HIVPhase 2IPACE-HIVNCT07144293
Improving Physical Ability and Cellular Senescence Elimination in HIV
A Phase 2 study testing Dasatinib and Quercetin in people with HIV and Frailty, run by National Institute of Allergy and Infectious Diseases (NIAID) at 24 sites in United States.
Trial summary
This clinical trial is a Phase II study designed to test the safety and effectiveness of a combination of dasatinib and quercetin (D+Q) in improving physical function for people with HIV who are frail or prefrail. Read more about this study
- Who is it for?
- Ages 50 years and older
- What is being tested?
- Dasatinib and Quercetin
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 82 participants
- Where
- 24 sitesUnited States
- Study dates
- 4 Dec 2025to 26 Aug 2026
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 50 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Must be an older person with confirmed diagnosis of HIV-1, defined as ≥ 50 years at study entry.
- Must have been diagnosed with HIV at least 10 years ago, as confirmed by medical records or self-report.
- Must be on a stable effective combination antiretroviral therapy (ART) regimen, with no changes in the regimen within 12 weeks before joining the study with 2 or more consecutive HIV-RNA levels < 50 copies/mL within 48 weeks prior to study entry.
- Must meet one or more Fried Frailty Phenotype criteria w/in 60 days prior to entry.
- Must have eGFR > 30 using CKD-EPI per 2021 calculation equation.
Who cannot join
- Have used quercetin or dasatinib before.
- Need to take medications that affect CYP3A4 or interact with dasatinib (e.g., certain HIV medications).
- Have an active cancer (except non-melanoma skin cancer).
- Have active liver disease with a Child Pugh score greater than 6, or other significant liver problems.
- Are on dialysis or have had a kidney transplant.
- Have had a heart attack, angina, stroke, or mini-stroke in the last 6 months.
Show all 10Show fewer
- Have a known history of pulmonary arterial hypertension or other respiratory disease requiring supplemental oxygen within 60 days before joining the study.
- Have uncontrolled diabetes with an HgbA1c level greater than 8% within 60 days before joining the study.
- Have substance use that might interfere with study participation, as determined by the site investigator.
- Have had a significant illness within 60 days before joining the study.
Trial locations and contacts
24 sites in 1 country.
24 sites in 1 country
United States24 sites
University of Colorado Hospital CRS (Site ID: 6101)
Aurora, Colorado, 80045
Massachusetts General Hospital CRS (MGH CRS) (Site ID: 101)
Boston, Massachusetts, 02114
Brigham and Women's Hospital Therapeutics Clinical Research Site (BWH TCRS) CRS (Site ID: 107)
Boston, Massachusetts, 02115
Chapel Hill CRS (Site ID: 3201)
Chapel Hill, North Carolina, 27599
Cincinnati CRS (Site ID: 2401)
Cincinnati, Ohio, 45267-0405
Case CRS (Site ID: 2501)
Cleveland, Ohio, 44106
Ohio State University CRS (Site ID: 2301)
Columbus, Ohio, 43210
Greensboro CRS (Site ID: 3203)
Greensboro, North Carolina, 27401
Houston Advancing Research Team CRS (Site ID: 31473)
Houston, Texas, 77030
University of California, Los Angeles CARE Center CRS (Site ID: 601)
Los Angeles, California, 90035-4709
Vanderbilt Therapeutics (VT) CRS (Site ID: 3652)
Nashville, Tennessee, 37204
Weill Cornell Chelsea CRS (Site ID: 7804)
New York, New York, 10010
Columbia Physicians & Surgeons (P&S) CRS (Site ID: 30329)
New York, New York, 10032
Weill Cornell Uptown CRS (Site ID: 7803)
New York, New York, 10065
New Jersey Medical School Clinical Research Center CRS (Site ID: 31786)
Newark, New Jersey, 07103
Penn Therapeutics CRS (Site ID: 6201)
Philadelphia, Pennsylvania, 19104
University of Pittsburgh CRS (Site ID: 1001)
Pittsburgh, Pennsylvania, 15213
University of Rochester Adult HIV Therapeutic Strategies Network CRS (Site ID: 31787)
Rochester, New York, 14642
