Page last updated: 2024-10-30

metformin and HIV Coinfection

metformin has been researched along with HIV Coinfection in 50 studies

Metformin: A biguanide hypoglycemic agent used in the treatment of non-insulin-dependent diabetes mellitus not responding to dietary modification. Metformin improves glycemic control by improving insulin sensitivity and decreasing intestinal absorption of glucose. (From Martindale, The Extra Pharmacopoeia, 30th ed, p289)
metformin : A member of the class of guanidines that is biguanide the carrying two methyl substituents at position 1.

Research Excerpts

ExcerptRelevanceReference
" We conducted a Phase II double-blind placebo-controlled trial that aimed to determine the impact of metformin on blood glucose levels among people with prediabetes (defined as impaired fasting glucose [IFG] and/or impaired glucose tolerance [IGT]) and HIV in SSA."9.69Metformin for the prevention of diabetes among people with HIV and either impaired fasting glucose or impaired glucose tolerance (prediabetes) in Tanzania: a Phase II randomised placebo-controlled trial. ( Alam, U; Bates, K; Charles, G; Garrib, A; Jaffar, S; Kivuyo, S; Luo, H; Majaliwa, E; Mfinanga, S; Nyirenda, MJ; Ramaiya, K; Simbauranga, R; van Widenfelt, E; Wang, D, 2023)
"Fifty HIV-infected subjects with the metabolic syndrome were previously recruited and randomized to receive lifestyle modification (LSM) and/or metformin over 12 months."9.20Effects of lifestyle modification and metformin on irisin and FGF21 among HIV-infected subjects with the metabolic syndrome. ( Cypess, AM; Fitch, KV; Grinspoon, SK; Petrow, E; Srinivasa, S; Torriani, M; Wei, J; Wong, K, 2015)
" We hypothesized that lifestyle modification (LSM) and metformin would improve CVD indices in HIV patients with metabolic syndrome."9.16Effects of lifestyle modification and metformin on atherosclerotic indices among HIV-infected patients with the metabolic syndrome. ( Abbara, S; Fitch, K; Grinspoon, S; Hemphill, L; Lee, H; Michel, T; Sacks, R; Stavrou, E; Torriani, M, 2012)
"To evaluate and compare effects of 48-week treatment with rosiglitazone and metformin on insulin resistance in patients infected with Human Immunodeficiency Virus (HIV) receiving highly active antiretroviral therapy (HAART), containing a protease inhibitor."9.12Effect of rosiglitazone and metformin on insulin resistance in patients infected with human immunodeficiency virus receiving highly active antiretroviral therapy containing protease inhibitor: randomized prospective controlled clinical trial. ( Janez, A; Karner, P; Maticic, M; Sharma, P; Silic, A; Tomazic, J; Vidmar, L, 2007)
"To compare the effects of the peroxisome proliferator-activated receptor-gamma agonist rosiglitazone and metformin for treating HIV lipodystrophy."9.11Comparison of rosiglitazone and metformin for treating HIV lipodystrophy: a randomized trial. ( Cabezas, MC; de Koning, EJ; Hoepelman, AI; Joven, J; op't Roodt, J; Rabelink, TJ; van Wijk, JP, 2005)
"This study suggests that a relatively low dosage of metformin reduces insulin resistance and related cardiovascular risk parameters in HIV-infected patients with lipodystrophy."9.09Metformin in the treatment of HIV lipodystrophy syndrome: A randomized controlled trial. ( Basgoz, N; Corcoran, C; Davis, B; Grinspoon, S; Hadigan, C; Sax, P, 2000)
"We present an uncommon case of lactic acidosis after concomitant administration of Metformin and Tenofovir."7.77Lactic acidosis after concomitant treatment with metformin and tenofovir in a patient with HIV infection. ( Alivanis, P; Aperis, G; Arvanitis, A; Paliouras, C; Zervos, A, 2011)
" During the first year of treatment, exenatide, in combination with metformin and repaglinide, led to a weight loss of 14 kg and fat mass and waist circumference were respectively reduced from 31 to 25."7.77Exenatide improves weight loss insulin sensitivity and β-cell function following administration to a type 2 diabetic HIV patient on antiretroviral therapy. ( Buysschaert, M; de la Tribonnière, X; Hermans, MP; Oriot, P; Selvais, P, 2011)
"Secondary outcomes include changes in liver fibrosis using AST to platelet ratio index, changes in glucose and lipid levels, anthropometric measures, changes in alpha-fetoprotein levels, patient acceptability, and changes in dietary and physical activity parameters."6.82Improving treatment and liver fibrosis outcomes with metformin in HCV-HIV co-infected and HCV mono-infected patients with insulin resistance: study protocol for a randomized controlled trial. ( Cooper, C; Doyle, MA; Lee, T; Muir, M; Singer, J, 2016)
"Metformin was well tolerated and no one discontinued treatment due to side effects."6.70Sustained benefits of metformin therapy on markers of cardiovascular risk in human immunodeficiency virus-infected patients with fat redistribution and insulin resistance. ( Grinspoon, S; Hadigan, C; Rabe, J, 2002)
" We conducted a Phase II double-blind placebo-controlled trial that aimed to determine the impact of metformin on blood glucose levels among people with prediabetes (defined as impaired fasting glucose [IFG] and/or impaired glucose tolerance [IGT]) and HIV in SSA."5.69Metformin for the prevention of diabetes among people with HIV and either impaired fasting glucose or impaired glucose tolerance (prediabetes) in Tanzania: a Phase II randomised placebo-controlled trial. ( Alam, U; Bates, K; Charles, G; Garrib, A; Jaffar, S; Kivuyo, S; Luo, H; Majaliwa, E; Mfinanga, S; Nyirenda, MJ; Ramaiya, K; Simbauranga, R; van Widenfelt, E; Wang, D, 2023)
"Fifty HIV-infected subjects with the metabolic syndrome were previously recruited and randomized to receive lifestyle modification (LSM) and/or metformin over 12 months."5.20Effects of lifestyle modification and metformin on irisin and FGF21 among HIV-infected subjects with the metabolic syndrome. ( Cypess, AM; Fitch, KV; Grinspoon, SK; Petrow, E; Srinivasa, S; Torriani, M; Wei, J; Wong, K, 2015)
" We hypothesized that lifestyle modification (LSM) and metformin would improve CVD indices in HIV patients with metabolic syndrome."5.16Effects of lifestyle modification and metformin on atherosclerotic indices among HIV-infected patients with the metabolic syndrome. ( Abbara, S; Fitch, K; Grinspoon, S; Hemphill, L; Lee, H; Michel, T; Sacks, R; Stavrou, E; Torriani, M, 2012)
