Clinical Study

Boceprevir-Based Triple Antiviral Therapy for Chronic Hepatitis C Virus Infection in Kidney-Transplant Candidates

Table 1

Patients’ characteristics and outcomes.

Patient 1Patient 2Patient 3Patient 4Patient 5Patient 6

Age (years)434272566339

GenderMaleFemaleMaleFemaleMaleFemale

RaceCaucasianCaucasianCaucasianBlackCaucasianCaucasian

Time on dialysis at initiation of antiviral therapy (months)4896095

Previous kidney transplantationYesYesNoYesNoYes

Previous antiviral treatmentPartial responderPartial responderPartial responderPartial responderNaïveRelapser

HCV genotype11a11b1b1b

Initial HCV RNA concentration (log IU/mL)4.35.636.555.525.85.36

Liver fibrosis at the initiation of viral therapyF2F2F2F1F1-F2

Rapid virological responseYesNoYesYesYesYes

Undetectable viremia at the end of therapyYesNoNoNoYesYes

Sustained virological responseYesNo, stopped therapy at week 28No, breakthrough between weeks 24 and 48No, breakthrough between weeks 24 and 48No, relapse at six months after ceasing therapyNo, relapse at one month after ceasing therapy

Decrease in Peg-IFN doseNoYesYesYesNoNo

Decrease in ribavirin doseNoNoNoYesNoNo

Decrease in boceprevir doseNoYesNoYesNoNo

Concomitant therapyAmlodipine, bisoprolol, furosemide, calcium, and darbepoetinAmlodipine, valsartan
furosemide, calcium, omeprazole, and darbepoetin
Irbesartan, aspirin, atenolol, simvastatin, and calciumCalcium, aspirin, omeprazole, and levothyroxineSimvastatin, amlodipine, and valsartanCalcium, sevelamer carbonate, alfacalcidol, urapidil, and darbepoetin

Long-term outcomeHad received a kidney transplant at 12 months after the end of therapy and was still not viremic at 4 months after transplantationStill viremic and on a waiting listDeceased or on a waiting at list 3 months after antiviral therapy was stoppedStill viremic on a waiting listHad received a kidney transplant at 1 month after HCV relapse from a HCV-positive donor and was still viremic at 6 months after kidney transplantationHad received a kidney transplant at 8 months after HCV relapse and was still viremic at 5 months after kidney transplantation

HCV: hepatitis C virus.
Undetectable HCV RNA at week 4; undetectable HCV RNA at 24 weeks after antiviral therapy was completed.