UCSD Antiviral Research Center CRS (Site ID: 701)
San Diego, California, 92103
University of California, San Francisco HIV/AIDS CRS (Site ID: 801)
San Francisco, California, 94143
University of Washington Positive Research CRS (Site ID: 1401)
Seattle, Washington, 98104-9929
Washington University Therapeutics (WT) CRS (Site ID: 2101)
St Louis, Missouri, 63110-1010
Harbor University of California Los Angeles Center CRS (Site ID: 603)
Torrance, California, 90502
Whitman-Walker Institute, Inc. CRS (Site ID: 31791)
Washington D.C., District of Columbia, 20009
About this study
This clinical trial is a Phase II study designed to test the safety and effectiveness of a combination of dasatinib and quercetin (D+Q) in improving physical function for people with HIV who are frail or prefrail. The study will involve 80 participants, all aged 50 or older, who have been living with HIV for at least 10 years determined to meet criteria for diagnosis of frail or prefrail and are currently on a stable antiretroviral therapy with viral suppression.
Participants will be randomly assigned to one of two groups: one group will receive the D+Q treatment, and the other will receive a placebo. The treatment will be given in six cycles over 12 weeks, with participants taking the medication for two days followed by 12 days without treatment. After the 12-week treatment period, participants will be monitored for another 12 weeks to assess the long-term effects.
The study aims to determine if D+Q can improve physical function and other health outcomes in this population. Randomization will be stratified by sex and age to ensure balanced groups.
- Conditions
- HIV, Frailty, Prefrail, Aging Problems
- Being tested
- Dasatinib, Quercetin, Placebo - Dasatinib, Placebo - Quercetin
- Keywords
- Frailty, Prefrail, Physical Function, Aging, Senescence, Senolytic therapy
- Medical subject headings
- Frailty
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
DasatinibDrug
Dasatinib will be administered as one 100 mg capsule.
QuercetinDrug
Quercetin will be administered as five 250 mg capsules.
Placebo - DasatinibOther
Matching Placebo for Dasatinib will be administered as one 100 mg capsule.
Placebo - QuercetinOther
Matching Placebo for Quercetin will be administered as five 250 mg capsules.
| Study group | Role | What they receive |
|---|---|---|
| Arm A: D+Q | Experimental | Not described Receives: Drug: Dasatinib; Drug: Quercetin |
| Arm B: Placebo | Placebo comparator | Not described Receives: Other: Placebo - Dasatinib; Other: Placebo - Quercetin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Occurrence of Grade 2 or higher adverse events (AEs) after initiation of study treatment.
Measured: 24 weeks
Occurrence of premature treatment discontinuations.
Measured: 24 weeks
Absolute change in gait speed on 4-meter walk.
Measured: From Week 0 to Week 12
Secondary outcomes (13)
Absolute change in time to complete 5 chair stands.
Measured: From Week 0 to Week 12
Absolute change in Short Performance Physical Battery (SPPB) Total Balance Test score.
The Short Performance Physical Battery (SPPB) Total Balance Test scores range from a minimum of 0 to a maximum of 4. Higher scores indicate better balance performance.
Measured: From Week 0 to Week 12
Absolute change in the SPPB score.
The SPPB scores range from a minimum of 0 to a maximum of 12. Higher scores indicate better physical performance.
Measured: From Week 0 to Week 12
Absolute change in 4-meter gait speed.
Measured: From Week 0 to Week 24
Absolute change in SPPB total balance test score.
The SPPB Total Balance Test scores range from a minimum of 0 to a maximum of 4. Higher scores indicate better balance performance.
Measured: From Week 0 to Week 24
Absolute change in SPPB score.
The SPPB scores range from a minimum of 0 to a maximum of 12. Higher scores indicate better physical performance.
Measured: From Week 0 to Week 24
Absolute change in timed chair stands.