"We conducted a randomized placebo-controlled trial to examine the effects of metformin on visceral adipose tissue (VAT), appendicular fat, lipid profile and insulin sensitivity in HIV-infected persons with central adiposity and mild insulin resistance."5.12A randomized placebo-controlled trial of metformin for the treatment of HIV lipodystrophy. ( Gorbach, S; Kohli, R; Shevitz, A; Wanke, C, 2007)
"To evaluate and compare effects of 48-week treatment with rosiglitazone and metformin on insulin resistance in patients infected with Human Immunodeficiency Virus (HIV) receiving highly active antiretroviral therapy (HAART), containing a protease inhibitor."5.12Effect of rosiglitazone and metformin on insulin resistance in patients infected with human immunodeficiency virus receiving highly active antiretroviral therapy containing protease inhibitor: randomized prospective controlled clinical trial. ( Janez, A; Karner, P; Maticic, M; Sharma, P; Silic, A; Tomazic, J; Vidmar, L, 2007)
"To compare the effects of the peroxisome proliferator-activated receptor-gamma agonist rosiglitazone and metformin for treating HIV lipodystrophy."5.11Comparison of rosiglitazone and metformin for treating HIV lipodystrophy: a randomized trial. ( Cabezas, MC; de Koning, EJ; Hoepelman, AI; Joven, J; op't Roodt, J; Rabelink, TJ; van Wijk, JP, 2005)
"This study suggests that a relatively low dosage of metformin reduces insulin resistance and related cardiovascular risk parameters in HIV-infected patients with lipodystrophy."5.09Metformin in the treatment of HIV lipodystrophy syndrome: A randomized controlled trial. ( Basgoz, N; Corcoran, C; Davis, B; Grinspoon, S; Hadigan, C; Sax, P, 2000)
" We also followed up a subset of male patients with HIV and hepatitis C virus (HCV) coinfection (n = 47) who were not receiving antiviral treatment and for whom metformin was prescribed for insulin resistance, which tends to have a higher incidence and severity in coinfected patients."3.79Metformin: a cheap and well-tolerated drug that provides benefits for viral infections. ( Alonso-Villaverde, C; Aragonès, G; Beltrán-Debón, R; Camps, J; Espinel, E; Fernandez-Sender, L; Joven, J; Menéndez, JA; Pedro-Botet, J; Riera-Borrull, M; Rodríguez-Gallego, E; Rull, A, 2013)
"We present an uncommon case of lactic acidosis after concomitant administration of Metformin and Tenofovir."3.77Lactic acidosis after concomitant treatment with metformin and tenofovir in a patient with HIV infection. ( Alivanis, P; Aperis, G; Arvanitis, A; Paliouras, C; Zervos, A, 2011)
" During the first year of treatment, exenatide, in combination with metformin and repaglinide, led to a weight loss of 14 kg and fat mass and waist circumference were respectively reduced from 31 to 25."3.77Exenatide improves weight loss insulin sensitivity and β-cell function following administration to a type 2 diabetic HIV patient on antiretroviral therapy. ( Buysschaert, M; de la Tribonnière, X; Hermans, MP; Oriot, P; Selvais, P, 2011)
"Metformin has shown favorable clinical outcomes in enhancing the efficacy of programmed cell death-1 (PD-1) blockade and restoring antitumor T cell immunity."3.01Effects of Brief Adjunctive Metformin Therapy in Virologically Suppressed HIV-Infected Adults on Polyfunctional HIV-Specific CD8 T Cell Responses to PD-L1 Blockade. ( Alejandria, MM; Chew, GM; Chow, DC; Clements, DM; Corley, MJ; Gerschenson, M; Ndhlovu, LC; Padua, AJP; Pang, APS; Shikuma, CM; Souza, SA, 2021)
"Secondary outcomes include changes in liver fibrosis using AST to platelet ratio index, changes in glucose and lipid levels, anthropometric measures, changes in alpha-fetoprotein levels, patient acceptability, and changes in dietary and physical activity parameters."2.82Improving treatment and liver fibrosis outcomes with metformin in HCV-HIV co-infected and HCV mono-infected patients with insulin resistance: study protocol for a randomized controlled trial. ( Cooper, C; Doyle, MA; Lee, T; Muir, M; Singer, J, 2016)
"Rosiglitazone may increase subcutaneous fat in some individuals."2.73Effects of metformin and rosiglitazone in HIV-infected patients with hyperinsulinemia and elevated waist/hip ratio. ( Alston-Smith, BL; Basar, MT; Fielding, RA; Grinspoon, S; Koletar, SL; Mulligan, K; Parker, RA; Schouten, JT; Wininger, DA; Yang, Y, 2007)
"Treatment with metformin had no significant effect on total, HDL and LDL cholesterol."2.71Effect of metformin and rosiglitazone on lipid metabolism in HIV infected patients receiving protease inhibitor containing HAART. ( Janez, A; Karner, P; Maticic, M; Sharma, PM; Tomazic, J; Vidmar, L, 2005)
"Metformin was well tolerated and no one discontinued treatment due to side effects."2.70Sustained benefits of metformin therapy on markers of cardiovascular risk in human immunodeficiency virus-infected patients with fat redistribution and insulin resistance. ( Grinspoon, S; Hadigan, C; Rabe, J, 2002)
"Metformin, a biguanide, has been available in the US for the treatment of type 2 diabetes mellitus for nearly 8 years."2.42Metformin: new understandings, new uses. ( Hundal, RS; Inzucchi, SE, 2003)
"Metformin use has been associated with beneficial effects on cognitive and physical function among older adults without HIV."1.91Association Between Metformin Use and Cognitive and Physical Function in Persons with HIV and Diabetes. ( Brown, TT; Erlandson, KM; Granche, J; Koletar, SL; Letendre, S; Masters, MC; Overton, ET; Palella, F; Rubin, LH; Tassiopoulos, K; Yang, J, 2023)
"Adverse drug reactions were assessed using patient-reported gastrointestinal intolerance and hypoglycemic symptoms."1.46Evaluation of the concurrent use of dolutegravir and metformin in human immunodeficiency virus-infected patients. ( Badowski, ME; Fulco, PP; Liedtke, MD; Masich, A, 2017)
"Type 2 diabetes is increasingly common in HIV-infected individuals."1.46Comparative Effectiveness of Diabetic Oral Medications Among HIV-Infected and HIV-Uninfected Veterans. ( Bisson, GP; Gibert, CL; Gordon, K; Han, JH; Leaf, DA; Rimland, D; Rodriguez-Barradas, MC; Womack, JA, 2017)
"Metformin use was associated with improved CD4 recovery (p=0."1.40Cohort study of diabetes in HIV-infected adult patients: evaluating the effect of diabetes mellitus on immune reconstitution. ( Cary, MS; Chikuse, F; Kwadiba, G; Moyo, D; Mushisha, O; Reid, MJ; Steenhoff, AP; Tanthuma, G, 2014)

