Impact of tenofovir dose adjustment on both estimated glomerular filtration rate and tenofovir trough concentration.

Abstract:

BACKGROUND:Tenofovir disoproxil fumarate (TDF)-based regimen is a treatment option for HIV-infected patients. TDF dose adjustment is recommended in patients with impaired renal function. We assessed the impact of TDF dose adjustment on renal function and tenofovir trough concentration. METHODS:Fourteen HIV patients for whom TDF dose was adjusted (1 tablet/48 h) because of estimated glomerular filtration rate (eGFR) <60 ml/min/1.73 m2, and/or due to a tenofovir trough concentration >90 ng/ml between 2006 and 2013 were selected. The eGFR was measured at baseline and 3, 6 and 12 months after TDF dose adjustment. RESULTS:A 50% TDF dose reduction resulted in a significant increase of the eGFR 3 months after dose adjustment (61.1 versus 72.8 ml/min/1.73 m2; P=0.003). Concomitantly, tenofovir trough concentration decreased from 175 to 66 ng/ml (P=0.009). Antiviral efficacy was maintained in all patients. CONCLUSIONS:TDF dose adjustment combined with therapeutic drug monitoring may be useful especially in patients at risk of kidney dysfunction.

journal_name

Antivir Ther

journal_title

Antiviral therapy

authors

Bregigeon S,Solas C,Faucher O,Obry-Roguet V,Tamalet C,Poizot-Martin I

doi

10.3851/IMP3137

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

529-533

issue

6

eissn

1359-6535

issn

2040-2058

journal_volume

22

pub_type

杂志文章
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    doi:

    authors: Moyle GJ,Gazzard BG

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    pub_type: 杂志文章

    doi:

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