Switching tenofovir disoproxil fumarate to tenofovir alafenamide results in a significant decline in parathyroid hormone levels: uncovering the mechanism of tenofovir disoproxil fumarate-related bone loss?

Berend J Van Welzen, Matheus A J Thielen, Tania Mudrikova, Joop E Arends, Andy I M Hoepelman

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

: An increasing number of patients have been switched from tenofovir disoproxil fumarate (TDF) to tenofovir alafenamide because of its improved bone safety profile, although the pathophysiological mechanism is not fully understood. We show that serum parathyroid hormone levels drop significantly after the switch from TDF to tenofovir alafenamide. This observation supports the theories that TDF-related bone loss is parathyroid hormone-driven and that this effect is dose-dependent.

Original languageEnglish
Pages (from-to)1531-1534
Number of pages4
JournalAIDS
Volume33
Issue number9
Early online date22 Apr 2019
DOIs
Publication statusPublished - 15 Jul 2019

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