Chronic Renal Failure, Hepatitis C, Chronic
Conditions
Keywords
hepatitis C, renal failure, sofosbuvir, daclatasvir
Brief summary
Sofosbuvir is the base of most treatment regimens for hepatitis C. In patients with renal failure the blood level of one of its metabolites (GS-331007) rises up to 20 folds. Although no particular adverse event has been linked to this metabolite sofosbuvir is not recommended for patients with renal failure mainly because of lack of data. Nevertheless there are anecdotal reports and small studies proving the safety of sofosbuvir in renal failure. This study addresses this lack of information by evaluating the safety and efficacy of sofosbuvir and daclatasvir in treating hepatitis C in 100 patients with renal failure.
Interventions
Daily fixed dose combination pill (Sovodak) containing 400 mg sofosbuvir and 60 mg daclatasvir for 12 weeks if not cirrhotic (liver stiffness \< 12 KPa) or 24 weeks if cirrhotic
Sponsors
Study design
Eligibility
Inclusion criteria
* Positive qualitative hepatitis C virus RNA test on two occasions at least 6 months apart * Renal failure (eGFR \< 30 cc/min) or under hemodialysis
Exclusion criteria
* Model for End-stage Liver Disease (MELD) score \> 20, * Child's C (CTP score \> 12), * Heart rate \< 50/min, * Taking amiodarone
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sustained Viral Response (SVR12) | 12 weeks after end of treatment | Lack of detectable hepatitis C virus in blood 12 weeks after end of treatment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Safety as assessed by adverse drug events | From start of treatment to 12 weeks after end of treatment | Adverse drug events recorded by direct questioning |
Countries
Iran