Page last updated: 2024-11-08

alanine and Renal Insufficiency

alanine has been researched along with Renal Insufficiency in 9 studies

Alanine: A non-essential amino acid that occurs in high levels in its free state in plasma. It is produced from pyruvate by transamination. It is involved in sugar and acid metabolism, increases IMMUNITY, and provides energy for muscle tissue, BRAIN, and the CENTRAL NERVOUS SYSTEM.
alanine : An alpha-amino acid that consists of propionic acid bearing an amino substituent at position 2.

Renal Insufficiency: Conditions in which the KIDNEYS perform below the normal level in the ability to remove wastes, concentrate URINE, and maintain ELECTROLYTE BALANCE; BLOOD PRESSURE; and CALCIUM metabolism. Renal insufficiency can be classified by the degree of kidney damage (as measured by the level of PROTEINURIA) and reduction in GLOMERULAR FILTRATION RATE.

Research Excerpts

ExcerptRelevanceReference
"Treatment with tenofovir disoproxil fumarate has been associated with renal toxicity or reductions in bone mineral density, or both, in some patients with chronic hepatitis B virus (HBV) infection."9.34Switching from tenofovir disoproxil fumarate to tenofovir alafenamide in virologically suppressed patients with chronic hepatitis B: a randomised, double-blind, phase 3, multicentre non-inferiority study. ( Agarwal, K; Ahn, SH; Bae, H; Buti, M; Chan, HLY; Chen, CY; Chuang, WL; Flaherty, JF; Fung, S; Gaggar, A; Lampertico, P; Lau, A; Lim, YS; Liu, Y; Ma, X; Ramji, A; Subramanian, GM; Suri, V; Tak, WY; Tam, E; Tan, SK; Trinh, H; Wu, G; Yoon, SK, 2020)
"Tenofovir alafenamide (TAF) has recently been approved for chronic hepatitis B (CHB)."8.95Tenofovir alafenamide as compared to tenofovir disoproxil fumarate in the management of chronic hepatitis B with recent trends in patient demographics. ( Hsu, YC; Nguyen, MH; Wei, MT, 2017)
"Treatment with tenofovir disoproxil fumarate has been associated with renal toxicity or reductions in bone mineral density, or both, in some patients with chronic hepatitis B virus (HBV) infection."5.34Switching from tenofovir disoproxil fumarate to tenofovir alafenamide in virologically suppressed patients with chronic hepatitis B: a randomised, double-blind, phase 3, multicentre non-inferiority study. ( Agarwal, K; Ahn, SH; Bae, H; Buti, M; Chan, HLY; Chen, CY; Chuang, WL; Flaherty, JF; Fung, S; Gaggar, A; Lampertico, P; Lau, A; Lim, YS; Liu, Y; Ma, X; Ramji, A; Subramanian, GM; Suri, V; Tak, WY; Tam, E; Tan, SK; Trinh, H; Wu, G; Yoon, SK, 2020)
"Tenofovir disoproxil fumarate (TDF), an ester prodrug of tenofovir (TFV), is one of the recommended drugs for chronic hepatitis B (CHB) patients."4.98Tenofovir alafenamide (TAF) treatment of HBV, what are the unanswered questions? ( Grossi, G; Lampertico, P; Loglio, A; Viganò, M, 2018)
"Tenofovir alafenamide (TAF) has recently been approved for chronic hepatitis B (CHB)."4.95Tenofovir alafenamide as compared to tenofovir disoproxil fumarate in the management of chronic hepatitis B with recent trends in patient demographics. ( Hsu, YC; Nguyen, MH; Wei, MT, 2017)
"We pooled clinical renal safety data across 26 treatment-naive and antiretroviral switch studies to compare the incidence of proximal renal tubulopathy and discontinuation due to renal adverse events between participants taking TAF-containing regimens vs."2.61Renal safety of tenofovir alafenamide vs. tenofovir disoproxil fumarate: a pooled analysis of 26 clinical trials. ( Arribas, JR; Brainard, D; Carter, C; Clarke, AE; Das, M; Elion, RA; Eron, JJ; Esser, S; Guo, S; Gupta, SK; Martin, H; Mudrikova, T; Negredo, E; Orkin, C; Podzamczer, D; Post, FA; Pozniak, AL; Rockstroh, JK; Sax, PE; SenGupta, D; Stellbrink, HJ; Waters, L; Wohl, DA; Zhong, L, 2019)
"Salt-induced hypertension is one of the major issues worldwide and one of the main factors involved in heart and kidney failure."1.72Benincasa hispida extracts positively regulated high salt-induced hypertension in Dahl salt-sensitive rats: Impact on biochemical profile and metabolic patterns. ( Ahmad, H; Ahmad, N; Chen, M; Du, J; Jin, Y; Khan, A; Li, X; Ouyang, Y; Tian, Z; Yang, P; Yang, Z; Zeng, L; Zhao, X; Zheng, X, 2022)
"A reversible acute renal failure with no proximal tubulopathy and neuropsychiatric issues are discussed."1.51Overdose of elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide in an HIV-1-infected subject with attempted suicide. ( Álvarez, H; Díaz-Cambre, H; García-González, J; Llibre, JM; Mariño, A; Valcarce, N, 2019)
"Population pharmacokinetic analyses were performed with plasma concentrations from 26 healthy volunteers and 41 patients."1.33Population pharmacokinetic analysis of panipenem/betamipron in patients with various degrees of renal function. ( Ishizuka, H; Naganuma, H; Tajima, N, 2006)

Research

Studies (9)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's2 (22.22)29.6817
2010's4 (44.44)24.3611
2020's3 (33.33)2.80