Research

Studies (50)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's2 (4.00)18.2507
2000's21 (42.00)29.6817
2010's18 (36.00)24.3611
2020's9 (18.00)2.80

Authors

AuthorsStudies
Dardano, A1
Aragona, M1
Daniele, G1
Miccoli, R1
Del Prato, S1
Masters, MC1
Granche, J1
Yang, J1
Overton, ET1
Letendre, S1
Koletar, SL2
Rubin, LH1
Brown, TT1
Tassiopoulos, K1
Erlandson, KM1
Palella, F1
Zaongo, SD1
Chen, Y3
Garrib, A1
Kivuyo, S1
Bates, K1
Ramaiya, K1
Wang, D1
Majaliwa, E1
Simbauranga, R1
Charles, G1
van Widenfelt, E1
Luo, H1
Alam, U1
Nyirenda, MJ1
Jaffar, S1
Mfinanga, S1
Chen, X2
Chen, H1
Zhang, Z1
Fu, Y1
Han, X1
Zhang, Y1
Xu, J1
Ding, H1
Cui, H1
Dong, T1
Shang, H1
Jiang, Y1
Youn, B1
Shireman, TI1
Lee, Y1
Galárraga, O1
Wilson, IB1
Ouyang, J2
Isnard, S3
Lin, J2
Fombuena, B2
Marette, A2
Routy, B2
Routy, JP3
Peng, X1
Messaoudene, M1
Chew, GM1
Padua, AJP1
Chow, DC1
Souza, SA1
Clements, DM1
Corley, MJ1
Pang, APS1
Alejandria, MM1
Gerschenson, M1
Shikuma, CM1
Ndhlovu, LC1
Cattaneo, D3
Formenti, T1
Minisci, D2
Casalini, G1
Meraviglia, P1
Gervasoni, C3
Guo, H1
Wang, Q1
Ghneim, K1
Wang, L1
Rampanelli, E1
Holley-Guthrie, E1
Cheng, L1
Garrido, C1
Margolis, DM1
Eller, LA1
Robb, ML1
Sekaly, RP1
Su, L1
Ting, JP1
Masich, A1
Badowski, ME1
Liedtke, MD1
Fulco, PP1
Naccarato, M1
Yoong, D1
Fong, IW1
Resnati, C1
Rizzardini, G2
Mehraj, V1
Ostrowski, M1
Chomont, N1
Ancuta, P1
Ponte, R1
Planas, D1
Dupuy, FP1
Angel, JB1
Alonso-Villaverde, C3
Menéndez, JA2
Joven, J4
Moyo, D1
Tanthuma, G1
Cary, MS1
Mushisha, O1
Kwadiba, G1
Chikuse, F1
Steenhoff, AP1
Reid, MJ1
Srinivasa, S1
Wong, K1
Fitch, KV1
Wei, J1
Petrow, E1
Cypess, AM1
Torriani, M3
Grinspoon, SK1
McGinty, EE1
Baller, J1
Azrin, ST1
Juliano-Bult, D1
Daumit, GL1
Doyle, MA1
Singer, J1
Lee, T1
Muir, M1
Cooper, C1
Han, JH1
Gordon, K1
Womack, JA1
Gibert, CL1
Leaf, DA1
Rimland, D1
Rodriguez-Barradas, MC1
Bisson, GP1
Clementi, E1
Aperis, G1
Paliouras, C1
Zervos, A1
Arvanitis, A1
Alivanis, P1
Oriot, P1
Hermans, MP1
Selvais, P1
Buysschaert, M1
de la Tribonnière, X1
Kazazis, C1
Fitch, K1
Abbara, S1
Lee, H1
Stavrou, E1
Sacks, R1
Michel, T1
Hemphill, L1
Grinspoon, S5
Fernandez-Sender, L1
Espinel, E1
Rull, A1
Beltrán-Debón, R1
Rodríguez-Gallego, E1
Riera-Borrull, M1
Pedro-Botet, J1
Camps, J2
Aragonès, G1
Ghazourian, N1
Hadigan, C4
Rabe, J2
Sattler, F1
Hundal, RS1
Inzucchi, SE1
Martínez, E1
Domingo, P1
Ribera, E1
Milinkovic, A1
Arroyo, JA1
Conget, I1
Pérez-Cuevas, JB1
Casamitjana, R1
de Lazzari, E1
Bianchi, L1
Montserrat, E1
Roca, M1
Burgos, R1
Arnaiz, JA1
Gatell, JM1
Driscoll, SD1
Meininger, GE1
Ljungquist, K1
Klibanski, A1
Frontera, WR1
Martin, A1
Mallon, PW1
van Wijk, JP2
de Koning, EJ2
Cabezas, MC1
op't Roodt, J1
Rabelink, TJ2
Hoepelman, AI1
Tomazic, J2
Karner, P2
Vidmar, L2
Maticic, M2
Sharma, PM1
Janez, A2
Koeppe, J1
Kosmiski, L1
Coll, B1
Parra, S1
Castro Cabezas, M1
Hoepelman, IM1
Ferre, N1
Tous, M1
Mulligan, K1
Yang, Y1
Wininger, DA1
Parker, RA1
Alston-Smith, BL1
Schouten, JT1
Fielding, RA1
Basar, MT1
Kohli, R1
Shevitz, A1
Gorbach, S1
Wanke, C1
Bradbury, RA1
Samaras, K1
Silic, A1
Sharma, P1
Nightingale, SL1
Saint-Marc, T1
Touraine, JL1
Currier, JS1
Corcoran, C1
Basgoz, N1
Davis, B1
Sax, P1
Meigs, JB1
D'Agostino, RB1
Wilson, PW1
Lipinska, I1
Tofler, GH1
Grinspoon, SS1
Kotler, DP1

