Hepatitis C and HIV Coinfection
Conditions
Brief summary
This study evaluates the effect of sofosbuvir/ledipasvir (SOF/LDV) treatment on the pharmacokinetics (PK) and renal safety of tenofovir. Subjects receiving tenofovir-based antiretroviral therapy with human immunodeficiency virus (HIV) protease inhibitors (HIV PI/r) and initiating SOF/LDV treatment for Hepatitis C virus (HCV) will be invited to participate. The study consists of three visits: a screening visit and two abbreviated 4-hour pharmacokinetic visits (one before initiating SOF/LDV and a second approximately 4 weeks after initiating SOF/LDV).
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* On tenofovir and a ritonavir-boosted PI for at least 30 days initiating HCV treatment with SOF/LDV * HCV RNA \<48 copies/mL at most recent clinic visit
Exclusion criteria
* eGFR \< 60 ml/min * history of renal disease * Pregnant or planning pregnancy * Any medical, social, or mental-health issue(s) that, in the opinion of the investigators, could interfere with study participation or the study outcomes
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in area under the plasma concentration (AUC) of tenofovir | 4 weeks | Compare tenofovir AUC0-24 before and after administration of SOF/LDV |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Estimated Glomerular Filtration Rate (eGFR) | 14 weeks | Compare eGFR calculated using Modification of Diet in Renal Disease (MDRD) equation before and after the addition of SOF/LDV. |
| Change in concentrations of tenofovir-diphosphate | 4 weeks | Compare concentrations of tenofovir-diphosphate in peripheral blood mononuclear cells and red blood cells before and after the addition of SOF/LDV |
Countries
United States