Authors

AuthorsStudies
Ahmad, H1
Zhao, X1
Ahmad, N1
Khan, A1
Jin, Y1
Du, J1
Zheng, X1
Zeng, L1
Ouyang, Y1
Yang, P1
Chen, M1
Li, X1
Yang, Z1
Tian, Z1
Lampertico, P2
Buti, M1
Fung, S1
Ahn, SH1
Chuang, WL1
Tak, WY1
Ramji, A1
Chen, CY1
Tam, E1
Bae, H1
Ma, X1
Flaherty, JF1
Gaggar, A1
Lau, A1
Liu, Y1
Wu, G1
Suri, V1
Tan, SK1
Subramanian, GM1
Trinh, H1
Yoon, SK1
Agarwal, K1
Lim, YS1
Chan, HLY1
Ding, Y1
Lin, H1
Chen, X1
Zhu, B1
Xu, X2
Shen, W1
Gao, M1
He, N1
Hsu, YC1
Wei, MT1
Nguyen, MH1
Viganò, M1
Loglio, A1
Grossi, G1
Álvarez, H1
Mariño, A1
Valcarce, N1
García-González, J1
Díaz-Cambre, H1
Llibre, JM1
Gupta, SK1
Post, FA1
Arribas, JR1
Eron, JJ1
Wohl, DA1
Clarke, AE1
Sax, PE1
Stellbrink, HJ1
Esser, S1
Pozniak, AL1
Podzamczer, D1
Waters, L1
Orkin, C1
Rockstroh, JK1
Mudrikova, T1
Negredo, E1
Elion, RA1
Guo, S1
Zhong, L1
Carter, C1
Martin, H1
Brainard, D1
SenGupta, D1
Das, M1
Tajima, N1
Ishizuka, H1
Naganuma, H1
Al Banchaabouchi, M1
Marescau, B1
D'Hooge, R1
Engelborghs, S1
De Deyn, PP1

Clinical Trials (5)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Phase 3, Randomized, Double-Blind Study to Evaluate the Efficacy and Safety of Switching From Tenofovir Disoproxil Fumarate (TDF) 300 mg QD to Tenofovir Alafenamide (TAF) 25 mg QD in Subjects With Chronic Hepatitis B Who Are Virologically Suppressed[NCT02979613]Phase 3490 participants (Actual)Interventional2016-12-29Completed
A Prospective Cohort Study of Tenofovir Alafenamide Switching Therapy in Kidney or Liver Transplant Recipients With Chronic Hepatitis B Virus Infection[NCT05410496]Phase 450 participants (Anticipated)Interventional2021-06-22Recruiting
A Phase 3b, Randomized, Double-Blind, Switch Study to Evaluate F/TAF in HIV-1 Infected Subjects Who Are Virologically Suppressed on Regimens Containing ABC/3TC[NCT02469246]Phase 3567 participants (Actual)Interventional2015-06-29Completed
A Phase 3, Randomized, Double-Blind Study to Evaluate the Safety and Efficacy of GS-9883/Emtricitabine/Tenofovir Alafenamide Versus Dolutegravir + Emtricitabine/Tenofovir Alafenamide in HIV-1 Infected, Antiretroviral Treatment-Naive Adults[NCT02607956]Phase 3657 participants (Actual)Interventional2015-11-11Completed
A Phase 3, Open-Label Study to Evaluate Switching From a TDF-Containing Combination Regimen to a TAF-Containing Combination Single Tablet Regimen (STR) in Virologically-Suppressed, HIV-1 Positive Subjects[NCT01815736]Phase 31,443 participants (Actual)Interventional2013-03-27Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change From Baseline in eGFR-CG at Week 96

"Cockcroft-Gault formula is as follows:~For men: Glomerular filtration rate (GFR) = (140 - age in years) * body weight in kg / 72 * serum creatinine (mg/dL)~For women: GFR = 0.85 * (140 - age in years) * body weight in kg / 72 * serum creatinine (mg/dL).~Change from baseline was calculated as the value at Week 96 minus the value at Baseline." (NCT02979613)
Timeframe: Baseline; Week 96

InterventionmL/min (Median)
TAF 25 mg1.626
TDF 300 mg0.544

Change From Baseline in Estimated Glomerular Filtration Rate Calculated Using the Cockcroft-Gault Equation (eGFR-CG) at Week 48

"Cockcroft-Gault formula is as follows:~For men: Glomerular filtration rate (GFR) = (140 - age in years) * body weight in kg / 72 * serum creatinine (mg/dL)~For women: GFR = 0.85 * (140 - age in years) * body weight in kg / 72 * serum creatinine (mg/dL).~Change from baseline was calculated as the value at Week 48 minus the value at Baseline." (NCT02979613)
Timeframe: Baseline; Week 48

InterventionmL/min (Median)
TAF 25 mg2.240
TDF 300 mg-1.722

Change From Baseline in FibroTest® Score at Week 48

The FibroTest score is used to assess liver fibrosis. Scores range from 0.00 to 1.00, with higher scores indicating a greater degree of fibrosis. Change from baseline was calculated as the value at Week 48 minus the value at Baseline. (NCT02979613)
Timeframe: Baseline; Week 48

Interventionscores on a scale (Mean)
TAF 25 mg-0.02
TDF 300 mg-0.01

Change From Baseline in FibroTest® Score at Week 96

The FibroTest score is used to assess liver fibrosis. Scores range from 0.00 to 1.00, with higher scores indicating a greater degree of fibrosis. Change from baseline was calculated as the value at Week 96 minus the value at Baseline. (NCT02979613)
Timeframe: Baseline; Week 96

Interventionscores on a scale (Mean)
TAF 25 mg-0.03
TDF 300 mg-0.03

Percent Change From Baseline in Hip BMD at Week 96

Percent Change = Change from baseline at a postbaseline visit/baseline * 100%. (NCT02979613)
Timeframe: Baseline; Week 96

Interventionpercent change (Mean)
TAF 25 mg1.157
TDF 300 mg0.180

Percent Change From Baseline in Hip Bone Mineral Density (BMD) at Week 48

Percent Change = Change from baseline at a postbaseline visit/baseline * 100%. (NCT02979613)
Timeframe: Baseline; Week 48

