Baptist Infectious Diseases Specialty Clinics (IDSC).

Read the detailed description

The study will implement electronic medical record-based screening for frailty (eFI), further characterize frailty using comprehensive geriatric screening, and offer a customized activity and nutrition plan to a subset of participants. Participation in phlebotomy for research biomarkers of aging is optional. The study also seeks to validate the electronic medical record embedded electronic frailty index (eFI) for the prediction of adverse outcomes in aging persons with HIV, characterize the symptoms of pre-frailty and frailty in persons followed in the IDSC, and assess the acceptability and efficacy of a customized activity and nutrition intervention targeting frailty. The study will also correlate research biomarkers of aging with aging symptoms in a subset of participants.

02

Conditions studied

  • HIV
  • Aging

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Keywords

  • human immunodeficiency virus
  • frailty
  • biomarkers of aging
03

In context

Acquired Immunodeficiency Syndrome Unverified

3,037 studies on the registry are indexed under Acquired Immunodeficiency Syndrome; 307 are open to participants now.

This study's planned enrollment of 100 is close to the median of 96 across 2,252 interventional studies indexed under Acquired Immunodeficiency Syndrome.

Browse Acquired Immunodeficiency Syndrome studies →

Lead sponsor

Wake Forest University Health Sciences is the lead sponsor of 1,351 studies on the registry; 200 are open to participants now.

Of its 332 completed or terminated interventional studies of FDA-regulated products, 251 (76%) have results posted.

Compared within Acquired Immunodeficiency Syndrome, the registry's first condition term, which may not be this study's main condition. Counted across the registry records on this site, refreshed daily. How we classify →

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Person living with (HIV)
  • Age ≥50 years
  • Followed by the Atrium Health Wake Forest Baptist Infectious Diseases Specialty Clinic (IDSC)
  • Eligible for Ryan White Program
  • Able to provide
  • Pre-frail or frail by electronic frailty index (eFI)

Exclusion criteria

Exclusion Criteria:

  • Age \<50 years (study designed to characterize frailty in aging persons with )
  • Unable to complete the required assessments or questionnaires
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
100 participants (estimated)

Study arms

  • Other
    Activity Intervention

    Customized selection of exercise and other community and online activity options to improve activity.

    Other: Customized activity plan

  • Other
    Nutrition Intervention

    Development of a customized nutrition plan to address nutritional needs.

    Other: Customized nutrition plan

Interventions

  • OtherCustomized activity plan

    Clients with identified challenges to successful aging (pre-frail or frail on screening) will be invited to develop an individualized activity plan to increase mobility, strength, and stamina. Plans will combine activities to improve strength (resistance training), balance (balance exercises), and stamina, and establish weekly goals. Resistance bands and pedometers will be provided. Progress will be measured by self-reported adherence to the activity plan at week 2, 4, 8, 12 and 24 (assessed by telephone at weeks 2, 4, 8 and in person at week 12 and 24). Depression questionnaire (PHQ-9), fatigue screen, exhaustion questions, and SF-12, a measure of health-related quality of life, will be administered at baseline, week 12 and 24.

  • OtherCustomized nutrition plan

    Participants with nutritional needs will have the option of meeting with a nutritionist to develop a personalized nutritional plan with a goal of improving diet quality and optimizing caloric intake. Progress will be measured as above.

06

What researchers measure

Primary outcomes

  1. Physical Performance scores

    Change in physical performance battery scores - Minimum score 0 - Maximum score 12 - Higher scores indicate better lower extremity function

    Time frame: Week 12

Secondary outcomes

  1. Quality of Life - 12-Item Short Form Health Survey (SF-12) Scores

    Change in quality of life as measured by SF-12 - Scores range from 0 to 100, with higher scores indicating better physical and mental health functioning

    Time frame: Week 12

  2. Percentage of Adherence with Plan

    Reported adherence to activity and nutrition plan

    Time frame: Week 12

Other outcomes

  1. electronic frailty index human immunodeficiency virus (eFI-HIV) scores

    categorized as fit (eFI ≤0.10), pre-frail (0.10 \< eFI≤0.21), and frail (eFI \> 0.21) - the greater the score, the increased frailty

    Time frame: Baseline

  2. Comprehensive geriatric screening (CGS) - Short Physical Performance Battery

    Short performance battery score (0-12) - The SPPB total score ranges from 0 (worst performance) to 12 points (best performance) and categorically evaluates performance in the tests using three or four classes of scores: three classes: 0-6 points (poor performance), 7-9 points (moderate performance), and 10-12 points (good performance)

    Time frame: Week 12

  3. Comprehensive geriatric screening (CGS) - Pepper Assessment Tool for Disability (PAT-D) Scores

    self-reported mobility, basic and instrumental activities of daily living - Responses are made on a five-point Likert scale ranging from 1 ("usually did with no difficulty") to 5 ("unable to do") or a box can be checked that reads "usually did not do for other reasons".

    Time frame: Week 12

  4. Comprehensive geriatric screening (CGS) - brief cognitive screen (Mini-Cog) Scores

    (Total Possible Score: 0-5) - A total score of 0, 1, or 2 indicates higher likelihood of clinically important cognitive impairment. A total score of 3, 4, or 5 indicates lower likelihood of dementia but does not rule out some degree of cognitive impairment.

    Time frame: Week 12

  5. depression Patient Health Questionnaire (PHQ-9) Scores

    Scores less than 5 almost always signified the absence of a depressive disorder; scores of 5 to 9 predominantly represented patients with either no depression or subthreshold (i.e., other) depression; scores of 10 to 14 represented a spectrum of patients; and scores of 15 or greater usually indicated major depression.

    Time frame: Week 12

  6. anxiety questionnaire - General Anxiety Disorder-7 (GAD-7) Scores

    Scoring GAD-7 Anxiety Severity. This is calculated by assigning scores - GAD-7 total score for the seven items ranges from 0 to 21. 0-4: minimal anxiety.

    Time frame: Week 12

  7. fatigue/exhaustion survey scores

    The fatigue/exhaustion questions will be administered using a paper survey

    Time frame: Week 12

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Deidentified participant data

Supporting information: Study protocol, Statistical analysis plan, Informed consent form

Time frame: 12 months after completion of the study.

Access criteria: Principal investigator permission and Institutional Review Board (IRB) review required.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jun 2023 (actual). Primary completion is estimated for Dec 2026, 42 months after the start.

Of 642 non-industry interventional studies with no phase under Acquired Immunodeficiency Syndrome, half reached primary completion within 30 months of starting (the median), counting those still running; a quarter within 17 and three quarters within 45. This study's planned 42 months is above that.

Counting every sponsor, half of 648 studies reached it within 29 months; a quarter within 17 and three quarters within 45.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 26, 2023
First posted
May 15, 2023
StartActual
Jun 27, 2023
Primary completionEst.
Dec 2026
CompletionEst.
Dec 2026
Last update
Aug 27, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05858034
Collaborators
Health Resources and Services Administration (HRSA), National Institute on Aging (NIA)
Responsible party
Sponsor
First posted
May 15, 2023
Start date
Jun 27, 2023
Primary completion
Dec 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
Aug 27, 2026

Study contacts

Yolanda Belin, MS
Contact
yolanda.belin@advocatehealth.org
(336) 716-7079
Rica Abbott, MPH
Contact
rica.abbott@advocatehealth.org
(336) 716-7079
Caryn G Morse, MD, MPH
principal investigator · Wake Forest University Health Sciences

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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