Co-administration of treatment for rifampicin-resistant TB and chronic HCV infection: A TBnet and ESGMYC study

ObjectivesLimited evidence is available on the co-administration of treatment for hepatitis C virus (HCV) and multidrug-resistant tuberculosis (MDR-TB). The objective of this study is to assess safety and effectiveness of concomitant treatment of chronic HCV-infection and MDR-TB.MethodsWe performed...

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Published in:The Journal of infection Vol. 84; no. 6; pp. 834 - 872
Main Authors: Tunesi, Simone, Dû, Damien Le, Gualano, Gina, Millet, Joan-Pau, Skrahin, Aliaksandr, Bothamley, Graham, Casas, Xavier, Goletti, Delia, Lange, Christoph, Musso, Maria, Palmieri, Fabrizio, Pourcher, Valérie, Rioux, Christophe, Skrahina, Alena, Veziris, Nicolas, Viatushka, Dzmitry, Jachym-Fréchet, Mathilde, Guglielmetti, Lorenzo, Marigot-Outtandy, Dhiba, Lescure, Xavier, Dubert, Marie, Yazdanpanah, Yazdan, Caumes, Eric, Choinier, Pascaline, Haddad, Elie, Kowalczyk, Jakub, Laurichesse, Hélène, Lesens, Olivier, Aubry, Alexandra, Bonnet, Isabelle, Morel, Florence
Format: Journal Article
Language:English
Published: England Elsevier Ltd 01.06.2022
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ISSN:0163-4453, 1532-2742, 1532-2742
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Abstract ObjectivesLimited evidence is available on the co-administration of treatment for hepatitis C virus (HCV) and multidrug-resistant tuberculosis (MDR-TB). The objective of this study is to assess safety and effectiveness of concomitant treatment of chronic HCV-infection and MDR-TB.MethodsWe performed a retrospective, multicentre observational cohort study of patients treated concomitantly for multidrug-resistant tuberculosis and HCV-infection between January 2015 and February 2021.ResultsOverall, 23 patients were enrolled across six centres in four countries. Predominant HCV genotype was 3 (40%) and most patients had absent or mild liver fibrosis. All patients completed HCV treatment without interruptions and achieved undetectable plasmatic HCV-RNA from week 12. Sustained virological response was equally obtained for all patients with available results. Among 11 patients who had finished MDR-TB treatment at data censoring, 10 achieved cure and one died. Overall, 18 liver-related adverse events were reported in 48% of patients, the majority (94%) occurring during MDR-TB treatment but before HCV treatment was started. No liver-related serious adverse events or Grade 4 adverse events were reported.ConclusionsConcomitant treatment of HCV and MDR-TB was well tolerated and effective. HCV treatment should be considered in MDR-TB patients to reduce treatment-related hepatotoxicity and prevent progression of HCV-mediated liver disease.
AbstractList ObjectivesLimited evidence is available on the co-administration of treatment for hepatitis C virus (HCV) and multidrug-resistant tuberculosis (MDR-TB). The objective of this study is to assess safety and effectiveness of concomitant treatment of chronic HCV-infection and MDR-TB.MethodsWe performed a retrospective, multicentre observational cohort study of patients treated concomitantly for multidrug-resistant tuberculosis and HCV-infection between January 2015 and February 2021.ResultsOverall, 23 patients were enrolled across six centres in four countries. Predominant HCV genotype was 3 (40%) and most patients had absent or mild liver fibrosis. All patients completed HCV treatment without interruptions and achieved undetectable plasmatic HCV-RNA from week 12. Sustained virological response was equally obtained for all patients with available results. Among 11 patients who had finished MDR-TB treatment at data censoring, 10 achieved cure and one died. Overall, 18 liver-related adverse events were reported in 48% of patients, the majority (94%) occurring during MDR-TB treatment but before HCV treatment was started. No liver-related serious adverse events or Grade 4 adverse events were reported.ConclusionsConcomitant treatment of HCV and MDR-TB was well tolerated and effective. HCV treatment should be considered in MDR-TB patients to reduce treatment-related hepatotoxicity and prevent progression of HCV-mediated liver disease.
Author Choinier, Pascaline
Viatushka, Dzmitry
Laurichesse, Hélène
Millet, Joan-Pau
Caumes, Eric
Skrahina, Alena
Yazdanpanah, Yazdan
Morel, Florence
Pourcher, Valérie
Jachym-Fréchet, Mathilde
Lesens, Olivier
Musso, Maria
Marigot-Outtandy, Dhiba
Gualano, Gina
Lange, Christoph
Aubry, Alexandra
Haddad, Elie
Casas, Xavier
Skrahin, Aliaksandr
Lescure, Xavier
Rioux, Christophe
Dû, Damien Le
Guglielmetti, Lorenzo
Kowalczyk, Jakub
Bonnet, Isabelle
Tunesi, Simone
Dubert, Marie
Veziris, Nicolas
Palmieri, Fabrizio
Goletti, Delia
Bothamley, Graham
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CitedBy_id crossref_primary_10_1371_journal_pmed_1004121
crossref_primary_10_3390_idr15060066
crossref_primary_10_1136_bmjopen_2022_067065
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Copyright 2022
Distributed under a Creative Commons Attribution 4.0 International License
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Snippet ObjectivesLimited evidence is available on the co-administration of treatment for hepatitis C virus (HCV) and multidrug-resistant tuberculosis (MDR-TB). The...
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SubjectTerms Antitubercular Agents - therapeutic use
Hepatitis C - drug therapy
Human health and pathology
Humans
Infectious diseases
Life Sciences
Pulmonology and respiratory tract
Rifampin - therapeutic use
Tuberculosis, Multidrug-Resistant - drug therapy
Title Co-administration of treatment for rifampicin-resistant TB and chronic HCV infection: A TBnet and ESGMYC study
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https://dx.doi.org/10.1016/j.jinf.2022.03.004
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https://hal.sorbonne-universite.fr/hal-03608140
Volume 84
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