Skip to main content
Top
Published in: Journal of Nephrology 4/2020

01-08-2020 | Kidney Transplantation | Review

Therapeutic management of HIV-infected patients with chronic kidney disease

Authors: Gaetano Alfano, Giovanni Guaraldi, Francesco Fontana, Antonio Bellasi, Gianni Cappelli

Published in: Journal of Nephrology | Issue 4/2020

Login to get access

Abstract

CKD and HIV infection are two chronic diseases impacting heavily on the survival of the affected patients. The interplay between HIV infection and chronic kidney disease (CKD) is complex and interactions occur at multiple levels. Approach to the management of HIV-infected patients requires special attention to face the numerous therapeutic difficulties ranging from drug-drug interactions to drug-toxicity. The most effective strategy is targeted to suppression of HIV viral load, as it dramatically changes the prognosis of the patients as well as prevents the development of HIV-associated kidney disease. As shown in this review, the approach to the therapeutic management of CKD in the setting of HIV infection varies in relation to the degree of renal impairment.
Literature
11.
go back to reference EACS, Guidelines version 9.1, October 2018. EACS, Guidelines version 9.1, October 2018.
12.
go back to reference Updated recommendations on first-line and second-line antiretroviral regimens and post-exposure prophylaxis and recommendations on early infant diagnosis of HIV: interim guidelines. Supplement to the 2016 consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection. Geneva: World Health Organization; 2018 (WHO/CDS/HIV/18.51). Licence: CC BY-NC-SA 3.0 IGO Updated recommendations on first-line and second-line antiretroviral regimens and post-exposure prophylaxis and recommendations on early infant diagnosis of HIV: interim guidelines. Supplement to the 2016 consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection. Geneva: World Health Organization; 2018 (WHO/CDS/HIV/18.51). Licence: CC BY-NC-SA 3.0 IGO
19.
go back to reference Post FA, Tebas P, Clarke A et al (2017) Brief report: switching to tenofovir alafenamide, coformulated with elvitegravir, cobicistat, and emtricitabine, in HIV-infected adults with renal impairment: 96-week results from a single-arm, multicenter, open-label phase 3 study. J Acquir Immune Defic Syndr 1999 74(2):180–184. https://doi.org/10.1097/QAI.0000000000001186 CrossRef Post FA, Tebas P, Clarke A et al (2017) Brief report: switching to tenofovir alafenamide, coformulated with elvitegravir, cobicistat, and emtricitabine, in HIV-infected adults with renal impairment: 96-week results from a single-arm, multicenter, open-label phase 3 study. J Acquir Immune Defic Syndr 1999 74(2):180–184. https://​doi.​org/​10.​1097/​QAI.​0000000000001186​ CrossRef
20.
go back to reference Mills A, Arribas JR, Andrade-Villanueva J et al (2016) Switching from tenofovir disoproxil fumarate to tenofovir alafenamide in antiretroviral regimens for virologically suppressed adults with HIV-1 infection: a randomised, active-controlled, multicentre, open-label, phase 3, non-inferiority study. Lancet Infect Dis 16(1):43–52. https://doi.org/10.1016/S1473-3099(15)00348-5 CrossRefPubMed Mills A, Arribas JR, Andrade-Villanueva J et al (2016) Switching from tenofovir disoproxil fumarate to tenofovir alafenamide in antiretroviral regimens for virologically suppressed adults with HIV-1 infection: a randomised, active-controlled, multicentre, open-label, phase 3, non-inferiority study. Lancet Infect Dis 16(1):43–52. https://​doi.​org/​10.​1016/​S1473-3099(15)00348-5 CrossRefPubMed
21.
