Evolution of estimated glomerular filtration rate in HIV/HCV-coinfected patients who received direct-acting antivirals: A multicenter retrospective study

Autor: Ching-Yen Tsai, Guan-Jhou Chen, Chin-Shiang Tsai, Bo-Huang Liou, Chia-Jui Yang, Hung-Chin Tsai, Chi-Ying Lin, Sung-Hsi Huang, Kuan-Yin Lin, Ning-Chi Wang, Tun-Chieh Chen, Chen-Hsiang Lee, Chien-Ching Hung
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of Microbiology, Immunology and Infection, Vol 56, Iss 4, Pp 718-728 (2023)
Druh dokumentu: article
ISSN: 1684-1182
DOI: 10.1016/j.jmii.2023.03.009
Popis: Background: The short-term impact of sofosbuvir (SOF)-based direct-acting antivirals (DAAs) combined with antiretroviral therapy (ART) on renal function in patients with HIV/HCV-coinfection remains controversial. Methods: This multicenter, retrospective study aimed to sequentially record the estimated glomerular filtration rate (eGFR) at baseline, end of therapy (EOT), 12 weeks off-treatment (SVR12), and at time points after SVR12 (post-SVR12) and to identify the factors associated with an eGFR decline to 60 ml/min/1.73 m2 were included. We found that eGFRs declined during the on-treatment period in the tenofovir-containing ART and SOF-based DAA groups. There were no differences in the slope coefficient during the on-treatment and post-treatment periods among all risk groups except for people who inject drug. Increasing age and plasma HIV RNA >20 copies/ml before DAA treatment were factors independently associated with AKD during the on-treatment period while increasing age was independently associated with AKD during the all-course period. Conclusion: Only increasing age was an independent factor associated with AKD among HIV/HCV-coinfected patients during and after DAA treatments.
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