A pilot study to determine the impact on dyslipidemia of adding tenofovir to stable background antiretroviral therapy: ACTG 5206
- PMID: 20495438
- PMCID: PMC2913151
- DOI: 10.1097/QAD.0b013e32833ad8b4
A pilot study to determine the impact on dyslipidemia of adding tenofovir to stable background antiretroviral therapy: ACTG 5206
Abstract
Several studies have reported improvement in lipids after antiretroviral therapy switches to tenofovir disoproxil fumarate (TDF)-containing regimens. We assessed lipid-lowering effects of TDF by adding it to a stable antiretroviral therapy regimen in this double-blind, placebo-controlled crossover study. We demonstrated that nonhigh-density lipoprotein cholesterol, low-density lipoprotein cholestrol, and total cholestrol improved significantly over TDF vs. placebo treatment in HIV-infected individuals with dyslipidemia. Adding TDF to stable, virologically suppressive antiretroviral therapy regimens improved lipid parameters, supporting a lipid-lowering effect of TDF.
Conflict of interest statement
MT: no conflicts
DWK: no conflicts
MJG: no conflicts
SKG: Gilead Sciences: Speaker’s fees, consultant fees, and grant support
JWM: Gilead Sciences: Consultant
Merck: Consultant and grant support
Chimerix: Consultant
RFS Pharmaceuticals: Owns stock options
LM: no conflicts
LJ: no conflicts
BAS: no conflicts
JFR: employee of Gilead Sciences
JAA: Gilead Sciences: Advisory Board, Clinical Trial support, CME sponsored events Honorarium
References
-
- Friis-Moller N, Sabin CA, Weber R, d’Arminio Monforte A, El-Sadr WM, Reiss P, et al. Combination antiretroviral therapy and the risk of myocardial infarction. N Engl J Med. 2003;349:1993–2003. - PubMed
-
- El-Sadr WM, Lundgren JD, Neaton JD, Gordin F, Abrams D, Arduino RC, et al. CD4+ count-guided interruption of antiretroviral treatment. N Engl J Med. 2006;355:2283–2296. - PubMed
-
- Carr A, Samaras K, Burton S, Law M, Freund J, Chisholm DJ, Cooper DA. A syndrome of peripheral lipodystrophy, hyperlipidaemia and insulin resistance in patients receiving HIV protease inhibitors. Aids. 1998;12:F51–58. - PubMed
-
- Riddler SA, Smit E, Cole SR, Li R, Chmiel JS, Dobs A, et al. Impact of HIV infection and HAART on serum lipids in men. Jama. 2003;289:2978–2982. - PubMed
-
- Dube MP, Stein JH, Aberg JA, Fichtenbaum CJ, Gerber JG, Tashima KT, et al. Guidelines for the evaluation and management of dyslipidemia in human immunodeficiency virus (HIV)-infected adults receiving antiretroviral therapy: recommendations of the HIV Medical Association of the Infectious Disease Society of America and the Adult AIDS Clinical Trials Group. Clin Infect Dis. 2003;37:613–627. - PubMed
Publication types
MeSH terms
Substances
Grants and funding
- UM1 AI069428/AI/NIAID NIH HHS/United States
- AI27665/AI/NIAID NIH HHS/United States
- U01 AI069495/AI/NIAID NIH HHS/United States
- U01AI069495/AI/NIAID NIH HHS/United States
- UM1 AI069532/AI/NIAID NIH HHS/United States
- UM1 AI069419/AI/NIAID NIH HHS/United States
- U01 AI069419/AI/NIAID NIH HHS/United States
- U01 AI069513/AI/NIAID NIH HHS/United States
- UM1 AI069494/AI/NIAID NIH HHS/United States
- AI-070078/AI/NIAID NIH HHS/United States
- UM1 AI069501/AI/NIAID NIH HHS/United States
- UM1 AI069513/AI/NIAID NIH HHS/United States
- M01 RR000096/RR/NCRR NIH HHS/United States
- AI069419/AI/NIAID NIH HHS/United States
- AI-069501/AI/NIAID NIH HHS/United States
- AI38558/AI/NIAID NIH HHS/United States
- AI-25859/AI/NIAID NIH HHS/United States
- AI069532/AI/NIAID NIH HHS/United States
- AI-27665/AI/NIAID NIH HHS/United States
- U01 AI069532/AI/NIAID NIH HHS/United States
- U01 AI069428/AI/NIAID NIH HHS/United States
- K24 AI078884/AI/NIAID NIH HHS/United States
- AI069428/AI/NIAID NIH HHS/United States
- UM1 AI068634/AI/NIAID NIH HHS/United States
- U01 AI069501/AI/NIAID NIH HHS/United States
- AI-069494/AI/NIAID NIH HHS/United States
- AI068636/AI/NIAID NIH HHS/United States
- M01RR00096/RR/NCRR NIH HHS/United States
- U01 AI038858/AI/NIAID NIH HHS/United States
- U01 AI068636/AI/NIAID NIH HHS/United States
- AI078884/AI/NIAID NIH HHS/United States
- U01 AI025859/AI/NIAID NIH HHS/United States
- K23 AI070078/AI/NIAID NIH HHS/United States
- AI-068634/AI/NIAID NIH HHS/United States
- AI25859/AI/NIAID NIH HHS/United States
- U01 AI069494/AI/NIAID NIH HHS/United States
- U01 AI027665/AI/NIAID NIH HHS/United States
- 1 U01 AI 069494/AI/NIAID NIH HHS/United States
- U01 AI068634/AI/NIAID NIH HHS/United States
- UM1 AI068636/AI/NIAID NIH HHS/United States
LinkOut - more resources
Full Text Sources
Medical
