Direct antiviral treatment of chronic hepatitis C in heart transplant recipients

Transpl Infect Dis. 2018 Feb;20(1). doi: 10.1111/tid.12813. Epub 2017 Dec 21.

Abstract

Direct-acting antiviral agents (DAAs) are a safe and effective treatment for chronic hepatitis C (CHC). This may be particularly valuable for patients with severe comorbidities or baseline conditions, including non-liver solid organ transplant. We report cases of two heart transplant recipients with CHC treated with DAAs (sofosbuvir and daclatasvir) achieving sustained virological response. Treatment was well tolerated and no relevant side effects were observed. The drug-drug interactions and graft function were carefully monitored.

Keywords: chronic hepatitis C; direct-acting antiviral agents (DAAs); heart transplant; sustained virological response (SVR).

Publication types

  • Case Reports

MeSH terms

  • Antiviral Agents / adverse effects
  • Antiviral Agents / blood
  • Antiviral Agents / therapeutic use*
  • Comorbidity
  • Drug Therapy, Combination
  • Female
  • Genotype
  • Heart Transplantation / adverse effects*
  • Hepacivirus / drug effects*
  • Hepatitis C, Chronic / drug therapy*
  • Hepatitis C, Chronic / virology
  • Humans
  • Middle Aged
  • Ribavirin / blood
  • Ribavirin / therapeutic use
  • Sofosbuvir / blood
  • Sofosbuvir / therapeutic use
  • Sustained Virologic Response
  • Treatment Outcome

Substances

  • Antiviral Agents
  • Ribavirin
  • Sofosbuvir