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GL1DER HIV RCT

RecruitingPhase 2

GLP-1 Receptor Agonists to Decrease Ethanol and CVD Risk in HIV

GLP-1 Receptor Agonists to Decrease Ethanol and CVD Risk in HIV - GL1DER HIV RCT

Asset

Semaglutide

GLP-1 agonist

Listed sites

1

Recruiting sites

1

Enrollment

200

estimated

Study population

Alcohol / substance use, HIV

Key I/E criterion

BMI ≥23

Primary endpoint

Alcohol consumption, change

Footprint

Where this trial recruits

Site locations as reported to ClinicalTrials.gov. Site count is not enrollment count; per-site enrollment is not available from source.

Identifiers

Registered as

NCT IDNCT07221214
Org study ID1P60AA032176

Timeline

Milestones

Study first posted2025-10-27actual
Study start2026-04-17actual
Last update posted2026-05-26actual
Primary completion2029-10-31estimated
Study completion2030-01-31estimated

Assets

Investigational agents

Study populations

Who this study enrolls

Alcohol / substance useHIV

Eligibility

Who can enroll

Minimum age18 Years
Maximum age89 Years
SexAll
Healthy volunteersNot accepted

Inclusion criteria

Ages 18-89
Prior diagnosis of HIV-1
Affiliated with Vanderbilt Comprehensive Care Clinic
On current ART regimen for at least 90 days prior to study entry with no missed doses for at least 7 consecutive days.
Most recent absolute CD4 count ≥ 300 cells/mm3 and drawn within 12 months of study enrollment
BMI ≥ 23 (calculated at screening)
Self-report of consuming alcohol in past 90 days
AUDIT-C ≥ 3 (male)/ ≥ 2 (female)
Has an established stable address at which they can receive mail and can be reached for the next 6 months
Willing and able to complete study procedures and follow-ups

Exclusion criteria

Known allergy to semaglutide
Currently taking GLP-1 RA (in the past 3 months)
History of diabetes defined by diagnosis in Problems List in medical record
History of pancreatitis
History of gastroparesis
Gallbladder disease (in the past 3 months)
History of medullary thyroid carcinoma
Family history of medullary thyroid carcinoma
History of multiple endocrine neoplasia syndrome type 2
Family history of multiple endocrine neoplasia syndrome type 2
Cognitive inability to consent
Barrier to speaking, hearing, reading, or writing English
Pregnant or breastfeeding, or planning to become pregnant in the next 6 months
Too ill to complete study procedures

Endpoints (3)

What's being measured

Protocol endpoints and posted registry outcome measures, grouped into outcome categories. Composite endpoints show their component event types. Standard codes (LOINC, SNOMED CT) are shown where available.

Coverage by outcome category

Other clinical outcomes
2
Other (unclassified)
1

Other clinical outcomes

2 endpoints
Primary/protocol endpoint

Average drinks/week past 30 days at 3 months

Time frame:3 Months

Alcohol consumption, change

change from baseline, improvement

Secondary/protocol endpoint

Average cigarettes per day (cpd) past 30 days at 3 months

Time frame:3 Months

descriptive, improvement

Other (unclassified)

1 endpoint
Secondary/protocol endpoint/low confidence

Systemic inflammation (IL-6) at 3 months

Time frame:6 Months

change from baseline, improvement

Provenance

Sources

Trial identity, design, statusClinicalTrials.gov API v2
Snapshot dateJuly 1, 2026
Endpoint classificationDelfa endpoint taxonomy v2 (May 13, 2026)
Results tableno registry results posted yet

Trial facts come from public ClinicalTrials.gov records. Endpoint categories are Delfa's classification of those records, not a ClinicalTrials.gov field. All figures reflect the July 1, 2026 snapshot.