Table 2.
Investigators/ study (year) |
Switch | Visceral Adipose tissue |
Subcutaneous adipose tissue (limb) |
SAT (trunk) |
Total fat | SAT:total fat |
Ref. |
---|---|---|---|---|---|---|---|
Stanley et al. (2009) |
Lopinavir/ritonavir to atazanavir/ritonavir |
-25 cm2 (22%); p = 0.047 |
NR | NR | NR | NR | [20] |
SWEET (2009) | AZT/3TC to tenofovir/emtricitabine |
NR | Within group change 0.26 kg (4%);p = 0.054 Between group change 0.45 kg; p = 0.025 |
NC | NC | NR | [30] |
LIPOTEST† (2008) | Stavudine to tenofovir | NR | NR | NR | 3.9 kg (21%); p < 0.001 |
NR | [33] |
Madruga et al.† (2007) |
Stavudine to tenofovir | NR | 1.3 kg (29%); p < 0.0001 | NR | NR | [31] | |
Milinkovic et al.‡ (2007) |
Stavudine to tenofovir | NR | 0.4 kg; p = 0.0003 | NR | NR | NR | [32] |
ACTG A5110† (2010) |
Thymidine analog to abacavir or NRTI to lopinavir/ritonavir + nevirapine |
Abacavir -18.3 cm2 (-15%); p = 0.04; lopinavir/ ritonavir NC |
Abacavir 2.9 cm2 (18%); Lopinavir/ritonavir 3.2 cm2 (17%) Both p < 0.01 (thigh); no difference between switch arms |
NR | NR | NR | [48] |
NONUKE (2008) | NRTI to NNRTI + PI | NC | 109 cm3 (30%); = 0.001 (thigh) |
NC | NR | 0.07 (17%); p = 0.007 |
[48] |
MONOI-ANRS 136 (2010) |
Darunavir/ritonavir + NRTI to darunavir/ritonavir monotherapy |
NR | 0.34 kg (7%); p = 0.011 | NC | NR | NR | [59] |
Percentage or absolute change calculated from available data.
Within-arm p-value reported (otherwise, between-arm p-value reported).
Percentage change not calculated secondary to available data.
3TC: Lamivudine;AZT: Zidovudine; NC: No (significant) change; NNRTI: Non-nucleoside reverse transcriptase inhibitor; NR: Not reported or not performed; NRTI: Nucleoside reverse transcriptase inhibitor; PI: Protease inhibitor; SAT: Subcutaneous adipose tissue.