PMID- 28932089 OWN - NLM STAT- MEDLINE DCOM- 20180521 LR - 20211204 IS - 2219-2840 (Electronic) IS - 1007-9327 (Print) IS - 1007-9327 (Linking) VI - 23 IP - 32 DP - 2017 Aug 28 TI - Efficacy and safety of sofosbuvir and daclatasvir in treatment of kidney transplantation recipients with hepatitis C virus infection. PG - 5969-5976 LID - 10.3748/wjg.v23.i32.5969 [doi] AB - AIM: To assess the efficacy and safety of sofosbuvir and daclatasvir regimens for kidney transplantation (KT) patients with hepatitis C virus (HCV) infection. METHODS: This study enrolled a prospective cohort of consecutive Chinese KT patients with HCV infection. They were given sofosbuvir combined with daclatasvir, with or without ribavirin. They were monitored regularly during and after the treatment. RESULTS: Six patients were recruited in our prospective study cohort. All patients were male and naive to direct-acting antiviral treatment. The treatment duration was 12 wk. Most patients (4/6) were infected with HCV genotype 1b. HCV RNA was undetectable at week 4 after treatment and at the end of treatment in all patients. Sustained virological response rate at 12 wk was 100% (6/6). Two patients had to accept a half dose of sofosbuvir due to serum creatinine elevation during treatment. Kidney function in the remaining patients was stable. No serious adverse events (AEs) were observed. No patient discontinued antiviral therapy due to side effects. CONCLUSION: Sofosbuvir and daclatasvir for treatment of KT recipients with HCV infection are highly efficient and safe. Patients tolerated the medications well, and no serious AEs were observed. Larger prospective cohort studies are needed to validate these results. FAU - Xue, Yan AU - Xue Y AD - Department of Infectious Diseases and Hepatology, the Second Hospital of Shandong University, Jinan 250033, Shandong Province, China. FAU - Zhang, Li-Xin AU - Zhang LX AD - Department of Infectious Diseases and Hepatology, the Second Hospital of Shandong University, Jinan 250033, Shandong Province, China. FAU - Wang, Lei AU - Wang L AD - Department of Infectious Diseases and Hepatology, the Second Hospital of Shandong University, Jinan 250033, Shandong Province, China. wlcrb@sdu.edu.cn. FAU - Li, Tao AU - Li T AD - Department of Infectious Diseases and Hepatology, the Second Hospital of Shandong University, Jinan 250033, Shandong Province, China. FAU - Qu, Yun-Dong AU - Qu YD AD - Department of Infectious Diseases and Hepatology, the Second Hospital of Shandong University, Jinan 250033, Shandong Province, China. FAU - Liu, Feng AU - Liu F AD - Department of Infectious Diseases and Hepatology, the Second Hospital of Shandong University, Jinan 250033, Shandong Province, China. LA - eng PT - Journal Article PL - United States TA - World J Gastroenterol JT - World journal of gastroenterology JID - 100883448 RN - 0 (Antiviral Agents) RN - 0 (Carbamates) RN - 0 (Imidazoles) RN - 0 (Pyrrolidines) RN - 0 (RNA, Viral) RN - 49717AWG6K (Ribavirin) RN - HG18B9YRS7 (Valine) RN - LI2427F9CI (daclatasvir) RN - WJ6CA3ZU8B (Sofosbuvir) SB - IM MH - Adult MH - Antiviral Agents/*therapeutic use MH - Carbamates MH - China MH - Drug Therapy, Combination/methods MH - Graft Rejection/prevention & control/virology MH - Hepacivirus/genetics MH - Hepatitis C, Chronic/complications/*drug therapy/virology MH - Humans MH - Imidazoles/*therapeutic use MH - Kidney Transplantation/*adverse effects MH - Liver Cirrhosis/prevention & control/virology MH - Male MH - Middle Aged MH - Pilot Projects MH - Prospective Studies MH - Pyrrolidines MH - RNA, Viral/isolation & purification MH - Ribavirin/therapeutic use MH - Sofosbuvir/*therapeutic use MH - Transplant Recipients MH - Treatment Outcome MH - Valine/analogs & derivatives PMC - PMC5583582 OTO - NOTNLM OT - Daclatasvir OT - Direct-acting antivirals OT - Hepatitis C virus OT - Kidney transplantation OT - Sofosbuvir COIS- Conflict-of-interest statement: All authors have no conflicts of interest. EDAT- 2017/09/22 06:00 MHDA- 2018/05/22 06:00 PMCR- 2017/08/28 CRDT- 2017/09/22 06:00 PHST- 2017/05/31 00:00 [received] PHST- 2017/07/03 00:00 [revised] PHST- 2017/07/12 00:00 [accepted] PHST- 2017/09/22 06:00 [entrez] PHST- 2017/09/22 06:00 [pubmed] PHST- 2018/05/22 06:00 [medline] PHST- 2017/08/28 00:00 [pmc-release] AID - 10.3748/wjg.v23.i32.5969 [doi] PST - ppublish SO - World J Gastroenterol. 2017 Aug 28;23(32):5969-5976. doi: 10.3748/wjg.v23.i32.5969.