Measured: From Week 0 to Week 24
Absolute change in plasma senescence-associated secretory phenotype (SASP) biomarkers.
Measured: From Week 0 to Weeks 12 and 24
Absolute change in serum SASP biomarkers.
Measured: From Week 0 to Weeks 12 and 24
Absolute change in cognitive function on the AIDS Clinical Trials Group (ACTG) Neuropsychology Battery "Neuropsychological Battery" section
Higher scores indicate better cognitive performance.
Measured: From Week 0 to Weeks 12 and 24
Absolute change in symptoms of anxiety and depression using the Patient Health Questionnaire-9 (PHQ-9) assessments
The PHQ-9 scores range from a minimum of 0 to a maximum of 27. Lower scores indicate better mental health, while higher scores indicate more severe depression.
Measured: From Week 0 to Weeks 12 and 24
Absolute change in Veterans Aging Cohort Study (VACS) Index 2.0.
The VACS Index 2.0 scores range from a minimum of 0 to a maximum of 164. Higher scores indicate a higher risk of mortality and worse health outcomes.
Measured: From Week 0 to Weeks 12 and 24
Absolute change in participant-reported Quality of Life (QoL) on the Patient-Reported Outcomes Measurement Information System (PROMIS) QoL measure
The PROMIS QoL measure have no fixed minimum score, but scores can theoretically go as low as 0 and no fixed maximum score, but scores can theoretically go as high as 100. Higher scores indicate better quality of life.
Measured: From Week 0 to Weeks 12 and 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Aug 2025
- Study start4 Dec 2025
- Primary completion26 Aug 2026
- Study completion26 Aug 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for HIVStudies of the same condition, open and under way.
- More trials run by National Institute of Allergy and Infectious Diseases (NIAID)The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 82 participants (actual)
Sponsor and investigators
- Sponsor type
- US National Institutes of Health
- Collaborators
- National Institute on Aging (NIA)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07144293
- Sponsor's protocol ID
- A5426
- Acronym
- IPACE-HIV
- Status last verified
- Sep 2026
- First submitted
- 20 Aug 2025
- Last updated
- 15 Sep 2026
- Results posted
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Individual participant data that underlie results in the publication, after deidentification.
Study at a glance
From the registry record, last updated by the sponsor on 15 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Improving Physical Ability and Cellular Senescence Elimination in HIV
- ClinicalTrials.gov ID
- NCT07144293
- Acronym / sponsor ID
- IPACE-HIV / A5426
- Conditions
- HIV, Frailty, Prefrail, Aging Problems
- Keywords
- Frailty, Prefrail, Physical Function, Aging, Senescence, Senolytic therapy
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 82 participants (actual)
- Lead sponsor
- National Institute of Allergy and Infectious Diseases (NIAID)US National Institutes of Health
- Collaborators
- National Institute on Aging (NIA)
- Study start
- 4 Dec 2025 (actual)
- Primary completion
- 26 Aug 2026 (actual)
- Study completion
- 26 Aug 2026 (actual)
- First posted
- 27 Aug 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This clinical trial is a Phase II study designed to test the safety and effectiveness of a combination of dasatinib and quercetin (D+Q) in improving physical function for people with HIV who are frail or prefrail. The study will involve 80 participants, all aged 50 or older, who have been living with HIV for at least 10 years determined to meet criteria for diagnosis of frail or prefrail and are currently on a stable antiretroviral therapy with viral suppression.
Participants will be randomly assigned to one of two groups: one group will receive the D+Q treatment, and the other will receive a placebo. The treatment will be given in six cycles over 12 weeks, with participants taking the medication for two days followed by 12 days without treatment. After the 12-week treatment period, participants will be monitored for another 12 weeks to assess the long-term effects.
