2021, Number 2
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Enf Infec Microbiol 2021; 41 (2)
Interim analysis of the MexHIV study, its renal findings
Mosqueda GJL, Mata MJA, Navarro ÁS, Torres RD, García AMC, Reyes FLF, Olivares AN
Language: Spanish
References: 19
Page: 53-58
PDF size: 197.25 Kb.
ABSTRACT
Background. The ultimate goal of treatment in patients with HIV is reduce the viral load to a minimum and increase the CD4
cells in order to achieve the undetectability. Increased life expectancy resulting from effective antiretroviral therapy for human
immunodeficiency virus (HIV)–1 is now associated with increased comorbidities, including renal function alteration with some
antiretroviral therapies.
Material and method. The real-world MexHIV study aims to assess the durability of treatment with boosted Darunavir
(DRV) ethanolate 800 mg in Mexican HIV-1 patients. Eligible patients were treatment-naïve or treatment-experienced (virologically
suppressed or failing). This interim analysis describes sociodemographic and renal findings of those patients treated with Cobicistat-
boosted DRV ethanolate–containing regimens. Sociodemographic and renal findings, including serum creatinine (SCr) and
estimated glomerular filtration rate (eGFR), were assessed at baseline and visit 1 (3 months). Analysis of renal parameters focused
on patients with available paired SCr and eGFR measurements. Safety was assessed throughout the study.
Results. Of 164 patients who met the study inclusion criteria, 157 were included in this interim analysis (32 in the renal parameter
analysis). The majority of patients (84.1%) were male and mean±SD age was 40.6±10.4 years. Mean±SD SCr level increased
from 0.86±0.16 mg/dL (baseline) to 0.89±0.16 mg/dL (visit 1). Mean±SD eGFR decreased from 111.8±30.9 mL/min (baseline) to
101.1±19.2 mL/min (visit 1). No serious AEs were reported.
Conclusions. Findings support clinical guidelines recommending cobicistat-boosted DRV ethanolate–containing regimens as a
strong treatment option for patients with HIV-1.
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