About this trial
Among people living with HIV, heavy drinking increases the risk of heart disease and death. Studies suggest that alcohol changes the number and kind of bacteria in your gut and these changes increase the risk of heart disease and death. This randomized controlled trial will determine whether a pill containing healthy gut bacteria can increase the number good bacteria in the gut, lower levels of inflammation, and lower the risk of heart disease and death.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
HIV infected
Disqualifiers
Not fluent in English
Trial design
Parallel
Treatments tested in this trial
Probiotic
Dietary supplementDietary supplement
Placebo
Dietary supplementPlacebo sachet
Treatment groups
Trial outcomes
Primary outcomes
Firmicutes to Bacteroidetes ratio
Dysbiosis
Secondary outcomes
Intestinal permeability
measuring levels of butyrate, deoxycholic acid:cholic acid ratio, and TMAO
Firmicutes to Bacteroidetes ratio
Dysbiosis measurement
Microbial Translocation
measuring plasma lipopolysaccharide binding protein
Inflammation
measuring plasma for interleukin 6 \[IL-6\], D-dimer, and sCD14
Other outcomes
Mortality
Veterans Aging Cohort Study Index Score (lower scores are better and higher scores are worse) (ranges from 0-164)
CVD risk
Reynolds Risk Score (the higher the score the higher the risk) (ranges from 100-400 mg/dL)
Sponsors and contacts
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Vanderbilt University Medical Center
Lead sponsor
University of Louisville
Collaborator
Boston University
Collaborator