Retreatment of Genotype 1 Hepatitis C Virus with Sofosbuvir, Simeprevir, and Ribavirin Following Treatment Failure with an NS5A-Containing Direct-Acting Antiviral Regiment

Prior to the release of sofosbuvir/velpatasvir/voxilaprevir, few options for retreating patients failing HCV direct acting antiviral (DAA) therapy. This study evaluated the effectiveness of sofosbuvir + simeprevir + ribavirin for 24 weeks in retreating patients who previously failed HCV treatment containing an NS5A inhibitor.

Optimizing the Hepatitis C Cascade of Care in the Direct-Acting Antiviral Era

The objective of this study was to identify factors associated with movement through the HCV CoC after referral to a multidisciplinary ID clinic to sustained virologic response (SVR), including both general and historically difficult to treat populations.
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The Hepatitis C Cascade of Care for Traditional versus Emergency Department Referrals

Universal HCV screening was recently suggested to have the biggest impact on cascade of care improvement. The objective of this study was to compare cascade of care completion rates among patients referred for HCV treatment from traditional referral sources to those referred from the emergency department. We found that patient demographics vary between the two referral sources and patients referred from the emergency department had significantly lower linkage and engagement in HCV care.

Early Outcomes Using Hepatitis C–Positive Donors for Cardiac Transplantation in the Era of Effective Direct-Acting Anti-Viral Therapies

Given the shortage of suitable donor hearts for cardiac transplantation, and the favorable safety and efficacy of current agents used to treat hepatitis C virus(HCV), our institution recently piloted transplantation of select patients using HCV-positive donors. In the era of highly effective DAAs, the use of HCV-positive donors represents a potential approach to safely expand the donor pool.
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Appropriate Management of Drug Interactions Results in Safe Use of Hepatitis C Therapies in Heart Transplant Recipients

This study examins the use and pharmacotherapy of direct acting antivirals to treat hepatitis C in transplant patients receiving positive donor hearts. While results of this practice have proven successful, management of drug-drug interactions between transplant medications and DAAs is necessary to ensure safety and efficacy.
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Expanding Hepatitis C Virus Care and Cure: National Experience Using a Clinical Pharmacist-Driven Model

This multi-site study evaluated the effectiveness of a clinical pharmacist-driven HCV delivery model in an open system. With an overall sustained virologic response (SVR) rate of 95% (per protocol), the clinical pharmacist-driven HCV treatment model was found to be effective and comparable to other real-world studies with specialist, non-specialist, and non-hepatology providers.
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Pharmacologic Management of HCV Treatment in Patients with HCV Monoinfection vs. HIV/HCV Coinfection: Does Coinfection Really Matter?

In this ambispective cohort study of patients referred to an outpatient Infectious Diseases Clinic for chronic HCV, we found significant differences in patient demographics, drug interactions, and time to treat between HCV monoinfected and HIV/HCV coinfected patients. This study provides a broad, yet concise overview of the differences in caring for patients with and without HIV/HCV coinfection.
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Expanding Heart Transplant in the Era of Direct-Acting Antiviral Therapy for Hepatitis C

The objective of this study was to better define the association of hepatitis C-positive donors with heart transplant volumes, wait-list duration, and mortality at 1 year. Findings suggest that infection is well-tolerated and curable in heart transplant recipients with donor-derived hepatitis C, and 1-year survival is equivalent to that in recipients of hepatitis C-negative donors.
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Predicting Treatment Failure for Initiators of Hepatitis C Virus Treatment in the Era of Direct-Acting Antiviral Therapy

This study highlighted baseline factors associated with HCV treatment failure in 1,253 patients at four United States institutions. Most likely predictors of treatment failure in our dataset were older age, presence of hepatocellular carcinoma, and private versus public insurance, which appeared in 89%, 84%, and 80% of bootstrap models, respectively.
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Incidence and Impact of Persistent Viremia on SVR Rates in Patients Receiving Direct-Acting Antiviral Therapy

Rates of persistent viremia (PV), defined as a detectable hepatitis c (HCV) viral load after 4 weeks of direct-acting antiviral (DAA) therapy, were low (5.7%) in a real-world cohort of 983 patients. High sustained virologic response (SVR) rates were achieved both in patients with PV (92.9%) and those with rapid virologic response (RVR) (96.5%), without significant differences.
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