Evidence map›Paper›PMID 32925387›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2020

Brief Report: Switching From TDF to TAF in HIV/HBV-Coinfected Individuals With Renal Dysfunction-A Prospective Cohort Study.

Bernard Surial, Charles Béguelin, Jean-Philippe Chave, Marcel Stöckle, Noémie Boillat-Blanco, Thanh Doco-Lecompte, Enos Bernasconi, Jan Fehr, Huldrych F Günthard, Patrick Schmid and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
0.3field-weighted citation impact, top 27% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 23 citations in OpenAlex.

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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

15 authors at 8 institutions in 1 country.

Bernard SurialDepartment of Infectious Diseases, Bern University Hospital, University of Bern, Bern, Switzerland.
Charles BéguelinDepartment of Infectious Diseases, Bern University Hospital, University of Bern, Bern, Switzerland.
Jean-Philippe ChaveDivision of Infectious Diseases, La Source Hospital, Lausanne, Switzerland.
Marcel StöckleDivision of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, Basel, Switzerland.
Noémie Boillat-BlancoDivision of Infectious Diseases, University Hospital of Lausanne, University of Lausanne, Lausanne, Switzerland.
Thanh Doco-LecompteDivision of Infectious Diseases, Geneva University Hospital, University of Geneva, Geneva, Switzerland.
Enos BernasconiDivision of Infectious Diseases, Regional Hospital of Lugano, Lugano, Switzerland.
Jan FehrDivision of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Huldrych F GünthardDivision of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Patrick SchmidDivision of Infectious Diseases, Cantonal Hospital of St Gallen, St Gallen, Switzerland; and.
Laura N WaltiDepartment of Infectious Diseases, Bern University Hospital, University of Bern, Bern, Switzerland.
Hansjakob FurrerDepartment of Infectious Diseases, Bern University Hospital, University of Bern, Bern, Switzerland.
Andri RauchDepartment of Infectious Diseases, Bern University Hospital, University of Bern, Bern, Switzerland.
Gilles WandelerDepartment of Infectious Diseases, Bern University Hospital, University of Bern, Bern, Switzerland.
and the Swiss HIV Cohort Study
University of Bern · CHUniversity of Zurich · CHClinique de La Source · CHKantonsspital St. Gallen · CHOspedale regionale di Lugano · CHUniversity Hospital of Basel · CHUniversity Hospital of Lausanne · CHUniversity of Geneva · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhereas tenofovir disoproxil fumarate (TDF) can lead to renal adverse events, tenofovir alafenamide (TAF) has a more favorable renal safety profile. However, the impact of replacing TDF with TAF on renal function and liver parameters among HIV/hepatitis B virus (HBV)-coinfected individuals with renal dysfunction remains unclear.

methodsWe included all participants from the Swiss HIV Cohort Study with an HIV/HBV coinfection who switched from TDF to TAF and had an estimated glomerular filtration rate (eGFR) <90 mL/min/1.73 m and a suppressed HIV viral load (<200 cp/mL). We assessed changes in eGFR, urine protein-to-creatinine ratio, and alanine aminotransferase (ALT) after 1 year using mixed-effect models with interrupted time series.

resultsAmong 106 participants (15.1% women, median age 53 years), eGFR was 60-89 mL/min/1.73 m in 84 (79.2%) and <60 mL/min/1.73 m in 22 (20.8%) individuals at the time of switch. One year after the switch from TDF to TAF, individuals with an eGFR between 60 and 89 mL/min/1.73 m experienced increases in eGFR of 3.2 mL/min/1.73 m (95% confidence interval [CI] 1.2 to 5.2), whereas those with an eGFR <60 mL/min/1.73 m experienced improvements of 6.2 mL/min/1.73 m (95% CI 2.4 to 10.0). Urine protein-to-creatinine ratio decreased overall (-6.3 mg/mmol, 95% CI -10.0 to -2.7), and ALT levels declined in patients with elevated baseline levels (-11.8 IU/L, 95% CI -17.3 to -6.4) 1 year after replacing TDF with TAF.

conclusionsSwitching from TDF to TAF among HIV/HBV-coinfected individuals with renal impairment led to improvements in eGFR, a decline in proteinuria, and to ALT normalization in those with elevated ALT levels.

Indexed as

AdenineAgedAlanineAnti-HIV AgentsFemaleGlomerular Filtration RateHepatitis BHepatitis B virusHIV InfectionsHumansInterrupted Time Series AnalysisKidney DiseasesKidney Function TestsLiverMaleMiddle AgedAdenineAlanineAnti-HIV AgentsTenofovirtenofovir alafenamide

Identifiers

PMID32925387
PMCPMC7495978
OpenAlexW3041336805

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.