Clinical Trials (9)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Prospective, Randomized Open-Label Phase II Study of the Safety and Tolerability of Metformin in Combination With Standard Antimicrobial Treatment of Pulmonary Tuberculosis in People With TB and Co-infected With HIV[NCT04930744]Phase 2112 participants (Anticipated)Interventional2021-08-03Recruiting
The Effect of Metformin on HIV Reservoir Size in Non-diabetic Antiretroviral Therapy (ART) Treated Participants: the Lilac Study[NCT02659306]Phase 122 participants (Actual)Interventional2016-09-30Completed
Metformin as Adjunctive Therapy in Overweight and Obese Patients With Dengue: an Open-label Safety and Tolerability Trial[NCT04377451]Phase 1/Phase 2120 participants (Actual)Interventional2020-07-27Completed
Improving Treatment and Liver Fibrosis Outcomes With Metformin in HCV-HIV Co-infected and HCV Mono-infected Patients With Insulin Resistance.[NCT02306070]Phase 20 participants (Actual)Interventional2016-01-31Withdrawn (stopped due to insufficient funding)
Strategies for the Treatment of HIV Associated Metabolic Syndrome[NCT00399360]50 participants (Actual)Interventional2006-12-31Completed
A Randomized, Double-Blind, Placebo-Controlled Study of Metformin and Rosiglitazone, Alone or in Combination, in HIV-Infected Subjects With Hyperinsulinemia and Elevated Waist/Hip Ratio[NCT00015691]105 participants InterventionalCompleted
Double-blind, Randomized Clinical Trial to Evaluate Effect of Combination Therapy of Metformin and Sibutramine Versus Metformin or Sibutramine Monotherapy Over Weight, Adiposity, Glucose Metabolism and Inflammatory State in Obese Patients[NCT00941382]Phase 360 participants (Anticipated)Interventional2008-11-30Active, not recruiting
Gut-Brain-axis: Targets for Improvement of Cognition in the Elderly[NCT04841668]136 participants (Anticipated)Observational2021-04-10Recruiting
[NCT00483392]0 participants InterventionalCompleted
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Abdominal Visceral Adiposity

Abdominal visceral adipose area was assess by magnetic resonance imaging at the lvel of the L4 pedicle. The change in abdominal visceral adiposity between baseline and 12 months is reported. (NCT00399360)
Timeframe: baseline and 12 months

Interventioncm2 (Mean)
No Lifestyle Modification and Placebo-22.6
Lifestyle Modification and Placebo-1.5
No Lifestyle Modification and Metformin-28.2
Lifestyle Modification and Metformin-35.0

C-reactive Protein

High sensitivity C-reactive protein was determined by R&D Systems (Minneapolis, MN) kit. The change in C-reactive protein between baseline and 12 months is reported. (NCT00399360)
Timeframe: baseline and 12 months

Interventionmg/l (Mean)
No Lifestyle Modification and Placebo-0.27
Lifestyle Modification and Placebo-1.19
No Lifestyle Modification and Metformin0.47
Lifestyle Modification and Metformin-1.92

Cardiorespiratory Fitness

A submaximal exercise stress test was conducted on a cycle ergometer to measure endurance. Subjects cycled between 50-60 revolutions per minute and the workload was progressively increased in increments of 50 watts in stages lasting 3 minutes. Once subjects became fatigued or reached their submaximal heart rate (220-age x 85), the test was stopped and separate readings of heart rate and blood pressure were measured at 1, 3, and 5 min of recovery. Weight-adjusted maximum oxygen consumption (VO2max; ml/kg per minute) was determined. The change in cardiorespiratory fitness between baseline and 12 months is reported. (NCT00399360)
Timeframe: baseline and 12 months

Interventionml/kg/min (Mean)
No Lifestyle Modification and Placebo-0.7
Lifestyle Modification and Placebo2.0
No Lifestyle Modification and Metformin-1.3
Lifestyle Modification and Metformin3.7

Carotid Intima Media Thickness

Carotid intima media thickness imaging of the common carotid artery was conducted using a high-resolution 7.5-MHz phased-array transducer (SONOS 2000/2500. The change of the carotid intima media thickness measurement between baseline and 12 months is reported. (NCT00399360)
Timeframe: baseline and 12 months

Interventionmm (Mean)
No Lifestyle Modification and Placebo-0.02
Lifestyle Modification and Placebo-0.02
No Lifestyle Modification and Metformin0.00
Lifestyle Modification and Metformin0.03

