Mirmoezzi Hamed, Koochak Hamid Emadi, Dehghan Manshadi Seyed Ali, Hasannezhad Malihe, SeyedAlinaghi SeyedAhmad, Semnani Kiavash, Abbasian Ladan, Ghaderkhani Sara
School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Department of Infectious Diseases, Tehran University of Medical Sciences, Imam Khomeini Hospital Complex, Tehran, Iran.
AIDS Res Ther. 2025 Mar 15;22(1):35. doi: 10.1186/s12981-025-00728-6.
Concerns of increased metabolic dysfunction have been heightened for HIV patients on long-term antiretroviral therapy (ART). Among first-line ART agents, Tenofovir alafenamide (TAF) may entail a marked increase in weight compared to Tenofovir disoproxil fumarate (TDF). We retrospectively evaluated changes in weight and glucose regulation among 153 treament-naïve patients. Weight-gain was more pronounced after one year of treatment with TAF versus TDF (3.5 kg versus - 1 kg, P-value < 0.001). However, weight-gain was attenuated with longer follow-up, and no increase in glucose dysregulation was noted for TAF treatment. Attribution of increased metabolic risk to treatment with TAF remains questionable.
Clin Infect Dis. 2024-10-15
Infez Med. 2021-12-10