TAILoR (telmisartan and insulin resistance in human immunodeficiency virus [HIV]): An adaptive-design, dose-ranging phase 2b randomized trial of telmisartan for the reduction of insulin resistance in HIV-positive individuals on combination antiretroviral
Clinical Infectious Diseases May 09, 2020
Pushpakom S, Kolamunnage-Dona R, Taylor C, et al. - Researchers here examined if insulin resistance in human immunodeficiency virus (HIV)–positive individuals on antiretrovirals could be reduced using telmisartan. They conducted a multicenter, randomized, open-label, dose-ranging controlled trial randomizing 377 HIV–positive individuals on antiretroviral therapy to either no intervention (control) or 20, 40, or 80 mg telmisartan once daily. Per outcomes, telmisartan did not show any significant effect on the homeostasis model assessment of insulin resistance, however, it led to marginal improvements in revised Quantitative Insulin Sensitivity Check Index and plasma hs-CRP and a reduction in liver fat content.
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