CClinicalTrials.gg
CompletedNCT07144293IPACE-HIVUpdated Sep 15, 2026

Improving Physical Ability and Cellular Senescence Elimination in HIV

A Phase 2 interventional study of Dasatinib and Quercetin in HIV, Frailty and Prefrail, sponsored by National Institute of Allergy and Infectious Diseases (NIAID). Completed at 24 sites in United States. Open to participants aged 50 Years and older. Per ClinicalTrials.gov, last updated 2026-09-15.

Sponsored by National Institute of Allergy and Infectious Diseases (NIAID) · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
82
Allocation
Randomized
Ages
50 Years and older
Sex
All
01

Study summary

This clinical trial is a Phase II study designed to test the safety and effectiveness of a combination of dasatinib and quercetin (D+Q) in improving physical function for people with HIV who are frail or prefrail. The study will involve 80 participants, all aged 50 or older, who have been living with HIV for at least 10 years determined to meet criteria for diagnosis of frail or prefrail and are currently on a stable antiretroviral therapy with viral suppression.

Participants will be randomly assigned to one of two groups: one group will receive the D+Q treatment, and the other will receive a placebo. The treatment will be given in six cycles over 12 weeks, with participants taking the medication for two days followed by 12 days without treatment. After the 12-week treatment period, participants will be monitored for another 12 weeks to assess the long-term effects.

The study aims to determine if D+Q can improve physical function and other health outcomes in this population. Randomization will be stratified by sex and age to ensure balanced groups.

02

Conditions studied

  • HIV
  • Frailty
  • Prefrail
  • Aging Problems

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Keywords

  • Frailty
  • Prefrail
  • Physical Function
  • Aging
  • Senescence
  • Senolytic therapy
03

In context

Frailty

1,199 studies on the registry are indexed under Frailty; 430 are open to participants now.

This study's enrollment of 82 is close to the median of 80 across 681 interventional studies indexed under Frailty.

Browse Frailty studies →

Lead sponsor

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.

04

Who can participate

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

Inclusion criteria

  1. Must be an older person with confirmed diagnosis of HIV-1, defined as ≥ 50 years at study entry.
  2. Must have been diagnosed with HIV at least 10 years ago, as confirmed by medical records or self-report.
  3. Must be on a stable effective combination antiretroviral therapy (ART) regimen, with no changes in the regimen within 12 weeks before joining the study with 2 or more consecutive HIV-RNA levels \< 50 copies/mL within 48 weeks prior to study entry.
  4. Must meet one or more Fried Frailty Phenotype criteria w/in 60 days prior to entry.
  5. Must have eGFR > 30 using CKD-EPI per 2021 calculation equation.

Exclusion criteria

Exclusion Criteria:

  1. Have used quercetin or dasatinib before.
  2. Need to take medications that affect CYP3A4 or interact with dasatinib (e.g., certain HIV medications).
  3. Have an active cancer (except non-melanoma skin cancer).
  4. Have active liver disease with a Child Pugh score greater than 6, or other significant liver problems.
  5. Are on dialysis or have had a kidney transplant.
  6. Have had a heart attack, angina, stroke, or mini-stroke in the last 6 months.
  7. Have a known history of pulmonary arterial hypertension or other respiratory disease requiring supplemental oxygen within 60 days before joining the study.
  8. Have uncontrolled diabetes with an HgbA1c level greater than 8% within 60 days before joining the study.
  9. Have substance use that might interfere with study participation, as determined by the site investigator.
  10. Have had a significant illness within 60 days before joining the study.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
82 participants (actual)

Study arms

  • Experimental
    Arm A: D+Q

    Drug: Dasatinib · Drug: Quercetin

  • Placebo comparator
    Arm B: Placebo

    Other: Placebo - Dasatinib · Other: Placebo - Quercetin

Interventions

  • DrugDasatinib

    Dasatinib will be administered as one 100 mg capsule.

  • DrugQuercetin

    Quercetin will be administered as five 250 mg capsules.

  • OtherPlacebo - Dasatinib

    Matching Placebo for Dasatinib will be administered as one 100 mg capsule.

  • OtherPlacebo - Quercetin

    Matching Placebo for Quercetin will be administered as five 250 mg capsules.

06

What researchers measure

Primary outcomes

  1. Occurrence of Grade 2 or higher adverse events (AEs) after initiation of study treatment.

    Time frame: 24 weeks

  2. Occurrence of premature treatment discontinuations.

    Time frame: 24 weeks

  3. Absolute change in gait speed on 4-meter walk.

    Time frame: From Week 0 to Week 12

Secondary outcomes

  1. Absolute change in time to complete 5 chair stands.

    Time frame: From Week 0 to Week 12

  2. Absolute change in Short Performance Physical Battery (SPPB) Total Balance Test score.

    The Short Performance Physical Battery (SPPB) Total Balance Test scores range from a minimum of 0 to a maximum of 4. Higher scores indicate better balance performance.

    Time frame: From Week 0 to Week 12

  3. Absolute change in the SPPB score.

    The SPPB scores range from a minimum of 0 to a maximum of 12. Higher scores indicate better physical performance.

    Time frame: From Week 0 to Week 12

  4. Absolute change in 4-meter gait speed.

    Time frame: From Week 0 to Week 24

  5. Absolute change in SPPB total balance test score.

    The SPPB Total Balance Test scores range from a minimum of 0 to a maximum of 4. Higher scores indicate better balance performance.

