MedPath

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)&#45
induced nephrotoxicity in HIV infected patients
TDF induced nephrotoxicity&#44
switching&#44
virological response&#44
abacavir&#44
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
NameTimeMethod
Virological response 24 weeks HIV Viral load
Secondary Outcome Measures
NameTimeMethod
Immunologic response 24 weeks CD4 change,eGFR 24 weeks eGFR change,Proximal tubular function 24 weeks FEPO4&#44; TmP/GFR&#44; FEUA&#44; UPCR&#44; ,Lipid profiles 24 weeks Total cholesterl&#44; Triglycerides&#44; HDL&#44; LD
© Copyright 2025. All Rights Reserved by MedPath