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Brief Report: Recovery of Bone Mineral Density After Discontinuation of Tenofovir-Based HIV Pre-exposure Prophylaxis.

Identifieur interne : 004308 ( Ncbi/Merge ); précédent : 004307; suivant : 004309

Brief Report: Recovery of Bone Mineral Density After Discontinuation of Tenofovir-Based HIV Pre-exposure Prophylaxis.

Auteurs : David V. Glidden [États-Unis] ; Kathleen Mulligan ; Vanessa Mcmahan ; Peter L. Anderson ; Juan Guanira ; Suwat Chariyalertsak ; Susan P. Buchbinder ; Linda Gail Bekker ; Mauro Schechter ; Beatriz Grinsztejn ; Robert M. Grant

Source :

RBID : pubmed:28639995

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English descriptors

Abstract

Oral tenofovir disoproxil fumarate (TDF) for HIV prevention and treatment is associated with decreases in bone mineral density (BMD). Previous reports suggest that these changes may be reversible after discontinuation of TDF.

DOI: 10.1097/QAI.0000000000001475
PubMed: 28639995

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pubmed:28639995

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<div type="abstract" xml:lang="en">Oral tenofovir disoproxil fumarate (TDF) for HIV prevention and treatment is associated with decreases in bone mineral density (BMD). Previous reports suggest that these changes may be reversible after discontinuation of TDF.</div>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Oral tenofovir disoproxil fumarate (TDF) for HIV prevention and treatment is associated with decreases in bone mineral density (BMD). Previous reports suggest that these changes may be reversible after discontinuation of TDF.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">A metabolic substudy of 498 participants in a randomized, placebo-controlled HIV prevention trial of oral coformulated TDF with emtricitabine (TDF/FTC, Truvada) for HIV pre-exposure prophylaxis (PrEP) enrolling a global sample of men who have sex with men and trans women.</AbstractText>
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<AbstractText Label="RESULTS" NlmCategory="RESULTS">There was no significant difference in change in hip/spine BMD at any time point between placebo and those with low adherence. Adherent participants had a mean (standard error) BMD change at TDF/FTC discontinuation of -1.02% (0.24) in the hip and -1.84% (0.36) in the spine. After stop, annualized BMD increases of 1.13% per year (0.27) in hip and 1.81% per year (0.36) in spine BMD were observed in adherent participants compared with 0.19% (0.16) and 0.74% (0.21) in the placebo group, respectively (P = 0.003, both comparisons). On average, BMD returned to baseline levels by 1 year after PrEP stop. Recovery was consistent across age, baseline BMD z-score, and treatment duration.</AbstractText>
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