SOF/VEL in liver transplantation with genotype 1-4 infection

SOF/VEL in liver transplantation with genotype 1-4 infection

Agarwal K, J Hepatol 2018; May 29 (ePub ahead of print)

Anti-HCV
Velpatasvir (GS-5816)
Sofosbuvir
Genotype
1
3
Treatment history
Naive
IFN-Experienced
Cirrhosis
Yes
No
Special population
Liver transplantation

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Design


Glucocorticoids at dose = 5 mg/day permitted

Treatment regimens

  • Co-formulated SOF/VEL 400/100 mg 1 pill QD

Objective

  • SVR12 (HCV RNA < 15 IU/mL), by intention to treat, with 95% CI, descriptive analysis

Baseline characteristics and treatment response (N = 79)


* 1 non-virologic failure (discontinuation for AE at D7: hyperglycemia) ; 1 relapse at post-treatment W4 (genotype 1a, non-cirrhotic, treatment-naive), at failure: emergence of NS5A RAS L31V ; 1 relapse at post-treatment W12 (genotype 3b, non-cirrhotic, treatment-experienced without DAA), at failure: emergence of NS5B RAS S282T

Adverse events and laboratory abnormalities in the 79 patients, N (%)


* Hyperglycemia on D4 in a patient with diabetes ; ** Hepatocellular carcinoma, joint swelling, pneumonia

  • No graft rejection and no death

Summary

  • The single-tablet regimen of SOF/VEL was well tolerated and highly effective in genotype 1-4 HCV-infected liver transplant recipients.
  • SOF/VEL is a pangenotypic , ribavirin-free, simple, and well-tolerated treatment option for HCV-infected liver transplant recipients.