TY - JOUR
T1 - Low body weight in females is a risk factor for increased tenofovir exposure and drug-related adverse events
AU - Gervasoni, Cristina
AU - Meraviglia, Paola
AU - Landonio, Simona
AU - Baldelli, Sara
AU - Fucile, Serena
AU - Castagnoli, Laura
AU - Clementi, Emilio
AU - Riva, Agostino
AU - Galli, Massimo
AU - Rizzardini, Giuliano
AU - Cattaneo, Dario
PY - 2013/12/2
Y1 - 2013/12/2
N2 - Treatment with tenofovir sometimes leads to non-reversible kidney and/or bone diseases. Factors associated with these drug-related adverse events are poorly characterized. Our objective was to investigate such factors in patients treated long term with daily tenofovir. One-hundred Caucasian HIV-positive patients with basal creatinine clearance >80 mL/min treated with tenofovir for at least 6 months and with at least one assessment of tenofovir plasma trough concentrations were considered. Tenofovir-associated adverse events were defined as the appearance of pathological proteinuria, worsening of renal function or bone demineralization. By multivariate regression analysis, we found that serum creatinine (p = 0.003) and body weight (p = 0.002) were the factors independently associated with plasma tenofovir concentrations. In particular, women with body weight50 Kg (160±93 vs.71±52 ng/mL, p
AB - Treatment with tenofovir sometimes leads to non-reversible kidney and/or bone diseases. Factors associated with these drug-related adverse events are poorly characterized. Our objective was to investigate such factors in patients treated long term with daily tenofovir. One-hundred Caucasian HIV-positive patients with basal creatinine clearance >80 mL/min treated with tenofovir for at least 6 months and with at least one assessment of tenofovir plasma trough concentrations were considered. Tenofovir-associated adverse events were defined as the appearance of pathological proteinuria, worsening of renal function or bone demineralization. By multivariate regression analysis, we found that serum creatinine (p = 0.003) and body weight (p = 0.002) were the factors independently associated with plasma tenofovir concentrations. In particular, women with body weight50 Kg (160±93 vs.71±52 ng/mL, p
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U2 - 10.1371/journal.pone.0080242
DO - 10.1371/journal.pone.0080242
M3 - Article
C2 - 24312465
AN - SCOPUS:84891760370
VL - 8
JO - PLoS One
JF - PLoS One
SN - 1932-6203
IS - 12
M1 - e80242
ER -