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 |
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| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
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England
Elsevier Ltd
01.06.2022
Elsevier |
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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. |
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| 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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| Cites_doi | 10.1016/j.jinf.2019.10.019 10.1016/j.jhep.2019.10.018 10.1128/AAC.01215-19 10.1183/13993003.02089-2018 10.1186/s12879-019-4494-1 10.1093/ofid/ofaa653 |
| ContentType | Journal Article |
| Contributor | Kowalczyk, Jakub Bonnet, Isabelle Choinier, Pascaline Laurichesse, Hélène Caumes, Eric Yazdanpanah, Yazdan Morel, Florence Dubert, Marie Lesens, Olivier Marigot-Outtandy, Dhiba Aubry, Alexandra Haddad, Elie Lescure, Xavier |
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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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