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Eradication of HCV Infection with the Direct-Acting Antiviral Therapy in Renal Allograft Recipients

by Dodaro, Concetta , Sagnelli, Caterina , Candida, Maria , Calogero, Armando , Carlomagno, Nicola , Minieri, Gianluca , Angeletti, Silvia , Ciccozzi, Massimo , Incollingo, Paola , Peluso, Gaia , Creta, Massimiliano , Sagnelli, Evangelista

in Analysis / Antiviral agents / Antiviral Agents - therapeutic use / Antiviral drugs / Biological response modifiers / Blood & organ donations / Clinical trials / Development and progression / Dialysis / Graft rejection / Health aspects / Health risk assessment / Hemodialysis / Hepacivirus / Hepatitis / Hepatitis C / Hepatitis C virus / Hepatitis C, Chronic - drug therapy / Humans / Infection / Infections / Interferon / Kidney diseases / Kidney Transplantation / Kidneys / Liver diseases / Organ transplant recipients / Protease inhibitors / Review / Sustained Virologic Response / Transplant Recipients / Transplantation / Transplantation, Homologous / Transplants & implants / Viruses

2019

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Eradication of HCV Infection with the Direct-Acting Antiviral Therapy in Renal Allograft Recipients

2019

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Eradication of HCV Infection with the Direct-Acting Antiviral Therapy in Renal Allograft Recipients

2019

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Journal Article

Eradication of HCV Infection with the Direct-Acting Antiviral Therapy in Renal Allograft Recipients

Dodaro, Concetta,

Sagnelli, Caterina,

Candida, Maria,

Calogero, Armando,

Carlomagno, Nicola,

Minieri, Gianluca,

Angeletti, Silvia,

Ciccozzi, Massimo,

Incollingo, Paola,

Peluso, Gaia,

Creta, Massimiliano,

Sagnelli, Evangelista

2019

Overview

Hepatitis C virus (HCV) infection unfavorably affects the survival of both renal patients undergoing hemodialysis and renal transplant recipients. In this subset of patients, the effectiveness and safety of different combinations of interferon-free direct-acting antiviral agents (DAAs) have been analyzed in several small studies. Despite fragmentary, the available data demonstrate that DAA treatment is safe and effective in eradicating HCV infection, with a sustained virologic response (SVR) rates nearly 95% and without an increased risk of allograft rejection. This review article analyzes the results of most published studies on this topic to favor more in-depth knowledge of the readers on the subject. We suggest, however, perseverating in this update as the optimal DAA regimen may not be proposed yet, because of the expected arrival of newer DAAs and of the lack of data from large multicenter randomized controlled trials.

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Publisher

Hindawi Publishing Corporation,Hindawi,John Wiley & Sons, Inc

Subject

Analysis

/ Antiviral agents

/ Antiviral Agents - therapeutic use

/ Antiviral drugs

/ Biological response modifiers

/ Blood & organ donations

/ Clinical trials