Interventionpercent change (Mean)
TAF 25 mg0.659
TDF 300 mg-0.507

Percent Change From Baseline in Spine BMD at Week 48

Percent Change = Change from baseline at a postbaseline visit/baseline * 100%. (NCT02979613)
Timeframe: Baseline; Week 48

Interventionpercent change (Mean)
TAF 25 mg1.743
TDF 300 mg-0.138

Percent Change From Baseline in Spine BMD at Week 96

Percent Change = Change from baseline at a postbaseline visit/baseline * 100%. (NCT02979613)
Timeframe: Baseline; Week 96

Interventionpercent change (Mean)
TAF 25 mg2.330
TDF 300 mg1.726

Percentage of Participants With HBeAg Loss at Week 96

HBeAg loss was defined as HBeAg changing from positive at baseline to negative at a postbaseline visit with baseline HBeAb negative or missing. The M = F approach was used for this analysis. (NCT02979613)
Timeframe: Week 96

Interventionpercentage of participants (Number)
TAF 25 mg17.9
TDF 300 mg9.0

Percentage of Participants With HBeAg Seroconversion at Week 48

HBeAg seroconversion was defined as HBeAg loss and HBeAb changing from negative/missing at baseline to positive at a postbaseline visit. The M = F approach was used for this analysis. (NCT02979613)
Timeframe: Week 48

Interventionpercentage of participants (Number)
TAF 25 mg2.6
TDF 300 mg0.0

Percentage of Participants With HBeAg Seroconversion at Week 96

HBeAg seroconversion was defined as HBeAg loss and HBeAb changing from negative/missing at baseline to positive at a postbaseline visit. The M = F approach was used for this analysis. (NCT02979613)
Timeframe: Week 96

Interventionpercentage of participants (Number)
TAF 25 mg5.1
TDF 300 mg2.6

Percentage of Participants With HBsAg Loss at Week 96

HBsAg loss was defined as HBsAg changing from positive at baseline to negative at a postbaseline visit with baseline HBsAb negative or missing. The M = F approach was used for this analysis. (NCT02979613)
Timeframe: Week 96

Interventionpercentage of participants (Number)
TAF 25 mg1.6
TDF 300 mg2.4

Percentage of Participants With HBsAg Seroconversion at Week 48

HBsAg seroconversion was defined as HBsAg loss and HBsAb changes from negative/missing at baseline to positive at a postbaseline visit. The M = F approach was used for this analysis. (NCT02979613)
Timeframe: Week 48

Interventionpercentage of participants (Number)
TAF 25 mg0.0
TDF 300 mg0.0

Percentage of Participants With HBsAg Seroconversion at Week 96

HBsAg seroconversion was defined as HBsAg loss and HBsAb changes from negative/missing at baseline to positive at a postbaseline visit. The M = F approach was used for this analysis. (NCT02979613)
Timeframe: Week 96

Interventionpercentage of participants (Number)
TAF 25 mg0.8
TDF 300 mg0.4

Percentage of Participants With HBV DNA Levels < 20 IU/mL at Week 48

The percentage of participants with HBV DNA < 20 IU/mL at Week 48 was analyzed, which included participants who have the last available on-treatment HBV DNA, 20 IU/mL in the Week 48 analysis window. Missing=Failure (M = F) approach was used for analysis. (NCT02979613)
Timeframe: Weeks 48

Interventionpercentage of participants (Number)
TAF 25 mg96.3
TDF 300 mg96.3

Percentage of Participants With HBV DNA Levels < 20 IU/mL at Week 96

The percentage of participants with HBV DNA < 20 IU/mL at Week 96 was analyzed, which included participants who have the last available on-treatment HBV DNA, 20 IU/mL in the Week 96 analysis window. M = F approach was used for analysis. (NCT02979613)
Timeframe: Week 96

Interventionpercentage of participants (Number)
TAF 25 mg94.7
TDF 300 mg93.9

Percentage of Participants With HBV DNA Levels ≥ 20 IU/mL at Week 96, as Determined by the Modified US FDA-Defined Snapshot Algorithm

"The percentage of participants with HBV DNA ≥ 20 IU/mL at Week 96 was analyzed using the modified US FDA-defined snapshot algorithm, which included participants who:~Had the last available on-treatment HBV DNA ≥ 20 IU/mL in the Week 96 analysis window (from Day 589 to Day 840, inclusive), or~Did not have on-treatment HBV DNA data available in the Week 96 analysis window and~Discontinued study drug prior to or in the Week 96 analysis window due to lack of efficacy, or~Discontinued study drug prior to or in the Week 96 analysis window due to reason other than lack of efficacy and had the last available on-treatment HBV DNA ≥ 20 IU/mL" (NCT02979613)
Timeframe: Week 96

Interventionpercentage of participants (Number)
TAF 25 mg0.4
TDF 300 mg0.4

Percentage of Participants With Hepatitis B e Antigen (HBeAg) Loss at Week 48

HBeAg loss was defined as HBeAg changing from positive at baseline to negative at a postbaseline visit with baseline HBeAb negative or missing. The M = F approach was used for this analysis. (NCT02979613)
Timeframe: Week 48

Interventionpercentage of participants (Number)
TAF 25 mg7.7
TDF 300 mg6.4

Percentage of Participants With Hepatitis B Surface Antigen (HBsAg) Loss at Week 48

HBsAg loss was defined as HBsAg changing from positive at baseline to negative at a postbaseline visit with baseline HBsAb negative or missing. The M = F approach was used for this analysis. (NCT02979613)
Timeframe: Week 48

Interventionpercentage of participants (Number)
TAF 25 mg0.0
TDF 300 mg2.0

Percentage of Participants With Hepatitis B Virus (HBV) DNA Levels ≥ 20 IU/mL at Week 48, as Determined by the Modified United States Food and Drug Administration (US FDA)-Defined Snapshot Algorithm

