Ombitasvir/paritaprevir/ritonavir plus dasabuvir regimen may be used safely in combination with sirolimus for the treatment of chronic hepatitis C

BMJ Case Rep. 2018 Jun 6:2018:bcr2018224664. doi: 10.1136/bcr-2018-224664.

Abstract

The era of direct acting antivirals has revolutionised the management of chronic hepatitis C infection and improved patient outcomes. The optimal management of patients who require liver transplantation remains a matter of ongoing discussion. Treatment in the post-transplantation setting may be complicated by significant drug-drug interactions between antiviral agents and standard immune suppressive treatment regimens. We describe what we believe to be the first reported case of a patient successfully treated for CHC with ombitasvir/paritaprevir/ritonavir plus dasabuvir, while taking sirolimus following liver transplantation.

Keywords: drug interactions; drugs: infectious diseases; hepatitis C; hepatitis and other Gi infections; transplantation.

Publication types

  • Case Reports

MeSH terms

  • 2-Naphthylamine
  • Aged
  • Anilides / therapeutic use
  • Antiviral Agents / therapeutic use*
  • Carbamates / therapeutic use
  • Cyclopropanes
  • Drug Interactions
  • Drug Therapy, Combination
  • End Stage Liver Disease / surgery*
  • Hepatitis C, Chronic / drug therapy*
  • Hepatitis C, Chronic / pathology
  • Humans
  • Lactams, Macrocyclic
  • Liver Transplantation*
  • Macrocyclic Compounds / therapeutic use
  • Male
  • Proline / analogs & derivatives
  • Ritonavir / therapeutic use
  • Sirolimus / therapeutic use*
  • Sulfonamides / therapeutic use
  • Treatment Outcome
  • Uracil / analogs & derivatives
  • Uracil / therapeutic use
  • Valine

Substances

  • Anilides
  • Antiviral Agents
  • Carbamates
  • Cyclopropanes
  • Lactams, Macrocyclic
  • Macrocyclic Compounds
  • Sulfonamides
  • ombitasvir
  • Uracil
  • Proline
  • 2-Naphthylamine
  • dasabuvir
  • Valine
  • Ritonavir
  • paritaprevir
  • Sirolimus