Coronary Artery Calcium Score

Computed tomography (CT) imaging was performed using a SOMATOM Sensation (Siemens Medical Solutions, Forcheim, Germany) 64-slice CT scanner. Agatston calcium score was calculated using CT images. The total Agatston score is calculated by summing up the scores of the individual calcifications in all slices of the CT scan. An absolute Agatston score of less than 10 indicates minimal overall atherosclerosis (plaques) in the coronary arteries. The change in the coronary artery calcium score between baseline and 12 months is reported. (NCT00399360)
Timeframe: baseline and 12 months

InterventionAgatston score (Mean)
No Lifestyle Modification and Placebo43
Lifestyle Modification and Placebo19
No Lifestyle Modification and Metformin1
Lifestyle Modification and Metformin-4

Glucose

Glucose level was determined after an overnight fast. The change in glucose between baseline and 12 months is reported. (NCT00399360)
Timeframe: baseline and 12 months

Interventionmg/dL (Mean)
No Lifestyle Modification and Placebo-7
Lifestyle Modification and Placebo3
No Lifestyle Modification and Metformin2
Lifestyle Modification and Metformin-7

High Density Lipoprotein (HDL)

High density lipoprotein (HDL) was determined after an overnight fast. The change in HDL between baseline and 12 months is reported. (NCT00399360)
Timeframe: baseline and 12 months

Interventionmg/dL (Mean)
No Lifestyle Modification and Placebo-2
Lifestyle Modification and Placebo2
No Lifestyle Modification and Metformin0
Lifestyle Modification and Metformin4

Intramyocellular Lipid

Intramyocellular lipid (IMCL) of the tibialis anterior was determined using 1H-magnetic resonance spectroscopy (Siemens, Munich, Germany). The change in the intramyocellular lipid measurement between baseline and 12 months is reported. (NCT00399360)
Timeframe: baseline and 12 months

Interventionmmol/kg (Mean)
No Lifestyle Modification and Placebo0.6
Lifestyle Modification and Placebo-0.4
No Lifestyle Modification and Metformin0.8
Lifestyle Modification and Metformin0.1

Systolic Blood Pressure

Systolic blood pressure was measured after 5 minutes rest. The in systolic blood pressure between baseline and 12 months is reported. (NCT00399360)
Timeframe: baseline and 12 months

Interventionmm Hg (Mean)
No Lifestyle Modification and Placebo-5
Lifestyle Modification and Placebo-2
No Lifestyle Modification and Metformin-2
Lifestyle Modification and Metformin-6

Waist Circumference

Iliac waist circumference measurements were obtained using an inelastic tape measure. All measurements were obtained in triplicate, with the patient undressed, and then averaged. The change of the waist circumference measurement between baseline and 12 months is reported. (NCT00399360)
Timeframe: baseline and 12 months

Interventioncm (Mean)
No Lifestyle Modification and Placebo-1.9
Lifestyle Modification and Placebo-0.1
No Lifestyle Modification and Metformin0.3
Lifestyle Modification and Metformin-1.4

Reviews

7 reviews available for metformin and HIV Coinfection

ArticleYear
Metformin may be a viable adjunctive therapeutic option to potentially enhance immune reconstitution in HIV-positive immunological non-responders.
    Chinese medical journal, 2023, Sep-20, Volume: 136, Issue:18

    Topics: Antiretroviral Therapy, Highly Active; CD4 Lymphocyte Count; CD4-Positive T-Lymphocytes; Dysbiosis;

2023
Metformin effect on gut microbiota: insights for HIV-related inflammation.
    AIDS research and therapy, 2020, 03-10, Volume: 17, Issue:1

    Topics: Animals; Clinical Trials as Topic; Diabetes Mellitus; Disease Models, Animal; Dysbiosis; Gastrointes

2020
The Bacterium
    Frontiers in immunology, 2020, Volume: 11

    Topics: Akkermansia; Anti-Retroviral Agents; CD4-Positive T-Lymphocytes; Dysbiosis; Gram-Negative Bacterial

2020
Interventions to Address Medical Conditions and Health-Risk Behaviors Among Persons With Serious Mental Illness: A Comprehensive Review.
    Schizophrenia bulletin, 2016, Volume: 42, Issue:1

    Topics: Behavior Therapy; Bipolar Disorder; Bupropion; Cardiovascular Diseases; Diabetes Mellitus; Dopamine

2016
Metformin: new understandings, new uses.
    Drugs, 2003, Volume: 63, Issue:18

    Topics: Anti-Obesity Agents; Clinical Trials as Topic; Diabetes Mellitus, Type 2; Fatty Liver; Female; HIV I

2003
Metformin: new understandings, new uses.
    Drugs, 2003, Volume: 63, Issue:18

    Topics: Anti-Obesity Agents; Clinical Trials as Topic; Diabetes Mellitus, Type 2; Fatty Liver; Female; HIV I

2003
Metformin: new understandings, new uses.
    Drugs, 2003, Volume: 63, Issue:18

    Topics: Anti-Obesity Agents; Clinical Trials as Topic; Diabetes Mellitus, Type 2; Fatty Liver; Female; HIV I

2003
Metformin: new understandings, new uses.
    Drugs, 2003, Volume: 63, Issue:18

    Topics: Anti-Obesity Agents; Clinical Trials as Topic; Diabetes Mellitus, Type 2; Fatty Liver; Female; HIV I

2003
Therapeutic approaches to combating lipoatrophy: do they work?
    The Journal of antimicrobial chemotherapy, 2005, Volume: 55, Issue:5

    Topics: Antiretroviral Therapy, Highly Active; HIV Infections; HIV-Associated Lipodystrophy Syndrome; Humans

2005
Antiretroviral therapy and the human immunodeficiency virus--improved survival but at what cost?
    Diabetes, obesity & metabolism, 2008, Volume: 10, Issue:6

    Topics: Antiretroviral Therapy, Highly Active; Atherosclerosis; Cardiovascular Diseases; Diabetes Mellitus,