"The percentage of participants with HBV DNA ≥ 20 IU/mL at Week 48 was analyzed using the modified US FDA-defined snapshot algorithm, which included participants who:~Had the last available on-treatment HBV DNA ≥ 20 IU/mL in the Week 48 analysis window (from Day 295 to Day 378, inclusive), or~Did not have on-treatment HBV DNA data available in the Week 48 analysis window and~Discontinued study drug prior to or in the Week 48 analysis window due to lack of efficacy, or~Discontinued study drug prior to or in the Week 48 analysis window due to reason other than lack of efficacy and had the last available on-treatment HBV DNA ≥ 20 IU/mL" (NCT02979613)
Timeframe: Week 48

Interventionpercentage of participants (Number)
TAF 25 mg0.4
TDF 300 mg0.4

Percentage of Participants With HBV DNA Levels < 20 IU/mL (Target Detected/Not Detected) at Week 48

The percentage of participants with HBV DNA < 20 IU/mL at Week 48 was analyzed, which included participants who have the last available on-treatment HBV DNA, 20 IU/mL in the Week 48 analysis window. The method of determining percentage of participants with HBV DNA levels <20 IU/mL (target detected/not detected i.e., lower limit of detection) at Week 48, was handled by M = F, and Missing=Excluded (M = E) approaches. (NCT02979613)
Timeframe: Week 48

,
Interventionpercentage of participants (Number)
M = F Approach: < 20 IU/mL Target Not DetectedM = F Approach: < 20 IU/mL Target DetectedM = E Approach: < 20 IU/mL Target Not DetectedM = E Approach: < 20 IU/mL Target Detected
TAF 25 mg63.432.965.534.0
TDF 300 mg62.034.364.135.4

Percentage of Participants With HBV DNA Levels < 20 IU/mL (Target Detected/Not Detected) at Week 96

The percentage of participants with HBV DNA < 20 IU/mL at Week 96 was analyzed, which included participants who have the last available on-treatment HBV DNA, 20 IU/mL in the Week 96 analysis window. The method of determining percentage of participants with HBV DNA levels <20 IU/mL (target detected/not detected i.e., lower limit of detection) at Week 96, was handled by Missing=Failure (M = F), and Missing=Excluded (M = E) approaches. (NCT02979613)
Timeframe: Week 96

,
Interventionpercentage of participants (Number)
M = F Approach: < 20 IU/mL Target Not DetectedM = F Approach: < 20 IU/mL Target DetectedM = E Approach: < 20 IU/mL Target Not DetectedM = E Approach: < 20 IU/mL Target Detected
TAF 25 mg65.828.869.330.3
TDF 300 mg66.127.870.129.4

Percentage of Participants With Normal Alanine Aminotransferase (ALT) at Week 48 (by Central Laboratory and the American Association for the Study of Liver Diseases [AASLD] Criteria)

Central laboratory ULN for ALT were as follows: ≤ 43 U/L for males aged 18 to < 69 years and ≤ 35 U/L for males aged ≥ 69 years; ≤ 34 U/L for females aged 18 to < 69 years and ≤ 32 U/L for females aged ≥ 69 years. The ULN for ALT using the 2018 AASLD normal range was 25 U/L for females and 35 U/L for males. M = F approach was used for analysis. (NCT02979613)
Timeframe: Week 48

,
Interventionpercentage of participants (Number)
Central Laboratory CriteriaAASLD Criteria
TAF 25 mg89.379.0
TDF 300 mg84.975.1

Percentage of Participants With Normal ALT at Week 96 (by Central Laboratory and the AASLD Criteria)

Central laboratory ULN for ALT were as follows: ≤ 43 U/L for males aged 18 to < 69 years and ≤ 35 U/L for males aged ≥ 69 years; ≤ 34 U/L for females aged 18 to < 69 years and ≤ 32 U/L for females aged ≥ 69 years. The ULN for ALT using the 2018 AASLD normal range was 25 U/L for females and 35 U/L for males. M = F approach was used for analysis. (NCT02979613)
Timeframe: Week 96

,
Interventionpercentage of participants (Number)
Central Laboratory CriteriaAASLD Criteria
TAF 25 mg88.580.7
TDF 300 mg91.486.5

Percentage of Participants With Normalized ALT at Week 48 (by Central Laboratory and AASLD Criteria)

ALT normalization was defined as an ALT value that changed from above the normal range at baseline to within the normal range at the given postbaseline visit. Central laboratory ULN for ALT were as follows: ≤ 43 U/L for males aged 18 to < 69 years and ≤ 35 U/L for males aged ≥ 69 years; ≤ 34 U/L for females aged 18 to < 69 years and ≤ 32 U/L for females aged ≥ 69 years. The ULN for ALT using the 2018 AASLD normal range was 25 U/L for females and 35 U/L for males. M = F approach was used for analysis. (NCT02979613)
Timeframe: Week 48

,
Interventionpercentage of participants (Number)
Central Laboratory CriteriaAASLD Criteria
TAF 25 mg50.050.0
TDF 300 mg36.826.4

Percentage of Participants With Normalized ALT at Week 96 (by Central Laboratory and AASLD Criteria)

ALT normalization was defined as an ALT value that changed from above the normal range at baseline to within the normal range at the given postbaseline visit. Central laboratory ULN for ALT were as follows: ≤ 43 U/L for males aged 18 to < 69 years and ≤ 35 U/L for males aged ≥ 69 years; ≤ 34 U/L for females aged 18 to < 69 years and ≤ 32 U/L for females aged ≥ 69 years. The ULN for ALT using the 2018 AASLD normal range was 25 U/L for females and 35 U/L for males. M = F approach was used for analysis. (NCT02979613)
Timeframe: Week 96

,
Interventionpercentage of participants (Number)
Central Laboratory CriteriaAASLD Criteria
TAF 25 mg56.355.8
TDF 300 mg78.973.6

