Gut Microbiome in People Living With HIV and HBV

Sponsor
Kangbuk Samsung Hospital (Other)
Overall Status
Not yet recruiting
CT.gov ID
NCT06130137
Collaborator
Kyunghee University Medical Center (Other), Hanyang University (Other)
200
49.1

Study Details

Study Description

Brief Summary

Building a Microbiome Data Platform and Conducting Clinical Evidence Research in Individuals Infected with the Human Immunodeficiency Virus (HIV) and Hepatitis B virus.

Condition or Disease Intervention/Treatment Phase

    Detailed Description

    Chronic HIV infection, which often results in metabolic disorders, leads to shifts in the gut microbiota, contributing to immune activation and chronic inflammation. This study seeks to compare the gut microbiota in individuals with chronic HIV infection and chronic hepatitis B patients. The objective is to identify specific gut bacterial strains and metabolic pathways linked to the metabolic disorders commonly observed in HIV patients.

    Study Design

    Study Type:
    Observational
    Anticipated Enrollment :
    200 participants
    Observational Model:
    Cohort
    Time Perspective:
    Prospective
    Official Title:
    Genome-based Multiomics Analysis on Gut Microbiome in People Living With HIV and HBV
    Anticipated Study Start Date :
    Nov 27, 2023
    Anticipated Primary Completion Date :
    Dec 31, 2025
    Anticipated Study Completion Date :
    Dec 31, 2027

    Arms and Interventions

    Arm Intervention/Treatment
    HIV

    Patients with HIV infection

    HBV

    Patients with HBV infection

    Outcome Measures

    Primary Outcome Measures

    1. Collect clinical information data and stool from HIV and HBV patients [2 years]

      Clinical information data will be collected from both HIV and HBV infected patients. Biosamples collected from these individuals will be used to establish a multi-omics analysis platform, including the examination of the intestinal microbiome. With this platform, comparative clinical studies will be conducted to uncover the disease's pathophysiology and identify potential biomarkers related to metabolic diseases.

    Secondary Outcome Measures

    1. Shotgun metagenomic sequencing will be done with stool collected from HIV and HBV patients [2 years]

      Diversity analysis: Alpha and beta diversity analyses are conducted to determine differences in the composition of gut microbiota between healthy individuals and patients. Important feature selection: Differential abundance analysis (e.g., using methods like LEfSe or ANCOM) or machine learning (e.g., random forest, support vector machine) is employed to identify microbiota. Functional profile prediction: In cases where metagenomic analysis is not feasible, the PICRUSt2 program is utilized to predict and analyze functional profiles based on the phylogeny of the microbiota present in healthy individuals and patients.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    19 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    1. HIV patients
    • Inidividuals over 19 years old

    • HIV patients on antiretroviral therapy (ART)

    1. HBV patients
    • Individuals over 19 years old

    • Chronic hepatitis B patients with either chronic hepatitis, liver cirrhosis or hepatocellular carcinoma

    Exclusion Criteria:
    1. Patients with indeterminate colitis

    2. Individuals who have used antibiotics or steroids within 24 hours of the microbiome sample collection (excluding antiviral treatments for hepatitis B and HIV)

    3. Individuals who have used vaginal or external medications, including antifungal agents, within 24 hours of microbiome sample collection

    4. Those with acute illnesses, with or without fever, of moderate or severe severity; however, sampling may be postponed until the subject recovers.

    5. Individuals with gastrointestinal disorders that may impact microbiome analysis and are currently medically uncontrolled or under treatment for the respective condition

    6. Individuals with a positive result in a urine pregnancy test, pregnant, or breastfeeding at the time of microbiome sample collection

    7. Individuals for whom medical opinions suspect that they may have an impact on the sample collection at the time of microbiome collection.

    Contacts and Locations

    Locations

    No locations specified.

    Sponsors and Collaborators

    • Kangbuk Samsung Hospital
    • Kyunghee University Medical Center
    • Hanyang University

    Investigators

    • Principal Investigator: Eunjeong Joo, M.D., Ph.D, Kangbuk Samsung Hospital

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Eun-Jeong Joo, M.D, Ph.D, Kangbuk Samsung Hospital
    ClinicalTrials.gov Identifier:
    NCT06130137
    Other Study ID Numbers:
    • HIVHBVgutmicrobiome
    First Posted:
    Nov 14, 2023
    Last Update Posted:
    Nov 14, 2023
    Last Verified:
    Nov 1, 2023
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Nov 14, 2023