The study aims to determine if D+Q can improve physical function and other health outcomes in this population. Randomization will be stratified by sex and age to ensure balanced groups.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Arm A: D+Q | Experimental | Drug: Dasatinib, Drug: Quercetin |
| Arm B: Placebo | Placebo comparator | Other: Placebo - Dasatinib, Other: Placebo - Quercetin |
Who may qualify
- Ages
- 50 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Must be an older person with confirmed diagnosis of HIV-1, defined as ≥ 50 years at study entry.
- Must have been diagnosed with HIV at least 10 years ago, as confirmed by medical records or self-report.
- Must be on a stable effective combination antiretroviral therapy (ART) regimen, with no changes in the regimen within 12 weeks before joining the study with 2 or more consecutive HIV-RNA levels < 50 copies/mL within 48 weeks prior to study entry.
- Must meet one or more Fried Frailty Phenotype criteria w/in 60 days prior to entry.
- Must have eGFR > 30 using CKD-EPI per 2021 calculation equation.
Key exclusion criteria (10 listed)
- Have used quercetin or dasatinib before.
- Need to take medications that affect CYP3A4 or interact with dasatinib (e.g., certain HIV medications).
- Have an active cancer (except non-melanoma skin cancer).
- Have active liver disease with a Child Pugh score greater than 6, or other significant liver problems.
- Are on dialysis or have had a kidney transplant.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| DasatinibDasatinib will be administered as one 100 mg capsule. | Drug | Arm A: D+Q |
| QuercetinQuercetin will be administered as five 250 mg capsules. | Drug | Arm A: D+Q |
| Placebo - DasatinibMatching Placebo for Dasatinib will be administered as one 100 mg capsule. | Other | Arm B: Placebo |
| Placebo - QuercetinMatching Placebo for Quercetin will be administered as five 250 mg capsules. | Other | Arm B: Placebo |
Primary outcome
Occurrence of Grade 2 or higher adverse events (AEs) after initiation of study treatment.
Time frame: 24 weeks
Occurrence of premature treatment discontinuations.
Time frame: 24 weeks
Absolute change in gait speed on 4-meter walk.
Time frame: From Week 0 to Week 12
13 secondary outcomes
Absolute change in time to complete 5 chair stands.
Time frame: From Week 0 to Week 12
Absolute change in Short Performance Physical Battery (SPPB) Total Balance Test score.
Time frame: From Week 0 to Week 12
Absolute change in the SPPB score.
Time frame: From Week 0 to Week 12
Absolute change in 4-meter gait speed.
Time frame: From Week 0 to Week 24
Absolute change in SPPB total balance test score.
Time frame: From Week 0 to Week 24
Absolute change in SPPB score.
Time frame: From Week 0 to Week 24
Absolute change in timed chair stands.
Time frame: From Week 0 to Week 24
Absolute change in plasma senescence-associated secretory phenotype (SASP) biomarkers.
Time frame: From Week 0 to Weeks 12 and 24
Absolute change in serum SASP biomarkers.
Time frame: From Week 0 to Weeks 12 and 24
Absolute change in cognitive function on the AIDS Clinical Trials Group (ACTG) Neuropsychology Battery "Neuropsychological Battery" section
Time frame: From Week 0 to Weeks 12 and 24
Absolute change in symptoms of anxiety and depression using the Patient Health Questionnaire-9 (PHQ-9) assessments
Time frame: From Week 0 to Weeks 12 and 24
Absolute change in Veterans Aging Cohort Study (VACS) Index 2.0.
Time frame: From Week 0 to Weeks 12 and 24
Absolute change in participant-reported Quality of Life (QoL) on the Patient-Reported Outcomes Measurement Information System (PROMIS) QoL measure
Time frame: From Week 0 to Weeks 12 and 24
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Sep 2026.
- Individual participant dataSharing planned: Yes. Individual participant data that underlie results in the publication, after deidentification.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
24 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Dasatinib and Quercetin in people with HIV and Frailty, run by National Institute of Allergy and Infectious Diseases (NIAID) at 24 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 15 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 24 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Occurrence of Grade 2 or higher adverse events (AEs) after initiation of study treatment. (time frame: 24 weeks). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Sep 2026.