Antiretroviral Drugs and Risk of Chronic Alanine Aminotransferase Elevation in Human Immunodeficiency Virus (HIV)-Monoinfected Persons: The Data Collection on Adverse Events of Anti-HIV Drugs Study
Identifieur interne : 002358 ( Main/Curation ); précédent : 002357; suivant : 002359Antiretroviral Drugs and Risk of Chronic Alanine Aminotransferase Elevation in Human Immunodeficiency Virus (HIV)-Monoinfected Persons: The Data Collection on Adverse Events of Anti-HIV Drugs Study
Auteurs : Helen Kovari [Suisse] ; Caroline A. Sabin [Royaume-Uni] ; Bruno Ledergerber [Suisse] ; Lene Ryom [Danemark] ; Peter Reiss [Pays-Bas] ; Matthew Law [Australie] ; Christian Pradier [France] ; Francois Dabis ; Antonella D'Arminio Monforte [Italie] ; Colette Smith [Royaume-Uni] ; Stephane De Wit [Belgique] ; Ole Kirk [Danemark] ; Jens D. Lundgren [Danemark] ; Rainer Weber [Suisse]Source :
- Open Forum Infectious Diseases [ 2328-8957 ] ; 2016.
Abstract
Url:
DOI: 10.1093/ofid/ofw009
PubMed: 26925429
PubMed Central: 4767274
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PMC:4767274Le document en format XML
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<author><name sortKey="Kovari, Helen" sort="Kovari, Helen" uniqKey="Kovari H" first="Helen" last="Kovari">Helen Kovari</name>
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,<institution>University Hospital Zurich</institution>
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<author><name sortKey="Sabin, Caroline A" sort="Sabin, Caroline A" uniqKey="Sabin C" first="Caroline A." last="Sabin">Caroline A. Sabin</name>
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<author><name sortKey="Dabis, Francois" sort="Dabis, Francois" uniqKey="Dabis F" first="Francois" last="Dabis">Francois Dabis</name>
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<author><name sortKey="D Arminio Monforte, Antonella" sort="D Arminio Monforte, Antonella" uniqKey="D Arminio Monforte A" first="Antonella" last="D'Arminio Monforte">Antonella D'Arminio Monforte</name>
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<author><name sortKey="Lundgren, Jens D" sort="Lundgren, Jens D" uniqKey="Lundgren J" first="Jens D." last="Lundgren">Jens D. Lundgren</name>
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<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<author><name sortKey="Weber, Rainer" sort="Weber, Rainer" uniqKey="Weber R" first="Rainer" last="Weber">Rainer Weber</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Antiretroviral Drugs and Risk of Chronic Alanine Aminotransferase Elevation in Human Immunodeficiency Virus (HIV)-Monoinfected Persons: The Data Collection on Adverse Events of Anti-HIV Drugs Study</title>
<author><name sortKey="Kovari, Helen" sort="Kovari, Helen" uniqKey="Kovari H" first="Helen" last="Kovari">Helen Kovari</name>
<affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Division of Infectious Diseases and Hospital Epidemiology</addr-line>
,<institution>University Hospital Zurich</institution>
,<country>Switzerland</country>
</nlm:aff>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<author><name sortKey="Sabin, Caroline A" sort="Sabin, Caroline A" uniqKey="Sabin C" first="Caroline A." last="Sabin">Caroline A. Sabin</name>
<affiliation wicri:level="1"><nlm:aff id="af2"><addr-line>Research Department of Infection and Population Health</addr-line>
,<institution>University College London</institution>
,<country>United Kingdom</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
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<author><name sortKey="Ledergerber, Bruno" sort="Ledergerber, Bruno" uniqKey="Ledergerber B" first="Bruno" last="Ledergerber">Bruno Ledergerber</name>
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,<institution>University Hospital Zurich</institution>
,<country>Switzerland</country>
</nlm:aff>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Ryom, Lene" sort="Ryom, Lene" uniqKey="Ryom L" first="Lene" last="Ryom">Lene Ryom</name>
<affiliation wicri:level="1"><nlm:aff id="af3"><addr-line>CHIP, Department of Infectious Diseases</addr-line>
,<institution>Rigshospitalet, University of Copenhagen</institution>
,<addr-line>København</addr-line>
,<country>Denmark</country>
</nlm:aff>
