دورية أكاديمية

Response to direct-acting antiviral agents in chronic hepatitis C patients with end-stage renal disease: a clinical experience

التفاصيل البيبلوغرافية
العنوان: Response to direct-acting antiviral agents in chronic hepatitis C patients with end-stage renal disease: a clinical experience
المؤلفون: Tatar,Bengu, Köse,Şükran, Ergun,Nadide Colak, Turken,Melda, Onlen,Yusuf, Yılmaz,Yusuf, Akhan,Sıla
المصدر: Revista da Associação Médica Brasileira v.65 n.12 2019
بيانات النشر: Associação Médica Brasileira
سنة النشر: 2019
المجموعة: SciELO Brazil (Scientific Electronic Library Online)
مصطلحات موضوعية: Hepatitis C, End-Stage Renal Disease, Sustained Virologic Response
الوصف: SUMMARY OBJECTIVE The recent development of direct-acting antiviral agents (DAAs) has dramatically changed the treatment of chronic hepatitis C, and interferon-based regimes have become a poor treatment choice in clinical practice. Today DAAs offer shorter, well-tolerated, highly effective curative therapies. This study aimed to evaluate the effectiveness and safety of DAAs in patients with end-stage renal disease and HCV genotype 1 infection in real clinical practice. METHODS Thirty-six patients who attended our clinic, were diagnosed with chronic hepatitis C (CHC), undergoing hemodialysis, and fulfilled the criteria of age >18 years, genotype 1 infection, with a detectable HCV RNA level were considered for the study. Patients with GT1a infection received OBV/PTV/r plus DSV plus RBV for 12 weeks; GT1b infected patients received this regimen without RBV for 12 weeks. RESULTS The study was conducted on 33 patients. The mean age was 52.30 ±13.77 years, and 70 % of them were male. By the fourth week of treatment, HCV RNA levels decreased below 15 IU/ml in all patients. Sustained virologic response (SVR) 12 rate was 100%. Nine patients had side effects during treatment. Of the patients with side effects, 89.9% were in group 1a and 11.1% in group 1b. CONCLUSION In this study, treatment with OBV/PTV/r and DSV with or without RBV resulted in high rates of sustained virologic response in HCV GT1-infected patients with end-stage renal disease (ESRD). SVR was achieved in all patients with few side effects.
نوع الوثيقة: article in journal/newspaper
وصف الملف: text/html
اللغة: English
الإتاحة: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302019001201470Test
حقوق: info:eu-repo/semantics/openAccess
رقم الانضمام: edsbas.EB9544C6
قاعدة البيانات: BASE