Low Tenofovir Plasma Exposure in HIV Oral Pre-exposure Prophylaxis Recipients with Gastrointestinal Disorders

Author:

Calcagno Andrea1ORCID,Dal Conte Ivano2,Cattaneo Dario3,Testi Roberto2,Mistrangelo Massimiliano4,Gervasoni Cristina5,de Nicolò Amedeo6,Bonora Stefano1,D’Avolio Antonio6ORCID,Di Perri Giovanni1

Affiliation:

1. Unit of Infectious Diseases, Department of Medical Sciences, University of Turin, Turin, Italy

2. Sexual Health Centre, Department of Prevention, ASL Città di Torino, Turin, Italy

3. Unit of Clinical Pharmacology, ASST Fatebenefratelli Sacco University Hospital, Milan, Italy

4. Department of Surgical Sciences, University of Turin, Turin, Italy

5. Department of Infectious Diseases, ASST Fatebenefratelli Sacco University Hospital, Milan, Italy

6. Laboratory of Clinical Pharmacology and Pharmacogenetics, Department of Medical Sciences, University of Turin, Turin, Italy

Abstract

Four pre-exposure prophylaxis (PrEP) users with gastrointestinal disorders (sleeve gastrectomy, terminal ileitis, celiac disease, or chronic diarrhea) and receiving oral tenofovir disoproxil fumarate/emtricitabine (TDF/FTC) were included. Despite self-reported high adherence, trough plasma tenofovir concentrations (after supervised intake) were significantly lower in these patients than in PrEP recipients without gastrointestinal disorders (21 ± 9.1 versus 138 ± 85 ng/ml). PrEP users with gastrointestinal disorders may need increased TDF doses or alternative prophylactic measures.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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