An Updated View on the Antiviral Therapy of Hepatitis C in Chronic Kidney Disease
Abstract
:1. Introduction
2. Information Sources and Search Strategy
3. Current Epidemiology of HCV in Chronic Kidney Disease
4. Natural History of HCV in Chronic Kidney Disease
5. Antiviral Therapy of HCV and Its Aim
6. Antiviral Therapy of HCV in Dialysis Patients (IFN-Based Therapy)
7. Antiviral Therapy of HCV in Patients with Advanced CKD (DAAs)
8. PI Containing SOF-Free DAAs (Clinical Trials)
9. PI-Containing SOF-Free DAAs (Real World Studies)
10. SOF-Based DAAs (Clinical Trials)
11. SOF-Based DAAs (Real World Studies)
12. SOF-Based DAAs and Kidney Impairment
13. Conclusions and Personal Views
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Group | Target | Drug | Others |
---|---|---|---|
Protease inhibitors | NS3/NS4A | Simeprevir Paritaprevir Grazoprevir Voxilaprevir Glecaprevir | No dose adjustment in patients with stage 4–5 CKD |
Non-nucleoside polymerase inhibitors | NS5B | Dasabuvir Beclabuvir | No dose adjustment in patients with stage 4–5 CKD |
Nucleoside polymerase inhibitors | NS5B | Sofosbuvir | Licensed for patients with stage 4–5 CKD (since Nov 2019) |
NS5A inhibitors | NS5A | Daclatasvir Elbasvir Ombitasvir Velpatasvir Ledipasvir | No dose adjustment in patients with stage 4–5 CKD |
DAA Regimen | Dose | HCV Genotype | ClinicalTrials.gov Number (Gov Identifier) |
---|---|---|---|
Elbasvir/Grazoprevir | Daily fixed-dose combination (50 mg/100 mg) for 12 weeks | 1, and 4 | [C-SURFER] NCT 02092350 |
Glecaprevir/Pibrentasvir | Daily fixed-dose combination (100 mg/40 mg × 3) for 12 or 8 weeks | 1, 2, 3, 4, 5, and 6 | [EXPEDITION-4] NCT 02651194 [EXPEDITION-5] NCT 03069365 |
Ledipasvir/Sofosbuvir | Daily fixed-dose combination (90 mg/400 mg) for 12 weeks | 1, 4, 5, and 6 | NCT 03036852 |
Sofosbuvir/Velpatasvir | Daily fixed-dose combination (400 mg/100 mg) for 12 weeks | 1, 2, 3, 4, 5, and 6 | NCT 01958281 |
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Fabrizi, F.; Cerutti, R.; Messa, P. An Updated View on the Antiviral Therapy of Hepatitis C in Chronic Kidney Disease. Pathogens 2021, 10, 1381. https://doi.org/10.3390/pathogens10111381
Fabrizi F, Cerutti R, Messa P. An Updated View on the Antiviral Therapy of Hepatitis C in Chronic Kidney Disease. Pathogens. 2021; 10(11):1381. https://doi.org/10.3390/pathogens10111381
Chicago/Turabian StyleFabrizi, Fabrizio, Roberta Cerutti, and Piergiorgio Messa. 2021. "An Updated View on the Antiviral Therapy of Hepatitis C in Chronic Kidney Disease" Pathogens 10, no. 11: 1381. https://doi.org/10.3390/pathogens10111381