Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\26457580
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 PLoS+One
2015 ; 10
(10
): e0140358
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Predictors of Treatment Response to Tesamorelin, a Growth Hormone-Releasing
Factor Analog, in HIV-Infected Patients with Excess Abdominal Fat
#MMPMID26457580
Mangili A
; Falutz J
; Mamputu JC
; Stepanians M
; Hayward B
PLoS One
2015[]; 10
(10
): e0140358
PMID26457580
show ga
BACKGROUND: Tesamorelin, a synthetic analog of human growth hormone-releasing
factor, decreases visceral adipose tissue (VAT) in human immunodeficiency virus
(HIV)-infected patients with lipodystrophy. OBJECTIVES: 1) To evaluate the
utility of patient characteristics and validated disease-risk scores, namely
indicator variables for the metabolic syndrome defined by the International
Diabetes Federation (MetS-IDF) or the National Cholesterol Education Program
(MetS-NCEP) and the Framingham Risk Score (FRS), as predictors of VAT reduction
during tesamorelin therapy at 3 and 6 months, and 2) To explore the
characteristics of patients who reached a threshold of VAT <140 cm2, a level
associated with lower risk of adverse health outcomes, after 6 months of
treatment with tesamorelin. METHODS: Data were analyzed from two Phase 3 studies
in which HIV-infected patients with excess abdominal fat were randomized in a 2:1
ratio to receive tesamorelin 2 mg (n = 543) or placebo (n = 263) subcutaneously
daily for 6 months, using ANOVA and ANCOVA models. RESULTS: Metabolic syndrome
(MetS-IDF or MetS-NCEP) and FRS were significantly associated with VAT at
baseline. Presence of metabolic syndrome ([MetS-NCEP), triglyceride levels >1.7
mmol/L, and white race had a significant impact on likelihood of response to
tesamorelin after 6 months of therapy (interaction p-values 0.054, 0.063, and
0.025, respectively). No predictive factors were identified at 3 months. The odds
of a VAT reduction to <140 cm2 for subjects treated with tesamorelin was 3.9
times greater than that of subjects randomized to placebo after controlling for
study, gender, baseline body mass index (BMI) and baseline VAT (95% confidence
interval [CI] 2.03; 7.44). CONCLUSIONS: Individuals with baseline MetS-NCEP,
elevated triglyceride levels, or white race were most likely to experience
reductions in VAT after 6 months of tesamorelin treatment. The odds of response
of VAT <140 cm2 was 3.9 times greater for tesamorelin-treated patients than that
of patients receiving placebo.
|Abdominal Fat/*pathology
[MESH]
|Adolescent
[MESH]
|Adult
[MESH]
|Aged
[MESH]
|Female
[MESH]
|Growth Hormone-Releasing Hormone/adverse effects/*analogs &
derivatives/therapeutic use
[MESH]