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The Impact of Omega Three Fatty Acids on Vascular Function in HIV (HOST)

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ClinicalTrials.gov Identifier: NCT01041521
Recruitment Status : Completed
First Posted : December 31, 2009
Last Update Posted : December 15, 2016
Information provided by (Responsible Party):

Study Description
Brief Summary:
The study seeks to determine if the use of omega three fatty acids in individuals infected with HIV and with high triglycerides leads to improved triglyceride levels, better blood vessel function and decrease in the amount of obstruction in blood vessels.

Condition or disease Intervention/treatment Phase
High Triglyceride Level HIV Infection Drug: Lovaza Phase 4

Detailed Description:

While omega-three fatty acids have been shown to be beneficial for TG and HDL-C levels in HIV uninfected individuals and in some small, short duration studies in HIV-infected individuals, there are no data that extend these observations to determine whether intake of omega-three fats over a more prolonged time period will also have a beneficial impact on functional outcomes such as vascular endothelial function and anatomic surrogate markers of CVD in HIV-infected patients.

We propose a randomized, double blind trial of purified omega-three fatty acids in HIV-infected individuals with elevated levels of triglycerides. While the impact of omega-three fatty acids on lipid profiles should be evident early (within 12 weeks); we propose to conduct this trial for a full 24 months to test our overall hypothesis that this intervention will not only improve triglyceride and HDL-C levels, improve HDL-subpopulations, plasma and membrane phospholipids and decrease inflammation, but will also improve brachial artery reactivity testing (BART) as a measure of vascular endothelial function at 24 weeks and 24 months and arterial stiffness measured by a pulse wave velocity test as a surrogate marker of CVD risk at 24 months when compared to controls.

The specific aims of this proposal include:

  1. To conduct a randomized, placebo controlled trial of omega-three fatty acids over 24 months in HIV-infected individuals with elevated levels of triglycerides (> 150 mg/dl).
  2. To demonstrate the impact of omega-three fatty acid intake on TG levels and on HDL-C levels, HDL subpopulations, composition of plasma and membrane phospholipids, and chronic inflammation as measured by CRP, sPLA2 and by levels of arachidonic acid.
  3. To demonstrate the impact of omega-three fatty acid intake on BART at 24 weeks and 24 months and on arterial stiffness at 24 months.

Study Design

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 129 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: The Impact of Omega Three Fatty Acids on Vascular Function in HIV
Study Start Date : January 2010
Primary Completion Date : August 2014
Study Completion Date : August 2015

Resource links provided by the National Library of Medicine

MedlinePlus related topics: HIV/AIDS
U.S. FDA Resources

Arms and Interventions

Arm Intervention/treatment
Experimental: Lovaza (omega three fatty acid)

Lovaza at a dose of 4g per day with each 1g capsule containing approximately 465 mg of eicosapentaenoic acid (EPA) and 375 docosahexaenoic acid (DHA) for 12 weeks.

Other Names:

Lovaza was previously known as Omacor (omega-3-acid ethyl esters) capsules

Drug: Lovaza
Lovaza at a dose of 4g per day with each 1g capsule containing approximately 465 mg of eicosapentaenoic acid (EPA) and 375 docosahexaenoic acid (DHA) for 24 months
Other Names:
  • omega three fatty acids
  • previously known as Omacor
No Intervention: sugar pill

Dietary Supplement: sugar pill

2 capsules given twice daily Arms: sugar pill

Outcome Measures

Primary Outcome Measures :
  1. triglyceride level [ Time Frame: 24 months ]

Secondary Outcome Measures :
  1. vascular function [ Time Frame: 6 months and 24 months ]

Eligibility Criteria

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • HIV-infected men and women at least 18 years of age,
  • On stable HAART for the previous two months and without anticipated changes in their HAART regimen throughout the duration of the study,
  • Fasting triglycerides > 150 mg/dl and < 2,500 mg/dl
  • Participants may be on lipid lowering therapy; if on lipid lowering therapy, therapy must be stable for 8 weeks and cannot be changed during the course of the study.
  • Participants may be on beta blockers (e.g., Atenolol, Metoprolol, Propranolol), and Estrogens (e.g., Estinyl; Estrace; Estraderm), however therapy with these agents must be stable for 8 weeks before starting the study and cannot be altered while on study unless deemed medically necessary by the participant's medical provider and approved by Dr. Wanke.
  • Female participants of reproductive age must not be pregnant (negative test) or lactating at screening and throughout the trial and agree to use contraception for the course of the trial and 2 months after the trial unless they are surgically sterilized (tubal ligation or hysterectomy), or post-menopausal with no menses for > 1 year.
  • Ability to provide consent.

Exclusion Criteria:

  • plasma HIV-1 RNA > 10,000 copies/ml
  • change in HAART regimen over two months prior to study entry
  • change in lipid lowering therapy within 2 months (8 weeks)
  • Pregnancy in female participants
  • Evidence of liver or renal disease with values of liver enzymes > 5 X upper limit of normal or creatinine > 1.5 X upper limit of normal
  • presence of active opportunistic infection or malignancy
  • presence of other inflammatory or end organ disease (, rheumatoid arthritis, active treatment for hepatitis c, or other diseases that may alter inflammatory markers)
  • routine ingestion of fish oil (individuals who have used fish oil would be reconsidered for study participation if they discontinue use of fish oil for 8 weeks and TG levels remain elevated).
  • Allergic to fish or Lovaza
  • BMI >35
Contacts and Locations

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01041521

United States, Massachusetts
Tufts University School of Medicine
Boston, Massachusetts, United States, 02111
Sponsors and Collaborators
Christine A. Wanke
National Heart, Lung, and Blood Institute (NHLBI)
Principal Investigator: Christine A Wanke, MD Tufts University
More Information

Responsible Party: Christine A. Wanke, Public Health & Community Medicine, Tufts University
ClinicalTrials.gov Identifier: NCT01041521     History of Changes
Other Study ID Numbers: LVZ112667
1R01HL096585-01A1 ( U.S. NIH Grant/Contract )
First Posted: December 31, 2009    Key Record Dates
Last Update Posted: December 15, 2016
Last Verified: December 2016

Keywords provided by Christine A. Wanke, Tufts University:
HIV infection
Elevated Triglyceride level
vascular function (BART)
arterial stiffness
omega three fatty acids
complementary therapies

Additional relevant MeSH terms:
HIV Infections
Lentivirus Infections
Retroviridae Infections
RNA Virus Infections
Virus Diseases
Sexually Transmitted Diseases, Viral
Sexually Transmitted Diseases
Immunologic Deficiency Syndromes
Immune System Diseases
Lipid Metabolism Disorders
Metabolic Diseases