2008

Trials

19 trials available for metformin and HIV Coinfection

ArticleYear
Metformin for the prevention of diabetes among people with HIV and either impaired fasting glucose or impaired glucose tolerance (prediabetes) in Tanzania: a Phase II randomised placebo-controlled trial.
    Diabetologia, 2023, Volume: 66, Issue:10

    Topics: Adolescent; Adult; Blood Glucose; COVID-19; Diabetes Mellitus, Type 2; Double-Blind Method; Fasting;

2023
Effects of Brief Adjunctive Metformin Therapy in Virologically Suppressed HIV-Infected Adults on Polyfunctional HIV-Specific CD8 T Cell Responses to PD-L1 Blockade.
    AIDS research and human retroviruses, 2021, Volume: 37, Issue:1

    Topics: B7-H1 Antigen; CD4 Lymphocyte Count; CD8-Positive T-Lymphocytes; HIV Infections; Humans; Male; Metfo

2021
Effects of lifestyle modification and metformin on irisin and FGF21 among HIV-infected subjects with the metabolic syndrome.
    Clinical endocrinology, 2015, Volume: 82, Issue:5

    Topics: Adipose Tissue, Brown; Adolescent; Adult; Aged; Body Composition; Body Mass Index; Female; Fibroblas

2015
Improving treatment and liver fibrosis outcomes with metformin in HCV-HIV co-infected and HCV mono-infected patients with insulin resistance: study protocol for a randomized controlled trial.
    Trials, 2016, 07-20, Volume: 17, Issue:1

    Topics: Clinical Protocols; Coinfection; Hepatitis C; HIV Infections; Humans; Insulin Resistance; Liver Cirr

2016
Improving treatment and liver fibrosis outcomes with metformin in HCV-HIV co-infected and HCV mono-infected patients with insulin resistance: study protocol for a randomized controlled trial.
    Trials, 2016, 07-20, Volume: 17, Issue:1

    Topics: Clinical Protocols; Coinfection; Hepatitis C; HIV Infections; Humans; Insulin Resistance; Liver Cirr

2016
Improving treatment and liver fibrosis outcomes with metformin in HCV-HIV co-infected and HCV mono-infected patients with insulin resistance: study protocol for a randomized controlled trial.
    Trials, 2016, 07-20, Volume: 17, Issue:1

    Topics: Clinical Protocols; Coinfection; Hepatitis C; HIV Infections; Humans; Insulin Resistance; Liver Cirr

2016
Improving treatment and liver fibrosis outcomes with metformin in HCV-HIV co-infected and HCV mono-infected patients with insulin resistance: study protocol for a randomized controlled trial.
    Trials, 2016, 07-20, Volume: 17, Issue:1

    Topics: Clinical Protocols; Coinfection; Hepatitis C; HIV Infections; Humans; Insulin Resistance; Liver Cirr

2016
Improving treatment and liver fibrosis outcomes with metformin in HCV-HIV co-infected and HCV mono-infected patients with insulin resistance: study protocol for a randomized controlled trial.
    Trials, 2016, 07-20, Volume: 17, Issue:1

    Topics: Clinical Protocols; Coinfection; Hepatitis C; HIV Infections; Humans; Insulin Resistance; Liver Cirr

2016
Improving treatment and liver fibrosis outcomes with metformin in HCV-HIV co-infected and HCV mono-infected patients with insulin resistance: study protocol for a randomized controlled trial.
    Trials, 2016, 07-20, Volume: 17, Issue:1

    Topics: Clinical Protocols; Coinfection; Hepatitis C; HIV Infections; Humans; Insulin Resistance; Liver Cirr

2016
Improving treatment and liver fibrosis outcomes with metformin in HCV-HIV co-infected and HCV mono-infected patients with insulin resistance: study protocol for a randomized controlled trial.
    Trials, 2016, 07-20, Volume: 17, Issue:1

    Topics: Clinical Protocols; Coinfection; Hepatitis C; HIV Infections; Humans; Insulin Resistance; Liver Cirr

2016
Improving treatment and liver fibrosis outcomes with metformin in HCV-HIV co-infected and HCV mono-infected patients with insulin resistance: study protocol for a randomized controlled trial.
    Trials, 2016, 07-20, Volume: 17, Issue:1

    Topics: Clinical Protocols; Coinfection; Hepatitis C; HIV Infections; Humans; Insulin Resistance; Liver Cirr

2016
Improving treatment and liver fibrosis outcomes with metformin in HCV-HIV co-infected and HCV mono-infected patients with insulin resistance: study protocol for a randomized controlled trial.
    Trials, 2016, 07-20, Volume: 17, Issue:1

    Topics: Clinical Protocols; Coinfection; Hepatitis C; HIV Infections; Humans; Insulin Resistance; Liver Cirr

2016
Effects of lifestyle modification and metformin on atherosclerotic indices among HIV-infected patients with the metabolic syndrome.
    AIDS (London, England), 2012, Mar-13, Volume: 26, Issue:5

    Topics: Adolescent; Adult; Aged; Atherosclerosis; Female; HIV Infections; Humans; Hypoglycemic Agents; Life

2012
Side effects. Metformin for blood sugar problems.
    TreatmentUpdate, 2000, Volume: 12, Issue:7

    Topics: Blood Glucose; CD4 Lymphocyte Count; Female; HIV Infections; HIV Protease Inhibitors; Humans; Hypogl

2000
Encouraging Metformin data reported by researchers.
    Positive living (Los Angeles, Calif.), 2000, Volume: 9, Issue:10

    Topics: CD4 Lymphocyte Count; HIV Infections; Humans; Hypoglycemic Agents; Insulin Resistance; Metformin; Vi

2000
Sustained benefits of metformin therapy on markers of cardiovascular risk in human immunodeficiency virus-infected patients with fat redistribution and insulin resistance.
    The Journal of clinical endocrinology and metabolism, 2002, Volume: 87, Issue:10

