Outcomes of antiviral treatment in hepatitis C virus liver transplant patients off immunosuppression in the direct acting antivirals era: A case series.

Abstract:

BACKGROUND:Clearance of hepatitis C virus (HCV) under antiviral therapy, including direct-acting antivirals (DAAs), has been associated with higher risk of rejection. Whether patients who are not on immunosuppression (IS) during DAA therapy are at higher risk of rejection is unknown. METHODS:Four transplant recipients who were off IS and treated with DAA therapy were identified. RESULTS:All patients were genotype 1 infection and treated for 12 weeks with sofosbuvir/ledipasvir/ribavirin. At the time of DAA therapy, patients were off IS for a median of 9.5 years. Time from liver transplant (LT) to treatment was 12.9 years. Median baseline ALT was 70 IU/L, at follow-up week 12 was 18 IU/L. No signs of rejection were observed during DAA therapy or follow-up after the end of therapy. All 4 patients obtained sustained virological response. CONCLUSION:Direct-acting antivirals therapy in HCV patients off IS post-LT can be successfully undertaken without the need to restart IS.

journal_name

Clin Transplant

journal_title

Clinical transplantation

authors

Campos-Varela I,Agudelo EZ,Terrault NA

doi

10.1111/ctr.13303

subject

Has Abstract

pub_date

2018-07-01 00:00:00

pages

e13303

issue

7

eissn

0902-0063

issn

1399-0012

journal_volume

32

pub_type

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