A case report: antiviral triple therapy with telaprevir in a haemodialysed HCV patient in Turkey

Acta Clinica Belgica
S AkhanA Aynioglu

Abstract

A 49-year-old woman was diagnosed with chronic hepatitis C 7 years ago. She began haemodialysis at the same time. She was on the waiting list for kidney transplantation (KTx). The real-time PCR technique revealed an HCV RNA viral load of 212,000 IU/ml, genotype 1a, IL28B the rs12979860 minor allele heterozygous CT (rs8099917 TT homozygous). She had a history of first antiviral treatment for 48 weeks of PEG-IFN-alpha 2a, 135 μg/week in 2011, but the HCV infection relapsed. Considering her relatively young age, candidacy for renal transplant, and the heterozygous pattern of IL28B, we decided to proceed with a second (and last) antiviral treatment using triple therapy with telaprevir at the regular dose of 750 mg every 8 hours+PEG-IFN-alpha 2a 135 μg/week sc+200 mg RBV three times a week. At the end of 6-month therapy, HCV RNA was found to be negative at months 3, 5, and 6.The patient has reached the sustained virological response (SVR) and is ready for KTx. All renal transplant candidates (dialysis-dependent, or not) with HCV should be assessed for antiviral treatment given the increased risk of progressive liver disease due to immunosuppressive therapy, increased life expectancy compared to other HCV-positive patients on dialysi...Continue Reading

References

Mar 12, 2011·Indian Journal of Pathology & Microbiology·Sila Cetin AkhanMurat Sayan
Nov 15, 2012·Journal of Clinical Virology : the Official Publication of the Pan American Society for Clinical Virology·Jérôme DumortierVincent Leroy
Jan 23, 2014·Journal of Hepatology·Seema Baid-AgrawalThomas Berg

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Citations

Apr 17, 2016·Kidney International·Fabrizio FabriziPiergiorgio Messa

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