    Topics: Adipose Tissue; Adult; Biomarkers; Blood Glucose; Body Composition; Body Mass Index; Cardiovascular

2002
Effects of metformin or gemfibrozil on the lipodystrophy of HIV-infected patients receiving protease inhibitors.
    Antiviral therapy, 2003, Volume: 8, Issue:5

    Topics: Adult; Antiretroviral Therapy, Highly Active; Body Constitution; Double-Blind Method; Female; Gemfib

2003
Differential effects of metformin and exercise on muscle adiposity and metabolic indices in human immunodeficiency virus-infected patients.
    The Journal of clinical endocrinology and metabolism, 2004, Volume: 89, Issue:5

    Topics: Adipose Tissue; Adult; Female; HIV Infections; Humans; Hypoglycemic Agents; Insulin; Male; Metformin

2004
Comparison of rosiglitazone and metformin for treating HIV lipodystrophy: a randomized trial.
    Annals of internal medicine, 2005, Sep-06, Volume: 143, Issue:5

    Topics: Adipose Tissue; Adolescent; Adult; Aged; Blood Glucose; Brachial Artery; Endothelium, Vascular; Fatt

2005
Effect of metformin and rosiglitazone on lipid metabolism in HIV infected patients receiving protease inhibitor containing HAART.
    Acta dermatovenerologica Alpina, Pannonica, et Adriatica, 2005, Volume: 14, Issue:3

    Topics: Adult; Antiretroviral Therapy, Highly Active; Cholesterol, HDL; Cholesterol, LDL; HIV Infections; Hu

2005
Effects of rosiglitazone and metformin on postprandial paraoxonase-1 and monocyte chemoattractant protein-1 in human immunodeficiency virus-infected patients with lipodystrophy.
    European journal of pharmacology, 2006, Aug-21, Volume: 544, Issue:1-3

    Topics: Adult; Anti-Inflammatory Agents; Antioxidants; Aryldialkylphosphatase; Chemokine CCL2; Cholesterol,

2006
Effects of metformin and rosiglitazone in HIV-infected patients with hyperinsulinemia and elevated waist/hip ratio.
    AIDS (London, England), 2007, Jan-02, Volume: 21, Issue:1

    Topics: Adult; Body Composition; Drug Administration Schedule; Drug Therapy, Combination; Female; HIV Infect

2007
A randomized placebo-controlled trial of metformin for the treatment of HIV lipodystrophy.
    HIV medicine, 2007, Volume: 8, Issue:7

    Topics: Adipose Tissue; Adiposity; Adult; Area Under Curve; Female; HIV Infections; HIV-Associated Lipodystr

2007
Effect of rosiglitazone and metformin on insulin resistance in patients infected with human immunodeficiency virus receiving highly active antiretroviral therapy containing protease inhibitor: randomized prospective controlled clinical trial.
    Croatian medical journal, 2007, Volume: 48, Issue:6

    Topics: Adolescent; Adult; Antiretroviral Therapy, Highly Active; Blood Glucose; Drug Administration Schedul

2007
Effects of metformin on insulin resistance and central adiposity in patients receiving effective protease inhibitor therapy.
    AIDS (London, England), 1999, May-28, Volume: 13, Issue:8

    Topics: Adipose Tissue; Adult; Anti-HIV Agents; Body Composition; Female; HIV Infections; HIV Protease Inhib

1999
Metformin in the treatment of HIV lipodystrophy syndrome: A randomized controlled trial.
    JAMA, 2000, Jul-26, Volume: 284, Issue:4

    Topics: Adult; Area Under Curve; Blood Glucose; Double-Blind Method; Female; HIV Infections; Humans; Hyperin

2000
Increased PAI-1 and tPA antigen levels are reduced with metformin therapy in HIV-infected patients with fat redistribution and insulin resistance.
    The Journal of clinical endocrinology and metabolism, 2001, Volume: 86, Issue:2

    Topics: Adipose Tissue; Adult; Cross-Sectional Studies; Female; HIV Infections; Humans; Hypoglycemic Agents;

2001

Other Studies

24 other studies available for metformin and HIV Coinfection

ArticleYear
Efficacy of Dulaglutide in a Patient With Type 2 Diabetes, High Cardiovascular Risk, and HIV: A Case Report.
    Frontiers in endocrinology, 2022, Volume: 13

    Topics: Cardiovascular Diseases; Diabetes Mellitus, Type 2; Female; Glucagon-Like Peptide-1 Receptor; Glucag

2022
Association Between Metformin Use and Cognitive and Physical Function in Persons with HIV and Diabetes.
    AIDS research and human retroviruses, 2023, Volume: 39, Issue:6

    Topics: Aged; Aged, 80 and over; Cognition; Cross-Sectional Studies; Diabetes Mellitus; Frailty; HIV Infecti

2023
Elevated CD54 Expression Renders CD4+ T Cells Susceptible to Natural Killer Cell-Mediated Killing.
    The Journal of infectious diseases, 2019, 11-06, Volume: 220, Issue:12

    Topics: Adult; CD4 Lymphocyte Count; CD4-Positive T-Lymphocytes; Cell Communication; Cytotoxicity, Immunolog

2019
Trends in medication adherence in HIV patients in the US, 2001 to 2012: an observational cohort study.
    Journal of the International AIDS Society, 2019, Volume: 22, Issue:8

    Topics: Adult; Angiotensin Receptor Antagonists; Angiotensin-Converting Enzyme Inhibitors; Anti-HIV Agents;

2019
Lack of clinically relevant interactions between bictegravir and metformin in persons with diabetes and HIV.
    The Journal of antimicrobial chemotherapy, 2021, 06-18, Volume: 76, Issue:7

    Topics: Amides; Diabetes Mellitus; Heterocyclic Compounds, 3-Ring; Heterocyclic Compounds, 4 or More Rings;

2021
Multi-omics analyses reveal that HIV-1 alters CD4
    Nature immunology, 2021, Volume: 22, Issue:4

    Topics: Animals; Antiviral Agents; CD4-Positive T-Lymphocytes; Disease Models, Animal; Female; Gene Expressi

