Abstract
The aim of this study was to evaluate plasmatic and urinary therapeutic drug monitoring (TDM) of tenofovir disoproxil fumarate (TDF) in a cohort of patients with chronic hepatitis B (CHB). In 68 enrolled patients, the estimated glomerular filtration rate (eGFR) was 68 mL/min in naive subjects, while in adefovir dipivoxil (ADV)-pretreated patients, it was 55.5 mL/min (p < 0.001). The HBV E genotype was associated with lower TDF levels (β = -0.698, p < 0.001). The urinary TDF concentration was associated with ADV pretreatment (β = 0.829, p < 0.001). Determination of urinary concentrations of TDF may be useful in the clinical management of older CHB patients and those with previous treatment with ADV.
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The present study was approved by our local ethics committee as protocol “HBV-analogues” on 15 May 2015. This study was approved by the local ethics committee as “HBV-Analogues Study” (Prot. N°002360; 26/1/2015), and all included subjects provided written informed consent.
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Boglione, L., De Benedetto, I., Dodaro, V. et al. Role of plasmatic and urinary concentration of tenofovir disoproxil fumarate in a cohort of patients affected by chronic hepatitis B. Arch Virol 167, 1669–1674 (2022). https://doi.org/10.1007/s00705-022-05466-y
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DOI: https://doi.org/10.1007/s00705-022-05466-y