<country xml:lang="fr">Danemark</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Reiss, Peter" sort="Reiss, Peter" uniqKey="Reiss P" first="Peter" last="Reiss">Peter Reiss</name>
<affiliation wicri:level="1"><nlm:aff id="af4"><addr-line>Division of Infectious Diseases and Department of Global Health</addr-line>
,<institution>Academic Medical Center, University of Amsterdam</institution>
,<country>Netherlands</country>
</nlm:aff>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Law, Matthew" sort="Law, Matthew" uniqKey="Law M" first="Matthew" last="Law">Matthew Law</name>
<affiliation wicri:level="1"><nlm:aff id="af5"><addr-line>The Kirby Institute for Infection and Immunity in Society</addr-line>
,<institution>University of New South Wales</institution>
,<addr-line>Sydney</addr-line>
,<country>Australia</country>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Pradier, Christian" sort="Pradier, Christian" uniqKey="Pradier C" first="Christian" last="Pradier">Christian Pradier</name>
<affiliation wicri:level="1"><nlm:aff id="af6"><addr-line>Department of Public Health</addr-line>
,<institution>Nice University Hospital</institution>
,<country>France</country>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Dabis, Francois" sort="Dabis, Francois" uniqKey="Dabis F" first="Francois" last="Dabis">Francois Dabis</name>
<affiliation><nlm:aff id="af7"><institution>Université Bordeaux, ISPED, Centre INSERM U897-Epidémiologie-Biostatistique France</institution>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="D Arminio Monforte, Antonella" sort="D Arminio Monforte, Antonella" uniqKey="D Arminio Monforte A" first="Antonella" last="D'Arminio Monforte">Antonella D'Arminio Monforte</name>
<affiliation wicri:level="1"><nlm:aff id="af8"><addr-line>Department of Health Sciences</addr-line>
,<institution>San Paolo University Hospital</institution>
,<addr-line>Milan</addr-line>
,<country>Italy</country>
</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Smith, Colette" sort="Smith, Colette" uniqKey="Smith C" first="Colette" last="Smith">Colette Smith</name>
<affiliation wicri:level="1"><nlm:aff id="af2"><addr-line>Research Department of Infection and Population Health</addr-line>
,<institution>University College London</institution>
,<country>United Kingdom</country>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="De Wit, Stephane" sort="De Wit, Stephane" uniqKey="De Wit S" first="Stephane" last="De Wit">Stephane De Wit</name>
<affiliation wicri:level="1"><nlm:aff id="af9"><addr-line>Department of Infectious Diseases</addr-line>
,<institution>St. Pierre University Hospital</institution>
,<addr-line>Brussels</addr-line>
,<country>Belgium</country>
</nlm:aff>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Kirk, Ole" sort="Kirk, Ole" uniqKey="Kirk O" first="Ole" last="Kirk">Ole Kirk</name>
<affiliation wicri:level="1"><nlm:aff id="af3"><addr-line>CHIP, Department of Infectious Diseases</addr-line>
,<institution>Rigshospitalet, University of Copenhagen</institution>
,<addr-line>København</addr-line>
,<country>Denmark</country>
</nlm:aff>
<country xml:lang="fr">Danemark</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Lundgren, Jens D" sort="Lundgren, Jens D" uniqKey="Lundgren J" first="Jens D." last="Lundgren">Jens D. Lundgren</name>
<affiliation wicri:level="1"><nlm:aff id="af3"><addr-line>CHIP, Department of Infectious Diseases</addr-line>
,<institution>Rigshospitalet, University of Copenhagen</institution>
,<addr-line>København</addr-line>
,<country>Denmark</country>
</nlm:aff>
<country xml:lang="fr">Danemark</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Weber, Rainer" sort="Weber, Rainer" uniqKey="Weber R" first="Rainer" last="Weber">Rainer Weber</name>
<affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Division of Infectious Diseases and Hospital Epidemiology</addr-line>
,<institution>University Hospital Zurich</institution>
,<country>Switzerland</country>
</nlm:aff>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea># see nlm:aff country strict</wicri:regionArea>
</affiliation>
</author>
</analytic>
<series><title level="j">Open Forum Infectious Diseases</title>
<idno type="eISSN">2328-8957</idno>
<imprint><date when="2016">2016</date>
