Virological response of switching tenofovir disoproxil fumarate(TDF)-based regimen to abacavir(ABC)-based regimen versus lopinavir/ritonavir(LPV/r) plus lamivudine(3TC) in HIV-infected patients with TDF-induced nephrotoxicity at 24 weeks: a prospective, open-label, randomized controlled trial
Phase 3
Completed
- Conditions
- Tenofovir disoproxil fumarate (TDF)-induced nephrotoxicity in HIV infected patientsTDF induced nephrotoxicity,switching,virological response,abacavir,lopinavir/ritonavir
- Registration Number
- TCTR20190708002
- Lead Sponsor
- none
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 84
Inclusion Criteria
- Age >18 years
- HIV-infected Patients
- Receiving TDF-based regimen
- Virologic control (VL < 40 copies for at least 6 months)
- TDF induced proximal renal tubular dysfunction (PRTD) or decline in eGFR of >10% from baseline after TDF treatment
- HLA B*5701=negative
Exclusion Criteria
- Pregnancy
- HBV infection(Positive for HBS Ag)
- TB or active opportunistic infection
- Cirrhosis Child-Pugh score B-C
- Preexisting kidney disease(chronic kidney disease, ureteric stone, urinary tract obstruction)
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Virological response 24 weeks HIV Viral load
- Secondary Outcome Measures
Name Time Method Immunologic response 24 weeks CD4 change,eGFR 24 weeks eGFR change,Proximal tubular function 24 weeks FEPO4, TmP/GFR, FEUA, UPCR, ,Lipid profiles 24 weeks Total cholesterl, Triglycerides, HDL, LD