Hepatitis C, Chronic, Kidney Transplant; Complications
Conditions
Keywords
kidney transplant recipients, chronic hepatitis c virus infection, direct acting antivirals, sofosbuvir/ledipasvir
Brief summary
Chronic hepatitis C virus (HCV) infection, an important cause of morbidity and mortality worldwide, is a significant problem in kidney transplant recipients (KTRs) given its high prevalence in patients undergoing hemodialysis. Interferon based regimens were cornerstone of treatment of HCV infection in the past; however, due to their low efficacy and high rates of adverse effects, they have been abandoned in the new era of direct acting antivirals (DAAs). Several studies demonstrated the efficacy and safety of DAAs, yet data regarding clinical practice of these agents in KTRs is still needed. Therefore, we conducted a study using our registry data to evaluate the efficacy and safety of DAAs in KTRs.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Being a kidney transplant recipient. * Having a detectable level of HCV RNA. * Having direct acting antivirals for 12 or 24 weeks.
Exclusion criteria
* Withdrawing or not providing consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| SVR12 | 6 months | Undetectable levels of HCV RNA for 12 weeks after the end of treatment with direct acting antivirals. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Stable Graft Function | 6-12 months | Stability of serum creatinine and proteinuria levels of kidney transplant recipients during and after the treatment with direct acting antivirals. |
| Stable Serum Trough Levels of Immunosuppressive Agents | 6 months | Stability of serum trough levels of calcineurin and mTOR inhibitors during the treatment with direct acting antivirals. |
Countries
Turkey (Türkiye)