2021
Evaluation of the concurrent use of dolutegravir and metformin in human immunodeficiency virus-infected patients.
    International journal of STD & AIDS, 2017, Volume: 28, Issue:12

    Topics: Adult; Aged; CD4 Lymphocyte Count; Creatinine; Drug-Related Side Effects and Adverse Reactions; Fema

2017
Dolutegravir and metformin: a case of hyperlactatemia.
    AIDS (London, England), 2017, Sep-24, Volume: 31, Issue:15

    Topics: Aged; Drug Interactions; Drug Therapy, Combination; Female; Heterocyclic Compounds, 3-Ring; HIV Infe

2017
Dolutegravir and metformin: a clinically relevant or just a pharmacokinetic interaction?
    AIDS (London, England), 2018, 02-20, Volume: 32, Issue:4

    Topics: Heterocyclic Compounds, 3-Ring; HIV Infections; Humans; Hyperlactatemia; Metformin; Oxazines; Pipera

2018
Effect of metformin on the size of the HIV reservoir in non-diabetic ART-treated individuals: single-arm non-randomised Lilac pilot study protocol.
    BMJ open, 2019, 04-20, Volume: 9, Issue:4

    Topics: Adult; Anti-HIV Agents; Disease Reservoirs; Female; HIV Infections; HIV-1; Humans; Male; Metformin;

2019
Metabolic stress in infected cells may represent a therapeutic target for human immunodeficiency virus infection.
    Medical hypotheses, 2013, Volume: 81, Issue:1

    Topics: Anti-HIV Agents; CD4-Positive T-Lymphocytes; Chloroquine; Genomic Instability; HIV Infections; HIV-1

2013
Cohort study of diabetes in HIV-infected adult patients: evaluating the effect of diabetes mellitus on immune reconstitution.
    Diabetes research and clinical practice, 2014, Volume: 103, Issue:3

    Topics: Adult; Antiretroviral Therapy, Highly Active; Case-Control Studies; CD4 Lymphocyte Count; CD4-Positi

2014
Comparative Effectiveness of Diabetic Oral Medications Among HIV-Infected and HIV-Uninfected Veterans.
    Diabetes care, 2017, Volume: 40, Issue:2

    Topics: Adult; Black or African American; Blood Glucose; Body Mass Index; Comparative Effectiveness Research

2017
How Relevant is the Interaction Between Dolutegravir and Metformin in Real Life?
    Journal of acquired immune deficiency syndromes (1999), 2017, 05-01, Volume: 75, Issue:1

    Topics: Area Under Curve; CD4 Lymphocyte Count; Diabetes Mellitus, Type 2; Drug Interactions; Drug Therapy,

2017
Lactic acidosis after concomitant treatment with metformin and tenofovir in a patient with HIV infection.
    Journal of renal care, 2011, Volume: 37, Issue:1

    Topics: Acidosis, Lactic; Acute Kidney Injury; Adenine; Aged; Anti-HIV Agents; Diabetes Mellitus, Type 2; Dr

2011
Exenatide improves weight loss insulin sensitivity and β-cell function following administration to a type 2 diabetic HIV patient on antiretroviral therapy.
    Annales d'endocrinologie, 2011, Volume: 72, Issue:3

    Topics: Adipose Tissue; Antiretroviral Therapy, Highly Active; Carbamates; Diabetes Mellitus, Type 2; Drug T

2011
A case of lactic acidosis (LA) after administration of tenofovir and metformin in a diabetic patient with recently diagnosed HIV infection.
    Journal of renal care, 2011, Volume: 37, Issue:3

    Topics: Acidosis, Lactic; Adenine; Anti-HIV Agents; Diabetes Mellitus, Type 2; HIV Infections; Humans; Hypog

2011
Metformin: a cheap and well-tolerated drug that provides benefits for viral infections.
    HIV medicine, 2013, Volume: 14, Issue:4

    Topics: Adult; Ataxia Telangiectasia Mutated Proteins; Cell Cycle Proteins; Coinfection; Cytomegalovirus; Cy

2013
Body habitus changes related to lipodystrophy.
    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2003, Apr-01, Volume: 36, Issue:Suppl 2

    Topics: Androgens; Exercise; Growth Hormone; HIV Infections; Humans; Incidence; Lipodystrophy; Metformin; Pr

2003
Summaries for patients. HIV lipodystrophy: rosiglitazone or metformin?
    Annals of internal medicine, 2005, Sep-06, Volume: 143, Issue:5

    Topics: Adipose Tissue; Adolescent; Adult; Aged; Blood Glucose; Brachial Artery; Endothelium, Vascular; Fatt

2005
Apparent resolution of type 2 diabetes mellitus after initiation of potent antiretroviral therapy in a man from Africa with HIV infection.
    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2006, May-15, Volume: 42, Issue:10

    Topics: Antiretroviral Therapy, Highly Active; Diabetes Mellitus, Type 2; Drug Therapy, Combination; Glyburi

2006
From the Food and Drug Administration.
    JAMA, 1995, Feb-22, Volume: 273, Issue:8

    Topics: Alcoholism; Diabetes Mellitus, Type 2; Drug Approval; Enzyme-Linked Immunosorbent Assay; HIV Antibod

1995
How to manage metabolic complications of HIV therapy: what to do while we wait for answers.
    The AIDS reader, 2000, Volume: 10, Issue:3

    Topics: Anabolic Agents; Anti-HIV Agents; Anticholesteremic Agents; Atorvastatin; Exercise Therapy; Gemfibro

2000
Metabolic alterations in HIV lipodystrophy. IAPAC sessions 2001, July 18-19, 2001 - Chicago.
    IAPAC monthly, 2001, Volume: 7, Issue:8

    Topics: Acidosis; Anti-HIV Agents; Bone Diseases, Metabolic; Cost-Benefit Analysis; Glucose; Glucose Intoler

2001