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RecruitingSystemic InflammationImmune DysregulationInjection Drug Use

Assessment of Metformin for Restoration of Immune Homeostasis in HIV+ and HIV- Individuals With a History of Injection Drug Use

Eligible age

18–64 yrs

Accepts

All genders

Locations

1 state

Healthy volunteers

No

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About this study

This randomized clinical trial (RCT) evaluates whether metformin can reduce systemic inflammation and improve immune function in individuals with a history of injection drug use, with or without HIV. Participants will receive metformin or placebo and undergo immune system assessments, including vaccine response evaluations.

Sponsor: University of Alabama at Birmingham

You may qualify if…

  • Provision of signed and dated informed consent.
  • Stated willingness to comply with all study procedures and availability for the study duration.
  • Aged 18 to 64 years old.
  • Weight of at least 110 lbs.
  • Body Mass Index (BMI) of 18.5-40. Enrollment of individuals with BMI \>40, deemed in good health, may be considered with approval.
  • Willingness to receive Jynneos (MPOX) and Capvaxvie vaccines.
  • Ability to take oral medication and willingness to adhere to the metformin treatment regimen.
  • History of injection opioid, amphetamine, and/or cocaine use within the past 10 years (self-report).

You may not qualify if…

  • Inability to give informed consent.
  • Refusal or inability to have blood drawn.
  • Bleeding disorder diagnosed by a doctor (e.g., factor deficiency, coagulopathy, platelet disorder requiring precautions).
  • Pregnant or nursing individuals.
  • Diabetes mellitus.
  • History of severe renal impairment or eGFR \<60 mL/min/1.73m².
  • Creatinine clearance \<60 mL/min.
  • History of liver disease.

Where it's recruiting

Alabama

Birmingham

Source: ClinicalTrials.gov · NCT06829238 · last updated 2026-04-22