Change From Baseline in CD4 Cell Count at Week 48

(NCT02469246)
Timeframe: Baseline; Week 48

Interventioncells/µL (Mean)
F/TAF-30
ABC/3TC2

Change From Baseline in CD4 Cell Count at Week 96

(NCT02469246)
Timeframe: Baseline; Week 96

Interventioncells/μL (Mean)
F/TAF-29
ABC/3TC10

Percent Change From Baseline in Hip BMD at Week 96

(NCT02469246)
Timeframe: Baseline; Week 96

Interventionpercent change (Mean)
F/TAF0.169
ABC/3TC0.021

Percent Change From Baseline in Hip Bone Mineral Density (BMD) at Week 48

(NCT02469246)
Timeframe: Baseline; Week 48

Interventionpercent change (Mean)
F/TAF0.246
ABC/3TC0.086

Percent Change From Baseline in Spine BMD at Week 48

(NCT02469246)
Timeframe: Baseline; Week 48

Interventionpercent change (Mean)
F/TAF0.081
ABC/3TC-0.052

Percent Change From Baseline in Spine BMD at Week 96

(NCT02469246)
Timeframe: Baseline; Week 96

Interventionpercent change (Mean)
F/TAF0.178
ABC/3TC0.235

Percentage of Participants With HIV-1 RNA < 20 Copies/mL at Week 48 as Determined by the FDA-Defined Snapshot Algorithm

The percentage of participants achieving HIV-1 RNA < 20 copies/mL at Week 48 was analyzed using the snapshot algorithm, which defines a participant's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status. (NCT02469246)
Timeframe: Week 48

Interventionpercentage of participants (Number)
F/TAF85.7
ABC/3TC87.3

Percentage of Participants With HIV-1 RNA < 20 Copies/mL at Week 96 as Determined by the FDA-Defined Snapshot Algorithm

The percentage of participants achieving HIV-1 RNA < 20 copies/mL at Week 96 was analyzed using the snapshot algorithm, which defines a participant's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status. (NCT02469246)
Timeframe: Week 96

Interventionpercentage of participants (Number)
F/TAF80.4
ABC/3TC86.2

Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 48 as Determined by the FDA-Defined Snapshot Algorithm

The percentage of participants achieving HIV-1 RNA < 50 copies/mL at Week 48 was analyzed using the snapshot algorithm, which defines a participant's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status. (NCT02469246)
Timeframe: Week 48

Interventionpercentage of participants (Number)
F/TAF88.6
ABC/3TC92.4

Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 96 as Determined by the FDA-Defined Snapshot Algorithm

The percentage of participants achieving HIV-1 RNA < 50 copies/mL at Week 96 was analyzed using the snapshot algorithm, which defines a participant's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status. (NCT02469246)
Timeframe: Week 96

Interventionpercentage of participants (Number)
F/TAF82.1
ABC/3TC88.4

Percentage of Participants With HIV-1 RNA ≥ 50 Copies/mL at Week 48 as Determined by the FDA-Defined Snapshot Algorithm

The percentage of participants with HIV-1 RNA ≥ 50 copies/mL at Week 48 was analyzed using the snapshot algorithm, which defines a participant's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status. (NCT02469246)
Timeframe: Week 48

Interventionpercentage of participants (Number)
F/TAF1.8
ABC/3TC0.7

Percentage of Participants With HIV-1 RNA ≥ 50 Copies/mL at Week 96 as Determined by the FDA-Defined Snapshot Algorithm

The percentage of participants with HIV-1 RNA ≥ 50 copies/mL at Week 96 was analyzed using the snapshot algorithm, which defines a participant's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status. (NCT02469246)
Timeframe: Week 96

Interventionpercentage of participants (Number)
F/TAF2.5
ABC/3TC1.1

Change From Baseline in CD4+ Cell Count at Week 144

(NCT02607956)
Timeframe: Baseline, Week 144

Interventioncells/μL (Mean)
B/F/TAF278
DTG + F/TAF289

Change From Baseline in CD4+ Cell Count at Week 48

(NCT02607956)
Timeframe: Baseline, Week 48

Interventioncells/μL (Mean)
B/F/TAF180
DTG + F/TAF201

Change From Baseline in CD4+ Cell Count at Week 48 Open-Label

(NCT02607956)
Timeframe: Baseline, open-label Week 48

Interventioncells/μL (Mean)
All B/F/TAF304
DTG + F/TAF to B/F/TAF9

Change From Baseline in CD4+ Cell Count at Week 96

(NCT02607956)
Timeframe: Baseline, Week 96

Interventioncells/μL (Mean)
B/F/TAF237
DTG + F/TAF281

Change From Baseline in CD4+ Cell Count at Week 96 Open-Label

(NCT02607956)
Timeframe: Baseline, open-label Week 96

Interventioncells/µL (Mean)
All B/F/TAF336
DTG + F/TAF to B/F/TAF-10

Change From Baseline in log10 HIV-1 RNA at Week 144

(NCT02607956)
Timeframe: Baseline, Week 144

Interventionlog10 copies/mL (Mean)
B/F/TAF-3.06
DTG + F/TAF-3.11

Change From Baseline in log10 HIV-1 RNA at Week 48

(NCT02607956)
Timeframe: Baseline, Week 48

Interventionlog10 copies/mL (Mean)
B/F/TAF-3.07
DTG + F/TAF-3.12

Change From Baseline in log10 HIV-1 RNA at Week 96

(NCT02607956)
Timeframe: Baseline, Week 96

Interventionlog10 copies/mL (Mean)
B/F/TAF-3.08
DTG + F/TAF-3.10

Percentage of Participants Who Achieved HIV-1 RNA < 20 Copies/mL at Week 144 as Defined by the US FDA-Defined Snapshot Algorithm

The percentage of participants achieving HIV-1 RNA < 20 copies/mL at Week 144 was analyzed using the snapshot algorithm, which defines a participant's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status. (NCT02607956)
Timeframe: Week 144

Interventionpercentage of participants (Number)
B/F/TAF77.5
DTG + F/TAF79.1

Percentage of Participants Who Achieved HIV-1 RNA < 20 Copies/mL at Week 48 as Defined by the US FDA-Defined Snapshot Algorithm

