Treatment of hepatitis C virus (HCV) infection in patients with chronic kidney disease (CKD) can be challenging. Now, data from the phase III C-SURFER study show that grazoprevir and elbasvir — a new all-oral combination therapy for HCV — is safe and effective in patients with stage 4–5 CKD.
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References
Li, P. K. & Chow, K. M. Infectious complications in dialysis — epidemiology and outcomes. Nat. Rev. Nephrol. 8, 77–88 (2011).
Fabrizi, F. et al. Antiviral therapy (pegylated interferon and ribavirin) of hepatitis C in dialysis patients: meta-analysis of clinical studies. J. Viral Hepat. 21, 681–689 (2014).
Roth, D. et al. Grazoprevir-elbasvir in treatment-naïve and treatment-experienced patients with hepatitis C virus genotype 1 infection and stage 4–5 chronic kidney disease (the C-SURFER study): a combination phase 3 study. Lancet 386, 17–23 (2015).
Webster, D. P. et al. Hepatitis C. Lancet 385, 1124–1135 (2015).
Saxena, V. et al. SLP08: Safety and efficacy of Sofosbuvir-containing regimes in HCV infected patients with reduced renal function: real-world experience from HCV-TARGET. J. Hepatol. 62, S267 (2015).
Ferenci, P. et al. ABT-450/r-ombitasvir and dasabuvir with or without ribavirin for HCV. N. Engl. J. Med. 370, 1983–1992 (2014).
Pockros, P. et al. Safety of ombitasvir/paritaprevir/ritonavir plus dasabusvir for treatment HCV genotype 1 infection in patients with severe renal impairment or end-stage renal disease: the RUBY-1 Study. J. Hepatol. 62, S257 (2015).
Zeuzem, S. et al. Grazoprevir-elbasvir combination therapy for treatment-naïve cirrhotic and noncirrhotic patient with chronic HCV genotype 1, 4 and 6 infection: a randomized trial. Ann. Intern. Med. 163, 1–13 (2015).
Fabrizi, F. et al. Impact of hepatitis C on survival in dialysis patients: a link with cardiovascular mortality? J. Viral Hepat. 19, 601–607 (2012).
International Society of Nephrology. KDIGO clinical practice guidelines for the prevention, diagnosis, evaluation, and treatment of hepatitis C in chronic kidney disease. Kidney Int. Suppl. 109, S1–S99 (2008).
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H.L.-Y.C. is an advisor and speaker for Abbvie, Bristol Myers Squibb, Gilead, Novartis Pharmaceutical and Roche; an advisor for Janssen; a speaker for Echosens; and has received an unrestricted grant from Roche for studies of hepatitis B virus. P.K.-T.L. declares no competing interests.
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Chan, HY., Li, PT. Treatment of hepatitis C virus infection in patients with CKD. Nat Rev Nephrol 12, 5–6 (2016). https://doi.org/10.1038/nrneph.2015.189
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DOI: https://doi.org/10.1038/nrneph.2015.189