    Time frame: From Week 0 to Week 24

  6. Absolute change in SPPB score.

    The SPPB scores range from a minimum of 0 to a maximum of 12. Higher scores indicate better physical performance.

    Time frame: From Week 0 to Week 24

  7. Absolute change in timed chair stands.

    Time frame: From Week 0 to Week 24

  8. Absolute change in plasma senescence-associated secretory phenotype (SASP) biomarkers.

    Time frame: From Week 0 to Weeks 12 and 24

  9. Absolute change in serum SASP biomarkers.

    Time frame: From Week 0 to Weeks 12 and 24

  10. Absolute change in cognitive function on the AIDS Clinical Trials Group (ACTG) Neuropsychology Battery "Neuropsychological Battery" section

    Higher scores indicate better cognitive performance.

    Time frame: From Week 0 to Weeks 12 and 24

  11. Absolute change in symptoms of anxiety and depression using the Patient Health Questionnaire-9 (PHQ-9) assessments

    The PHQ-9 scores range from a minimum of 0 to a maximum of 27. Lower scores indicate better mental health, while higher scores indicate more severe depression.

    Time frame: From Week 0 to Weeks 12 and 24

  12. Absolute change in Veterans Aging Cohort Study (VACS) Index 2.0.

    The VACS Index 2.0 scores range from a minimum of 0 to a maximum of 164. Higher scores indicate a higher risk of mortality and worse health outcomes.

    Time frame: From Week 0 to Weeks 12 and 24

  13. Absolute change in participant-reported Quality of Life (QoL) on the Patient-Reported Outcomes Measurement Information System (PROMIS) QoL measure

    The PROMIS QoL measure have no fixed minimum score, but scores can theoretically go as low as 0 and no fixed maximum score, but scores can theoretically go as high as 100. Higher scores indicate better quality of life.

    Time frame: From Week 0 to Weeks 12 and 24

07

Study locations

24 sites
  • University of California, Los Angeles CARE Center CRS (Site ID: 601)
    Los Angeles, California 90035-4709, United States
  • UCSD Antiviral Research Center CRS (Site ID: 701)
    San Diego, California 92103, United States
  • University of California, San Francisco HIV/AIDS CRS (Site ID: 801)
    San Francisco, California 94143, United States
  • Harbor University of California Los Angeles Center CRS (Site ID: 603)
    Torrance, California 90502, United States
  • University of Colorado Hospital CRS (Site ID: 6101)
    Aurora, Colorado 80045, United States
  • Whitman-Walker Institute, Inc. CRS (Site ID: 31791)
    Washington D.C., District of Columbia 20009, United States
  • Massachusetts General Hospital CRS (MGH CRS) (Site ID: 101)
    Boston, Massachusetts 02114, United States
  • Brigham and Women's Hospital Therapeutics Clinical Research Site (BWH TCRS) CRS (Site ID: 107)
    Boston, Massachusetts 02115, United States
  • Washington University Therapeutics (WT) CRS (Site ID: 2101)
    St Louis, Missouri 63110-1010, United States
  • New Jersey Medical School Clinical Research Center CRS (Site ID: 31786)
    Newark, New Jersey 07103, United States
  • Weill Cornell Chelsea CRS (Site ID: 7804)
    New York, New York 10010, United States
  • Columbia Physicians & Surgeons (P&S) CRS (Site ID: 30329)
    New York, New York 10032, United States
  • Weill Cornell Uptown CRS (Site ID: 7803)
    New York, New York 10065, United States
  • University of Rochester Adult HIV Therapeutic Strategies Network CRS (Site ID: 31787)
    Rochester, New York 14642, United States
  • Chapel Hill CRS (Site ID: 3201)
    Chapel Hill, North Carolina 27599, United States
  • Greensboro CRS (Site ID: 3203)
    Greensboro, North Carolina 27401, United States
  • Cincinnati CRS (Site ID: 2401)
    Cincinnati, Ohio 45267-0405, United States
  • Case CRS (Site ID: 2501)
    Cleveland, Ohio 44106, United States
  • Ohio State University CRS (Site ID: 2301)
    Columbus, Ohio 43210, United States
  • Penn Therapeutics CRS (Site ID: 6201)
    Philadelphia, Pennsylvania 19104, United States
  • University of Pittsburgh CRS (Site ID: 1001)
    Pittsburgh, Pennsylvania 15213, United States
  • Vanderbilt Therapeutics (VT) CRS (Site ID: 3652)
    Nashville, Tennessee 37204, United States
  • Houston Advancing Research Team CRS (Site ID: 31473)
    Houston, Texas 77030, United States
  • University of Washington Positive Research CRS (Site ID: 1401)
    Seattle, Washington 98104-9929, United States
08

References and documents

Individual participant data

Plan to share: Yes — Individual participant data that underlie results in the publication, after deidentification.

Supporting information: Study protocol, Sap

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 15, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07144293
Lead sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Collaborators
National Institute on Aging (NIA)
Responsible party
Sponsor
First posted
Aug 27, 2025
Start date
Dec 4, 2025
Primary completion
Aug 26, 2026
Completion
Aug 26, 2026
Last update
Sep 15, 2026

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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