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Sofosbuvir Combo Shows Promise for effective treatment of HCV patients with CKD on hemodialysis
Telangana: Hepatitis C virus (HCV) infection has long been a concern for patients undergoing maintenance hemodialysis (MHD) in India, where the prevalence of this condition is notably high. HCV infection is not only associated with a heightened risk of mortality but is also closely linked to cardiovascular diseases. Treating HCV in this vulnerable population, however, has been a challenging task due to the limited availability of recommended directly acting antivirals in the country. Moreover, concerns surrounding the renal elimination of pangenotypic sofosbuvir raised questions about its safety.
A prospective study published in the Journal Of The Association Of Physicians In India by Manisha Sahay and the team conducted between 2019 and 2020 aimed to address these challenges by investigating the treatment outcomes of patients on hemodialysis with HCV infection. The study collected clinical data, including biochemical parameters, viral load, and genotyping, while also noting the results of treatment involving sofosbuvir in combination with velpatasvir or daclatasvir administered over 12 weeks.
- The study, which included 54 hemodialysis patients with HCV, unveiled some compelling findings.
- Genotype 1 emerged as the most prevalent, affecting 75.9% (n = 41) of the participants.
- An impressive 96.29% (n = 52) of the patients achieved sustained virological response (SVR) at the study's conclusion, signalling a successful clearance of the virus from their bodies.
- Even more promising, none of the patients experienced severe side effects necessitating a reduction in treatment doses or discontinuation.
These results indicate that the combination therapy involving sofosbuvir demonstrates a high level of efficacy among dialysis patients, irrespective of their HCV genotype or the presence of cirrhosis. Moreover, this treatment approach requires minimal monitoring, mirroring the successful outcomes observed in non-chronic kidney disease (CKD) patients.
The findings offer hope for patients with HCV infection receiving hemodialysis in India, potentially paving the way for more accessible and effective treatment options in the future. With the threat of HCV significantly reduced, these patients may enjoy improved health and well-being, contributing to an overall better quality of life.
Reference:
Sahay M, Priyashree, Ismal K, et al. Efficacy and Safety of Directly Acting Antivirals in Patients with Hepatitis C Infection on Hemodialysis. J Assoc Physicians India 2023;71(8):25–28. https://www.japi.org/y2648454/efficacy-and-safety-of-directly-acting-antivirals-in-patients-with-hepatitis-c-infection-on-hemodialysis
MSc. Biotechnology
Medha Baranwal joined Medical Dialogues as an Editor in 2018 for Speciality Medical Dialogues. She covers several medical specialties including Cardiac Sciences, Dentistry, Diabetes and Endo, Diagnostics, ENT, Gastroenterology, Neurosciences, and Radiology. She has completed her Bachelors in Biomedical Sciences from DU and then pursued Masters in Biotechnology from Amity University. She has a working experience of 5 years in the field of medical research writing, scientific writing, content writing, and content management. She can be contacted at  editorial@medicaldialogues.in. Contact no. 011-43720751
Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751