</imprint>
</series>
</biblStruct>
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<front><div type="abstract" xml:lang="en"><p><bold><italic>Background.</italic>
</bold>
Although human immunodeficiency virus (HIV)-positive persons on antiretroviral therapy (ART) frequently have chronic liver enzyme elevation (cLEE), the underlying cause is often unclear.</p>
<p><bold><italic>Methods.</italic>
</bold>
Data Collection on Adverse Events of Anti-HIV Drugs (D:A:D) Study participants without chronic viral hepatitis were observed to the earliest of cLEE (elevated aminotransferase ≥6 months), death, last follow-up, or January 2, 2014. Antiretroviral treatment exposure was categorized as follows: no exposure and ongoing short- and long-term exposure (<2 or ≥2 years) after initiation. Association between development of cLEE and ART exposure was investigated using Poisson regression.</p>
<p><bold><italic>Results.</italic>
</bold>
Among 21 485 participants observed for 105 413 person-years (PY), 6368 developed cLEE (incidence 6.04/100 PY; 95% confidence interval [CI], 5.89–6.19). Chronic liver enzyme elevation was associated with short-and long-term exposure to didanosine (<2 years rate ratio [RR] = 1.29, 95% CI, 1.11–1.49; >2 years RR = 1.26, 95% CI, 1.13–1.41); stavudine (<2 years RR = 1.51, 95% CI, 1.26–1.81; >2 years RR = 1.17, 95% CI, 1.03–1.32), and tenofovir disoproxil fumarate (<2 years RR = 1.55, 95% CI, 1.40–1.72; >2 years RR = 1.18, 95% CI, 1.05–1.32), but only short-term exposure to nevirapine (<2 years RR = 1.44, 95% CI, 1.29–1.61), efavirenz (<2 years RR = 1.14, 95% CI, 1.03–1.26), emtricitabine (<2 years RR = 1.18, 95% CI, 1.04–1.33), and atazanavir (<2 years RR = 1.20, 95% CI, 1.04–1.38). Chronic liver enzyme elevation was not associated with use of lamivudine, abacavir, and other protease inhibitors. Mortality did not differ between participants with and without cLEE.</p>
<p><bold><italic>Conclusions.</italic>
</bold>
Although didanosine, stavudine, nevirapine, and efavirenz have been described to be hepatotoxic, we additionally observed a consistent association between tenofovir and cLEE emerging within the first 2 years after drug initiation. This novel tenofovir-cLEE signal should be further investigated.</p>
</div>
</front>
<back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Kovari, H" uniqKey="Kovari H">H Kovari</name>
</author>
<author><name sortKey="Weber, R" uniqKey="Weber R">R Weber</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Sterling, Rk" uniqKey="Sterling R">RK Sterling</name>
</author>
<author><name sortKey="Chiu, S" uniqKey="Chiu S">S Chiu</name>
</author>
<author><name sortKey="Snider, K" uniqKey="Snider K">K Snider</name>
</author>
<author><name sortKey="Nixon, D" uniqKey="Nixon D">D Nixon</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Kovari, H" uniqKey="Kovari H">H Kovari</name>
</author>
<author><name sortKey="Ledergerber, B" uniqKey="Ledergerber B">B Ledergerber</name>
</author>
<author><name sortKey="Battegay, M" uniqKey="Battegay M">M Battegay</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Crum Cianflone, N" uniqKey="Crum Cianflone N">N Crum-Cianflone</name>
</author>
<author><name sortKey="Collins, G" uniqKey="Collins G">G Collins</name>
</author>
<author><name sortKey="Medina, S" uniqKey="Medina S">S Medina</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Bansi, L" uniqKey="Bansi L">L Bansi</name>
</author>
<author><name sortKey="Gazzard, B" uniqKey="Gazzard B">B Gazzard</name>
</author>
<author><name sortKey="Post, F" uniqKey="Post F">F Post</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Blanco, F" uniqKey="Blanco F">F Blanco</name>
</author>
<author><name sortKey="Barreiro, P" uniqKey="Barreiro P">P Barreiro</name>
</author>
<author><name sortKey="Ryan, P" uniqKey="Ryan P">P Ryan</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Sulkowski, Ms" uniqKey="Sulkowski M">MS Sulkowski</name>
</author>
<author><name sortKey="Mehta, Sh" uniqKey="Mehta S">SH Mehta</name>
</author>
<author><name sortKey="Torbenson, M" uniqKey="Torbenson M">M Torbenson</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Mcgovern, Bh" uniqKey="Mcgovern B">BH McGovern</name>
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