Evidence map›Paper›PMID 23815472›Full record

Trial reportBMC infectious diseases2013

Impact of a tenofovir disoproxil fumarate plus ritonavir-boosted protease inhibitor-based regimen on renal function in HIV-infected individuals: a prospective, multicenter study.

Ying Cao, Yang Han, Jing Xie, Qu Cui, Lixia Zhang, Yijia Li, Yanling Li, Xiaojing Song, Ting Zhu, Taisheng Li

Registry-linked trialAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in BMC infectious diseases, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00872417 (Research on the Antiretroviral Therapy and Immune Reconstitution on Chinese HIV/AIDS Patients), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00872417 phase4unknown statusnot on this map

Research on the Antiretroviral Therapy and Immune Reconstitution on Chinese HIV/AIDS Patients

TypeinterventionalSponsorPeking Union Medical CollegeRan2009 to 2010Enrolled750ConditionsAcquired Immune Deficiency Syndrome, HIV InfectionsArmsfirst line ARV (3TC+NVP+D4T or 3TC+NVP+AZT), second line ARV therapy (3TC+TDF+LPV/RTV)
3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Increased bone resorption during tenofovir plus lopinavir/ritonavir therapy in Chinese individuals with HIV.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2015
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  6. The Potential ofNutrients · 2022
    Review
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  12. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Ying CaoDepartment of Infection, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China.
Yang Han
Jing Xie
Qu Cui
Lixia Zhang
Yijia Li
Yanling Li
Xiaojing Song
Ting Zhu
Taisheng Li

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to investigate the impact of a tenofovir disoproxil fumarate (TDF) plus ritonavir-boosted protease inhibitor (PI/r) regimen on renal function in Chinese HIV-infected patients.

methodsSeventy-five HIV-1 infected patients failing first-line antiretroviral therapy (ART) comprised the TDF+PI/r group. Seventy-five HIV-1 infected patients matched for gender, age, and renal function made up the control. All subjects completed follow-up visits over 48 weeks. CD4 cell count, plasma HIV-1 viral load, and urine protein level were assessed at the trial start (baseline, week 0) and at week 48. The serum creatinine and estimated glomerular filtration rate (eGFR) were monitored at each follow-up point. Change in eGFR from baseline to week 48 was also compared.

resultsCompared to control, the TDF+PI/r group exhibited higher levels of serum creatinine (79 vs. 69.7 μmol/L, P<0.001) and a lower rate of eGFR (93.0 vs. 101.6 ml/min/1.73 m², P=0.009) at the end of week 48. Patients treated with TDF+PI/r showed greater decline in eGFR than control (-8.8 vs. 6.4 ml/min/1.73 m², P<0.001). Compared to baseline renal function of the control group, the TDF+PI/r group exhibited a greater median decline in eGFR at the end of week 48 (P<0.001).

conclusionsWe found that a TDF+PI/r based ART regimen resulted in greater renal function decline over 48 weeks. Therefore, renal function should be monitored especially when TDF is used in combination with PI/r.

trial registrationClinicalTrials.gov identifier: NCT00872417.

Indexed as

AdenineAdultAnti-HIV AgentsCreatinineFemaleGlomerular Filtration RateHIV InfectionsHumansKidneyKidney DiseasesMaleMiddle AgedOrganophosphonatesProspective StudiesProtease InhibitorsProteinuriaAdenineAnti-HIV AgentsCreatinineOrganophosphonatesProtease InhibitorsRitonavirTenofovir

Identifiers

PMID23815472
PMCPMC3707768

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.