The percentage of participants achieving HIV-1 RNA < 20 copies/mL at Week 48 was analyzed using the snapshot algorithm, which defines a participant's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status. (NCT02607956)
Timeframe: Week 48

Interventionpercentage of participants (Number)
B/F/TAF82.2
DTG + F/TAF87.1

Percentage of Participants Who Achieved HIV-1 RNA < 20 Copies/mL at Week 96 as Defined by the US FDA-Defined Snapshot Algorithm

The percentage of participants achieving HIV-1 RNA < 20 copies/mL at Week 96 was analyzed using the snapshot algorithm, which defines a participant's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status. (NCT02607956)
Timeframe: Week 96

Interventionpercentage of participants (Number)
B/F/TAF77.5
DTG + F/TAF80.3

Percentage of Participants Who Achieved HIV-1 RNA < 50 Copies/mL at Week 144 as Defined by the US FDA-Defined Snapshot Algorithm

The percentage of participants achieving HIV-1 RNA < 50 copies/mL at Week 144 was analyzed using the snapshot algorithm, which defines a participant's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status. (NCT02607956)
Timeframe: Week 144

Interventionpercentage of participants (Number)
B/F/TAF81.9
DTG + F/TAF84.0

Percentage of Participants Who Achieved HIV-1 RNA < 50 Copies/mL at Week 48 as Defined by the US FDA-Defined Snapshot Algorithm

The percentage of participants achieving HIV-1 RNA < 50 copies/mL at Week 48 was analyzed using the snapshot algorithm, which defines a participant's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status. (NCT02607956)
Timeframe: Week 48

Interventionpercentage of participants (Number)
B/F/TAF89.4
DTG + F/TAF92.9

Percentage of Participants Who Achieved HIV-1 RNA < 50 Copies/mL at Week 48 Open-Label as Defined by Missing = Excluded Algorithm

The percentage of participants with HIV-1 RNA < 50 copies/mL was analyzed using Missing = Excluded for imputing missing HIV-1 RNA values using the All B/F/TAF Analysis Set for the all B/F/TAF analysis. All missing data was excluded in the computation of the percentages (ie, missing data points were excluded from both the numerator and denominator in the computation). The denominator for percentages at a visit was the number of participants in the all B/F/TAF analysis set with nonmissing HIV-1 RNA value at that visit. (NCT02607956)
Timeframe: Baseline, open-label Week 48

Interventionpercentage of participants (Number)
All B/F/TAF99.2
DTG + F/TAF to B/F/TAF99.6

Percentage of Participants Who Achieved HIV-1 RNA < 50 Copies/mL at Week 48 Open-Label as Defined by Missing = Failure Algorithm

The percentage of participants with HIV-1 RNA < 50 copies/mL was analyzed using Missing = Failure for imputing missing HIV-1 RNA values using the All B/F/TAF Analysis Set for the all B/F/TAF analysis. All missing data was treated as HIV-1 RNA ≥ 50 copies/mL. The denominator for percentages was the number of participants in all B/F/TAF analysis set. (NCT02607956)
Timeframe: Baseline, open-label Week 48

Interventionpercentage of participants (Number)
All B/F/TAF75.3
DTG + F/TAF to B/F/TAF84.5

Percentage of Participants Who Achieved HIV-1 RNA < 50 Copies/mL at Week 96 as Defined by the US FDA-Defined Snapshot Algorithm

The percentage of participants achieving HIV-1 RNA < 50 copies/mL at Week 96 was analyzed using the snapshot algorithm, which defines a participant's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status. (NCT02607956)
Timeframe: Week 96

Interventionpercentage of participants (Number)
B/F/TAF84.1
DTG + F/TAF86.5

Percentage of Participants Who Achieved HIV-1 RNA < 50 Copies/mL at Week 96 Open-Label as Defined by Missing = Excluded Algorithm

The percentage of participants with HIV-1 RNA < 50 copies/mL was analyzed using Missing = Excluded for imputing missing HIV-1 RNA values using the All B/F/TAF Analysis Set for the all B/F/TAF analysis. All missing data was excluded in the computation of the percentages (ie, missing data points were excluded from both the numerator and denominator in the computation). The denominator for percentages at a visit was the number of participants in the all B/F/TAF analysis set with nonmissing HIV-1 RNA value at that visit. (NCT02607956)
Timeframe: Baseline, open-label Week 96

Interventionpercentage of participants (Number)
All B/F/TAF99.5
DTG + F/TAF to B/F/TAF99.1

Percentage of Participants Who Achieved HIV-1 RNA < 50 Copies/mL at Week 96 Open-Label as Defined by Missing = Failure Algorithm

The percentage of participants with HIV-1 RNA < 50 copies/mL was analyzed using Missing = Failure for imputing missing HIV-1 RNA values using the All B/F/TAF Analysis Set for the all B/F/TAF analysis. All missing data was treated as HIV-1 RNA ≥ 50 copies/mL. The denominator for percentages was the number of participants in all B/F/TAF analysis set. (NCT02607956)
Timeframe: Baseline, open-label Week 96

Interventionpercentage of participants (Number)
All B/F/TAF68.1
DTG + F/TAF to B/F/TAF87.5

Percentage of Participants With HIV-1 RNA < 20 Copies/mL at Week 96

The percentage of participants achieving HIV-1 RNA < 20 copies/mL at Week 96 was analyzed using the snapshot algorithm, which defines a patient's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status. (NCT01815736)
Timeframe: Week 96

Interventionpercentage of participants (Number)
E/C/F/TAF90.6
Stay on Baseline Treatment Regimen (SBR)85.3

Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 96

The percentage of participants achieving HIV-1 RNA < 50 copies/mL at Week 96 was analyzed using the snapshot algorithm, which defines a patient's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status. (NCT01815736)
Timeframe: Week 96

Interventionpercentage of participants (Number)
E/C/F/TAF92.8
Stay on Baseline Treatment Regimen (SBR)89.1

