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Tenofovir is a common component of current antiretroviral therapy (ART) regimens. It is excreted by the kidney and has been associated with a low risk for clinically significant renal dysfunction during the first years of use. In France, due to concern about the renal effects of tenofovir, concentrations of this drug are often monitored during the first 12 months of use. Now, investigators have retrospectively assessed the association between tenofovir trough concentrations and glomerular filtration rate (GFR) in HIV-infected patients on tenofovir-containing regimens who were seen at one clinic in France between December 2006 and January 2010.
The study involved 163 patients (median age, 47; 30% women; median CD4 count, 382 cells/mm3; 68% wi…