Use of bilirubin as a marker of adherence to atazanavir-based antiretroviral therapy

Kyle Petersen*, Mark S. Riddle, Lindsay E. Jones, Kari J. Furtek, Anne R. Christensen, Sybil A. Tasker, Braden R. Hale

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

19 Scopus citations

Abstract

We retrospectively reviewed 134 patients to evaluate atazanavir-related bilirubin elevation as an adherence marker. Using a 2 log reduction or undetectable viral load as a marker for suppression, the median bilirubin increase at first follow-up was 1.3 (0.7-2.2), versus 0.2 (-0.05-0.65) for those not suppressed. An increase in bilirubin of more than 0.4 mg/dl correctly classified 81% of patients as having successful treatment response (sensitivity 87%, specificity 63%), suggesting that bilirubin is a good adherence marker.

Original languageEnglish
Pages (from-to)1700-1702
Number of pages3
JournalAIDS
Volume19
Issue number15
DOIs
StatePublished - 14 Oct 2005
Externally publishedYes

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