Change From Baseline in CD4 Cell Count at Weeks 96

The analysis of CD4 cell count included values up to 1 day after the last dose date of randomized study drug.The change from baseline in CD4 cell count for the full analysis set was based on observed data (ie, Missing = Excluded) for the total and by the prior treatment regimen. (NCT01815736)
Timeframe: Baseline; Week 96

,
Interventioncells/uL (Mean)
BaselineChange at Week 96
E/C/F/TAF70160
Stay on Baseline Treatment Regimen (SBR)68942

Change From Baseline in Cluster Determinant 4 (CD4) Cell Count at Week 48

The analysis of CD4 cell count included values up to 1 day after the last dose date of randomized study drug.The change from baseline in CD4 cell count for the full analysis set was based on observed data (ie, Missing = Excluded) for the total and by the prior treatment regimen. (NCT01815736)
Timeframe: Baseline; Week 48

,
Interventioncells/uL (Mean)
Baseline (NDA Data Cut)Change at Week 48 (NDA Data Cut)Baseline (All Participants)Change at Week 48 (All Participants)
E/C/F/TAF7123370135
Stay on Baseline Treatment Regimen (SBR)6902768924

Change From Baseline in Serum Creatinine at Week 48

(NCT01815736)
Timeframe: Baseline; Week 48

,
Interventionmg/dL (Mean)
NDA Data CutAll Participants
E/C/F/TAF-0.010.00
Stay on Baseline Treatment Regimen (SBR)0.040.03

Change From Baseline in the Overall EFV-related Symptom Assessment Score at Week 48

"The mean (SD) change of the overall EFV-related symptom assessment score is presented. The overall symptom score (ranging from 0 to 20) is the sum of the individual symptom scores ranging from 0 (no symptoms) to 4 (most severe symptoms) from the 5 EFV-related symptom assessments (dizziness, trouble sleeping, impaired concentration, sleepiness, and abnormal or vivid dream). A negative change from baseline indicates improvement.~EFV-Related Symptom Analysis Set: participants who received EFV/FTC/TDF as prior treatment, received at least 1 dose of study drug, and completed EFV-related symptom assessments at the baseline visit and at least 1 postbaseline visit." (NCT01815736)
Timeframe: Baseline; Week 48

,
Interventionunits on a scale (Mean)
NDA Data CutAll Participants
E/C/F/TAF-1.6-1.5
Stay on Baseline Treatment Regimen (SBR)-0.1-0.1

Percent Change From Baseline in Hip Bone Mineral Density (BMD) at Week 48

Hip BMD was assessed by dual energy x-ray absorptiometry (DXA) scan. BMD is calculated as grams per square centimeter (g/cm^2); the mean (SD) percentage change is presented. (NCT01815736)
Timeframe: Baseline; Week 48

,
Interventionpercentage change (Mean)
NDA Data CutAll Participants
E/C/F/TAF1.9491.468
Stay on Baseline Treatment Regimen (SBR)-0.136-0.340

Percent Change From Baseline in Spine BMD at Week 48

Spine BMD was assessed by DXA scan. BMD is calculated as g/cm^2; the mean (SD) percentage change is presented. (NCT01815736)
Timeframe: Baseline; Week 48

,
Interventionpercentage change (Mean)
NDA Data CutAll Participants
E/C/F/TAF1.8611.557
Stay on Baseline Treatment Regimen (SBR)-0.110-0.443

Percentage of Participants With HIV-1 RNA < 20 Copies/mL at Week 48

The percentage of participants achieving HIV-1 RNA < 20 copies/mL at Week 48 was analyzed using the snapshot algorithm, which defines a patient's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status. (NCT01815736)
Timeframe: Week 48

,
Interventionpercentage of participants (Number)
NDA Data CutAll Participants
E/C/F/TAF92.293.5
Stay on Baseline Treatment Regimen (SBR)90.490.4

Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 48

The percentage of participants achieving HIV-1 RNA < 50 copies/mL at Week 48 was analyzed using the snapshot algorithm, which defines a patient's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status. (NCT01815736)
Timeframe: Week 48

,
Interventionpercentage of participants (Number)
NDA Data CutAll Participants
E/C/F/TAF95.697.2
Stay on Baseline Treatment Regimen (SBR)92.993.1

Reviews

3 reviews available for alanine and Renal Insufficiency

ArticleYear
Tenofovir alafenamide as compared to tenofovir disoproxil fumarate in the management of chronic hepatitis B with recent trends in patient demographics.
    Expert review of gastroenterology & hepatology, 2017, Volume: 11, Issue:11

    Topics: Adenine; Age Factors; Alanine; Antiviral Agents; Bone Density; Clinical Decision-Making; Female; Glo

2017
Tenofovir alafenamide (TAF) treatment of HBV, what are the unanswered questions?
    Expert review of anti-infective therapy, 2018, Volume: 16, Issue:2

    Topics: Adenine; Alanine; Antiviral Agents; Bone Density; Dose-Response Relationship, Drug; Hepatitis B, Chr

2018
Renal safety of tenofovir alafenamide vs. tenofovir disoproxil fumarate: a pooled analysis of 26 clinical trials.
    AIDS (London, England), 2019, 07-15, Volume: 33, Issue:9

    Topics: Adenine; Adolescent; Adult; Aged; Aged, 80 and over; Alanine; Anti-HIV Agents; Child; Female; Humans

2019
Renal safety of tenofovir alafenamide vs. tenofovir disoproxil fumarate: a pooled analysis of 26 clinical trials.
    AIDS (London, England), 2019, 07-15, Volume: 33, Issue:9

    Topics: Adenine; Adolescent; Adult; Aged; Aged, 80 and over; Alanine; Anti-HIV Agents; Child; Female; Humans

2019
Renal safety of tenofovir alafenamide vs. tenofovir disoproxil fumarate: a pooled analysis of 26 clinical trials.
    AIDS (London, England), 2019, 07-15, Volume: 33, Issue:9

