Improving Physical Ability and Cellular Senescence Elimination in HIV
National Institute of Allergy and Infectious Diseases (NIAID)
80 participants
Dec 4, 2025
INTERVENTIONAL
Conditions
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.
Eligibility
Inclusion Criteria5
- Must be an older person with confirmed diagnosis of HIV-1, defined as ≥ 50 years at study entry.
- Must have been diagnosed with HIV at least 10 years ago, as confirmed by medical records or self-report.
- 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.
- Must meet one or more Fried Frailty Phenotype criteria w/in 60 days prior to entry.
- Must have eGFR \> 30 using CKD-EPI per 2021 calculation equation.
Exclusion Criteria10
- Have used quercetin or dasatinib before.
- Need to take medications that affect CYP3A4 or interact with dasatinib (e.g., certain HIV medications).
- Have an active cancer (except non-melanoma skin cancer).
- Have active liver disease with a Child Pugh score greater than 6, or other significant liver problems.
- Are on dialysis or have had a kidney transplant.
- Have had a heart attack, angina, stroke, or mini-stroke in the last 6 months.
- Have a known history of pulmonary arterial hypertension or other respiratory disease requiring supplemental oxygen within 60 days before joining the study.
- Have uncontrolled diabetes with an HgbA1c level greater than 8% within 60 days before joining the study.
- Have substance use that might interfere with study participation, as determined by the site investigator.
- Have had a significant illness within 60 days before joining the study.
Interventions
Dasatinib will be administered as one 100 mg capsule.
Quercetin will be administered as five 250 mg capsules.
Matching Placebo for Dasatinib will be administered as one 100 mg capsule.
Matching Placebo for Quercetin will be administered as five 250 mg capsules.
Locations(27)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT07144293