Tenofovir Renal Toxicity and Glomerular Filtration Rate (GFR) Validation
Incidence and Predictor of TDF Associated Nephrotoxicity and Pharmacokinetic of TDF in HIV-1 Infected Thai Patients: A Sub-study of HIV-NAT 006 Long Term Cohort
1 other identifier
observational
700
1 country
1
Brief Summary
To assess and validate equation eGFR in HIV-infected subjects and -uninfected Thai patients
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Mar 2010
Longer than P75 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2010
CompletedFirst Submitted
Initial submission to the registry
June 4, 2010
CompletedFirst Posted
Study publicly available on registry
June 7, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2017
CompletedAugust 9, 2019
August 1, 2019
7.3 years
June 4, 2010
August 8, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
to validate eGFR Thai equation in HIV-infected adults
Test of diagnostic accuracy
Blood specimens were drawn to assess plasma radioactivity at 5, 10, 20, 30, 60, 90, 120, 180, and 240 minutes post 99mTc-DTPA injection
Study Arms (3)
1
ARV experience (TDF based HAART)
2
ARV experience (non TDF based ART)
3
ARV Naive
Interventions
Tc99mDTPA renal clearance only for 200 patients 1. Plasma and urine 24 hr for creatinin, glucose, Creatinin clearance, Phosphatemia, uric acid, HCO3, protein, Microalbuminuria, ß2- microglobulinuria 2. serum creatinine prior and during TDF 3. TDF plasma levels ( only TDF use) using a validated high-performance liquid chromatography (HPLC)-mass method and stored PBMC for intracellular TDF levels 4. stored samples (PBMC) for pharmacogenomic study of transporter gene ie Organic Acid Transporter (OAT) 5. serum for cystanin C ( stored sample prior taking ARV and present time) 6. intensive 24 hours pharmacokinetic study of TDF in 20 patients
Eligibility Criteria
HIV-NAT 006 participants (TDF +non TDF)and ARV naive population For TDF group, on TDF \> 3 months HIV/HBV co-infected patients from COLD (Liver disease and HIV/HBV coinfection in the era of HAART) and TDF surveillance study
You may qualify if:
- \> 18 years old.
- HIV RNA \< 50 copies/ml (For ART-experienced group only).
You may not qualify if:
- a history of Tc-99m DTPA allergy,
- malnutrition (BMI \<18m2),
- amputation,
- bed-ridden,
- currently taking cotrimoxazole or cimetidine,
- acute deterioration of renal function within the last 3 months,
- serum creatinine \> 1.5 mg/dl, or
- pregnant/lactating.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- The HIV Netherlands Australia Thailand Research Collaborationlead
- Chulalongkorn Universitycollaborator
- Kirby Institutecollaborator
Study Sites (1)
HIV-NAT, Thai Red Cross AIDS Research Centre
Bangkok, 10330, Thailand
Related Publications (6)
Praditpornsilpa K, Avihingsanon A, Chaiwatanarat T, Chaiyahong P, Wongsabut J, Ubolyam S, Chulakadabba A, Avihingsanon Y, Ruxrungtham K, Tunsanga K, Eiam-Ong S, Phanuphak P. Comparisons between validated estimated glomerular filtration rate equations and isotopic glomerular filtration rate in HIV patients. AIDS. 2012 Sep 10;26(14):1781-8. doi: 10.1097/QAD.0b013e328356480d.
PMID: 22713478RESULTAvihingsanon A, Kerr SJ, Ramautarsing RA, Praditpornsilpa K, Sophonphan J, Ubolyam S, Avihingsanon Y, Khovidhunkit W, Hiransuthikul N, Ruxrungtham K. The Association of Gender, Age, Efavirenz Use, and Hypovitaminosis D Among HIV-Infected Adults Living in the Tropics. AIDS Res Hum Retroviruses. 2016 Apr;32(4):317-24. doi: 10.1089/AID.2015.0069. Epub 2015 Oct 15.
PMID: 26413903DERIVEDPunyawudho B, Thammajaruk N, Thongpeang P, Matthews G, Lewin SR, Burger D, Ruxrungtham K, Avihingsanon A. Population pharmacokinetics of tenofovir in HIV/HBV co-infected patients. Int J Clin Pharmacol Ther. 2015 Nov;53(11):947-54. doi: 10.5414/CP202386.
PMID: 26308175DERIVEDRungtivasuwan K, Avihingsanon A, Thammajaruk N, Mitruk S, Burger DM, Ruxrungtham K, Punyawudho B, Pengsuparp T. Influence of ABCC2 and ABCC4 polymorphisms on tenofovir plasma concentrations in Thai HIV-infected patients. Antimicrob Agents Chemother. 2015;59(6):3240-5. doi: 10.1128/AAC.04930-14. Epub 2015 Mar 23.
PMID: 25801567DERIVEDAvihingsanon A, Jitmitraparp S, Tangkijvanich P, Ramautarsing RA, Apornpong T, Jirajariyavej S, Putcharoen O, Treeprasertsuk S, Akkarathamrongsin S, Poovorawan Y, Matthews GV, Lange JM, Ruxrungtham K; HIV-NAT125 study team. Advanced liver fibrosis by transient elastography, fibrosis 4, and alanine aminotransferase/platelet ratio index among Asian hepatitis C with and without human immunodeficiency virus infection: role of vitamin D levels. J Gastroenterol Hepatol. 2014 Sep;29(9):1706-14. doi: 10.1111/jgh.12613.
PMID: 24730732DERIVEDAvihingsanon A, Apornpong T, Ramautarsing RA, Ubolyam S, Tangkijvanich P, Ananworanich J, Lange JM, Matthews G, Lewin SR, Ruxrungtham K; HIV-NAT 105 study team. Decline in serum 25 hydroxyvitamin D levels in HIV-HBV-coinfected patients after long-term antiretroviral therapy. Antivir Ther. 2014;19(1):41-9. doi: 10.3851/IMP2673. Epub 2013 Aug 23.
PMID: 23970149DERIVED
Related Links
Biospecimen
PBMC collection
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Praphan Phanuphak, MD, PhD
HIV-NAT, Thai Red Cross AIDS Research Centre, Bangkok, Thailand
- PRINCIPAL INVESTIGATOR
Kearkiat Praditpornsilpa, MD
Renal division, Faculty of Medicine, Chulalongkorn University
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- CROSS SECTIONAL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 4, 2010
First Posted
June 7, 2010
Study Start
March 1, 2010
Primary Completion
June 1, 2017
Study Completion
June 1, 2017
Last Updated
August 9, 2019
Record last verified: 2019-08