    Topics: Adenine; Adolescent; Adult; Aged; Aged, 80 and over; Alanine; Anti-HIV Agents; Child; Female; Humans

2019
Renal safety of tenofovir alafenamide vs. tenofovir disoproxil fumarate: a pooled analysis of 26 clinical trials.
    AIDS (London, England), 2019, 07-15, Volume: 33, Issue:9

    Topics: Adenine; Adolescent; Adult; Aged; Aged, 80 and over; Alanine; Anti-HIV Agents; Child; Female; Humans

2019
Renal safety of tenofovir alafenamide vs. tenofovir disoproxil fumarate: a pooled analysis of 26 clinical trials.
    AIDS (London, England), 2019, 07-15, Volume: 33, Issue:9

    Topics: Adenine; Adolescent; Adult; Aged; Aged, 80 and over; Alanine; Anti-HIV Agents; Child; Female; Humans

2019
Renal safety of tenofovir alafenamide vs. tenofovir disoproxil fumarate: a pooled analysis of 26 clinical trials.
    AIDS (London, England), 2019, 07-15, Volume: 33, Issue:9

    Topics: Adenine; Adolescent; Adult; Aged; Aged, 80 and over; Alanine; Anti-HIV Agents; Child; Female; Humans

2019
Renal safety of tenofovir alafenamide vs. tenofovir disoproxil fumarate: a pooled analysis of 26 clinical trials.
    AIDS (London, England), 2019, 07-15, Volume: 33, Issue:9

    Topics: Adenine; Adolescent; Adult; Aged; Aged, 80 and over; Alanine; Anti-HIV Agents; Child; Female; Humans

2019
Renal safety of tenofovir alafenamide vs. tenofovir disoproxil fumarate: a pooled analysis of 26 clinical trials.
    AIDS (London, England), 2019, 07-15, Volume: 33, Issue:9

    Topics: Adenine; Adolescent; Adult; Aged; Aged, 80 and over; Alanine; Anti-HIV Agents; Child; Female; Humans

2019
Renal safety of tenofovir alafenamide vs. tenofovir disoproxil fumarate: a pooled analysis of 26 clinical trials.
    AIDS (London, England), 2019, 07-15, Volume: 33, Issue:9

    Topics: Adenine; Adolescent; Adult; Aged; Aged, 80 and over; Alanine; Anti-HIV Agents; Child; Female; Humans

2019

Trials

1 trial available for alanine and Renal Insufficiency

ArticleYear
Switching from tenofovir disoproxil fumarate to tenofovir alafenamide in virologically suppressed patients with chronic hepatitis B: a randomised, double-blind, phase 3, multicentre non-inferiority study.
    The lancet. Gastroenterology & hepatology, 2020, Volume: 5, Issue:5

    Topics: Adenine; Alanine; Antiviral Agents; Bone Density; Creatinine; DNA, Viral; Double-Blind Method; Drug

2020
Switching from tenofovir disoproxil fumarate to tenofovir alafenamide in virologically suppressed patients with chronic hepatitis B: a randomised, double-blind, phase 3, multicentre non-inferiority study.
    The lancet. Gastroenterology & hepatology, 2020, Volume: 5, Issue:5

    Topics: Adenine; Alanine; Antiviral Agents; Bone Density; Creatinine; DNA, Viral; Double-Blind Method; Drug

2020
Switching from tenofovir disoproxil fumarate to tenofovir alafenamide in virologically suppressed patients with chronic hepatitis B: a randomised, double-blind, phase 3, multicentre non-inferiority study.
    The lancet. Gastroenterology & hepatology, 2020, Volume: 5, Issue:5

    Topics: Adenine; Alanine; Antiviral Agents; Bone Density; Creatinine; DNA, Viral; Double-Blind Method; Drug

2020
Switching from tenofovir disoproxil fumarate to tenofovir alafenamide in virologically suppressed patients with chronic hepatitis B: a randomised, double-blind, phase 3, multicentre non-inferiority study.
    The lancet. Gastroenterology & hepatology, 2020, Volume: 5, Issue:5

    Topics: Adenine; Alanine; Antiviral Agents; Bone Density; Creatinine; DNA, Viral; Double-Blind Method; Drug

2020

Other Studies

5 other studies available for alanine and Renal Insufficiency

ArticleYear
Benincasa hispida extracts positively regulated high salt-induced hypertension in Dahl salt-sensitive rats: Impact on biochemical profile and metabolic patterns.
    Journal of food biochemistry, 2022, Volume: 46, Issue:12

    Topics: Alanine; Amino Acids; Animals; Antihypertensive Agents; Antioxidants; Aspartic Acid; Cucurbitaceae;

2022
Comprehensive metabolomics profiling reveals common metabolic alterations underlying the four major non-communicable diseases in treated HIV infection.
    EBioMedicine, 2021, Volume: 71

    Topics: Adolescent; Adult; Aged; Alanine; Aspartic Acid; Atherosclerosis; Cognitive Dysfunction; Female; Glu

2021
Overdose of elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide in an HIV-1-infected subject with attempted suicide.
    Infection, 2019, Volume: 47, Issue:1

    Topics: Adenine; Alanine; Anti-HIV Agents; Cobicistat; Drug Combinations; Drug Overdose; Emtricitabine; HIV

2019
Population pharmacokinetic analysis of panipenem/betamipron in patients with various degrees of renal function.
    Chemotherapy, 2006, Volume: 52, Issue:5

    Topics: Adult; Aged; Aged, 80 and over; Alanine; Area Under Curve; Chromatography, High Pressure Liquid; Cre

2006
Consequences of renal mass reduction on amino acid and biogenic amine levels in nephrectomized mice.
    Amino acids, 2000, Volume: 18, Issue:3

    Topics: 3,4-Dihydroxyphenylacetic Acid; Alanine; Amino Acids; Animals; Biogenic Amines; Brain; Citrulline; D

2000