go back to reference Bunnell KL, Vibhakar S, Glowacki RC, Gallagher MA, Osei AM, Huhn G (2016) Nephrotoxicity associated with concomitant use of ledipasvir-sofosbuvir and tenofovir in a patient with hepatitis C virus and human immunodeficiency virus coinfection. Pharmacotherapy 36(9):e148–153. https://doi.org/10.1002/phar.1803 CrossRefPubMed Bunnell KL, Vibhakar S, Glowacki RC, Gallagher MA, Osei AM, Huhn G (2016) Nephrotoxicity associated with concomitant use of ledipasvir-sofosbuvir and tenofovir in a patient with hepatitis C virus and human immunodeficiency virus coinfection. Pharmacotherapy 36(9):e148–153. https://​doi.​org/​10.​1002/​phar.​1803 CrossRefPubMed
40.
go back to reference Whelton PK, Carey RM, Aronow WS et al (2018) 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: executive summary: a report of the american college of cardiology/american heart association task force on clinical practice guidelines. Hypertens Dallas Tex 1979 71(6):1269–1324. https://doi.org/10.1161/HYP.0000000000000066 CrossRef Whelton PK, Carey RM, Aronow WS et al (2018) 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: executive summary: a report of the american college of cardiology/american heart association task force on clinical practice guidelines. Hypertens Dallas Tex 1979 71(6):1269–1324. https://​doi.​org/​10.​1161/​HYP.​0000000000000066​ CrossRef
53.
go back to reference Schloth T, Genabe I, Pilgrim W, Jorden A, Fein PA, Avram MM (1992) Peritonitis and the patient with human immunodeficiency virus (HIV). Adv Perit Dial Conf Perit Dial 8:250–252 Schloth T, Genabe I, Pilgrim W, Jorden A, Fein PA, Avram MM (1992) Peritonitis and the patient with human immunodeficiency virus (HIV). Adv Perit Dial Conf Perit Dial 8:250–252
73.
77.
93.
go back to reference Rockstroh JK, Lacombe K, Viani RM et al (2018) Efficacy and safety of glecaprevir/pibrentasvir in patients coinfected with hepatitis C virus and human immunodeficiency virus type 1: the EXPEDITION-2 study. Clin Infect Dis Off Publ Infect Dis Soc Am 67(7):1010–1017. https://doi.org/10.1093/cid/ciy220 CrossRef Rockstroh JK, Lacombe K, Viani RM et al (2018) Efficacy and safety of glecaprevir/pibrentasvir in patients coinfected with hepatitis C virus and human immunodeficiency virus type 1: the EXPEDITION-2 study. Clin Infect Dis Off Publ Infect Dis Soc Am 67(7):1010–1017. https://​doi.​org/​10.​1093/​cid/​ciy220 CrossRef
94.
go back to reference Roth D, Nelson DR, Bruchfeld A et al (2015) Grazoprevir plus elbasvir in treatment-naive and treatment-experienced patients with hepatitis C virus genotype 1 infection and stage 4–5 chronic kidney disease (the C-SURFER study): a combination phase 3 study. The Lancet 386(10003):1537–1545. https://doi.org/10.1016/S0140-6736(15)00349-9 CrossRef Roth D, Nelson DR, Bruchfeld A et al (2015) Grazoprevir plus elbasvir in treatment-naive and treatment-experienced patients with hepatitis C virus genotype 1 infection and stage 4–5 chronic kidney disease (the C-SURFER study): a combination phase 3 study. The Lancet 386(10003):1537–1545. https://​doi.​org/​10.​1016/​S0140-6736(15)00349-9 CrossRef
Metadata
Title
Therapeutic management of HIV-infected patients with chronic kidney disease
Authors
Gaetano Alfano
Giovanni Guaraldi
Francesco Fontana
Antonio Bellasi
Gianni Cappelli
Publication date
01-08-2020
Publisher
Springer International Publishing
Published in
Journal of Nephrology / Issue 4/2020
Print ISSN: 1121-8428
Electronic ISSN: 1724-6059
DOI
https://doi.org/10.1007/s40620-020-00701-8

Other articles of this Issue 4/2020

Journal of Nephrology 4/2020 Go to the issue

Nephrology Pictures

Smile! (Life will be better)

Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine