Search / Trial NCT00001142

Metabolism and Body Shape of Healthy Children and Children With Chronic Infections

Launched by EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT (NICHD) · Dec 9, 2002

Trial Information

Current as of December 09, 2024

Completed

Keywords

Body Fat Dxa Haart Hyperlipidemia Insulin Resistance Lipodystrophy Mri Protease Inhibitor Side Effects Visceral Fat Chronic Infection Hiv Healthy Volunteer

ClinConnect Summary

Some HIV-infected adults develop a lipodystrophy that includes significant changes in body shape, with fat loss in the face, arms and legs, and fat gain in the trunk. This lipodystrophy is often accompanied by hypertriglyceridemia, hypercholesterolemia, and hyperinsulinemia. So far, almost all cases of lipodystrophy have occurred in patients treated with protease inhibitor-containing antiretroviral therapies. Whether this lipodystrophy is a result of the use of protease inhibitors or other therapies employed for HIV infection, or is one of the many manifestations of HIV infection, and is un...

Gender

ALL

Eligibility criteria

  • FOR PROTEASE INHIBITOR-NAIVE HIV-INFECTED CHILDREN AND HIV-INFECTED CHILDREN ON PROTEASE INHIBITOR-CONTAINING ANTIRETROVIRAL REGIMENS:
  • Evidence of HIV infection based on Center for Disease Control and Prevention criteria.
  • Enrollment on protocol 98-C-0041 or other HIV treatment protocol for children.
  • No other chronic disease unrelated to infection that may cause changes in body composition or in lipid or glucose homeostasis.
  • No previous use of a protease inhibitor-containing antiretroviral regimen (PROTEASE INHIBITOR-NAIVE HIV-INFECTED CHILDREN ONLY).
  • Data available concerning the start date of protease inhibitor treatment (HIV-INFECTED CHILDREN ON PROTEASE INHIBITOR-CONTAINING ANTIRETROVIRAL REGIMENS ONLY).
  • HEALTHY PEDIATRIC VOLUNTEERS:
  • Good general health. No significant hematologic, renal, hepatic, endocrinologic, or pulmonary disorders.
  • No evidence of HIV infection by standard HIV antibody testing.
  • Body mass index for age below 85th percentile.
  • Not currently using prescription medications on a continuing basis; the use of over-the-counter medications will be reviewed on a case-by-case basis.
  • Stable clinical condition during evaluation.
  • CHILDREN WITH CONDITIONS CAUSING CHRONIC INFECTIONS OTHER THAN HIV:
  • Evidence of chronic, non-HIV-related infection such as chronic granulomatous disease, hyperimmunoglobin E syndrome, etc.
  • Evidence of non-growth hormone-deficient growth failure, defined as a 12-month height velocity at or below the fifth percentile for age using standard reference norms and by clinically-indicated testing.
  • No evidence of HIV infection by standard HIV antibody testing.
  • No current (last 2 months) use of sex steroid supplementation.
  • Enrollment in an ongoing NIH protocol for treatment of their disorders.
  • Age between 4 and 18 years.
  • No other chronic disease unrelated to infection that may cause either changes in body composition or lipid or glucose homeostasis such as Type I diabetes mellitus, lipodystrophic diabetes, Cushing's syndrome etc.
  • No pregnancy.
  • No inability to undergo MRI because of metal objects within their bodies that are contraindications for MRI. These include cardiac pacemakers, neural pacemakers, aneurysmal clips, schrapnel, ocular foreign bodies, cochlear implants, non-detachable electronic or electromechanical devices.
  • No allergic reaction to heparin.

About Eunice Kennedy Shriver National Institute Of Child Health And Human Development (Nichd)

The Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) is a prominent research agency within the National Institutes of Health (NIH), dedicated to advancing the health and well-being of children, families, and individuals across the lifespan. NICHD supports a wide range of clinical trials and research initiatives aimed at understanding the complex biological, behavioral, and environmental factors that influence human development and health. By fostering innovative research and facilitating collaboration among scientists, healthcare professionals, and communities, NICHD plays a vital role in translating scientific discoveries into effective interventions and policies that enhance child health, reproductive health, and the prevention of diseases.

Locations

Bethesda, Maryland, United States

People applied

Timeline

First submit

Trial launched

Trial updated

Estimated completion

Not reported

Discussion 0

Similar Trials