Improving gut bacteria to lower heart disease risk in people with HIV who drink heavily

Microbiome, Metabolites, and Alcohol in HIV to Reduce CVD (META HIV CVD)

NIH-funded research Vanderbilt University Medical Center · NIH-11169828

A tailored probiotic is being given to people with HIV who drink heavily to improve gut bacteria and lower their chance of heart disease.

Quick facts

Grant typeP01 program project
Study typeNIH-funded research
Funding institutionVanderbilt University Medical Center NIH-funded
Lab location1 site (Nashville, United States)
Project IDNIH-11169828 on NIH RePORTER

What this research studies

You would be part of research that gives a specially chosen probiotic designed to boost butyrate-producing bacteria to try to fix alcohol-related gut problems that may harm the heart. One part is a randomized trial of 250 people at Vanderbilt where participants receive either the probiotic or a placebo and have blood and stool tests to measure inflammation and harmful metabolites like TMAO. Another part follows about 2,900 veterans over time to see whether these gut-related metabolites predict heart disease and death. Vanderbilt and the University of Louisville cores support lab testing of microbiome and metabolite changes to link the probiotic effects with clinical heart outcomes.

Who could benefit from this research

Good fit: Ideal candidates are people living with HIV who are heavy alcohol consumers and who meet the trial’s health and enrollment criteria, while the larger cohort involves veterans with and without HIV.

Not a fit: People without HIV, people who do not drink heavily, or those with contraindications to probiotics are unlikely to benefit from this specific intervention.

Why it matters

Potential benefit: If successful, this approach could lower gut inflammation and harmful metabolites and ultimately reduce heart disease risk for people living with HIV who drink heavily.

How similar studies have performed: Some smaller trials show probiotics can improve gut inflammation or metabolites, but using a tailored probiotic to reduce cardiovascular events in people with HIV is relatively new.

Where this research is happening

Nashville, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions Acquired Immune Deficiency Syndrome VirusAcquired Immunodeficiency Syndrome Virus
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.