Tenofovir Alafenamide as Part of a Salvage Regimen in a Patient with Multi-Drug Resistant HIV and Tenofovir-DF-Associated Renal Tubulopathy
Author(s) -
James M Mikula,
Maura Manion,
Frank Maldarelli,
Lucila M Suarez,
Jaha F Norman-Wheeler,
Alex G Ober,
Robin Dewar,
Jeffrey B. Kopp,
H. Clifford Lane,
Alice K. Pau
Publication year - 2015
Publication title -
antiviral therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.747
H-Index - 87
eISSN - 2040-2058
pISSN - 1359-6535
DOI - 10.3851/imp3040
Subject(s) - tenofovir alafenamide , emtricitabine , medicine , cobicistat , renal function , regimen , fanconi syndrome , tenofovir , human immunodeficiency virus (hiv) , drug , kidney , gastroenterology , urology , virology , pharmacology , viral load , antiretroviral therapy
We describe a patient with two recent episodes of tenofovir disoproxil fumarate (TDF)-associated acute kidney injury and six-class drug-resistant HIV infection who achieved and maintained viral suppression without worsening kidney function on a regimen including tenofovir alafenamide (TAF) through 48 weeks of therapy. The safety and efficacy of TAF in patients with TDF-associated renal tubulopathy and multiple drug resistant HIV has not yet been described. TAF may represent a useful option to maximally suppress HIV in patients with these complications.
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