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Original Abstract of the Article

Major Research Findings

Sofosbuvir-containing regimens have been shown to achieve high sustained virological response (SVR) rates in patients with hepatitis C virus (HCV) with or without human immunodeficiency virus (HIV) in clinical trials. 23

For liver transplant recipients with HCV and HIV co-infection, recurrence after LT is associated with a higher risk of graft loss than for HCV mono-infected patients. 20

Chronic hepatitis C virus (HCV) infection causes significant mortality in patients with inherited bleeding disorders, however, data of interferon-free antiviral regimes are scarce in this population. 16

Direct-acting antivirals (DAAs) are an emerging group of small molecule inhibitors that effectively treat hepatitis C virus (HCV) infection, a common comorbidity in end-stage renal disease patients. 29

Simeprevir plus sofosbuvir (SIM/SOF) regimen was recommended by professional guidelines for certain patients with HCV genotype 1 infection and there is lack of data about this regimen in patients with genotype 4 infection. 14

Recurrence of hepatitis C virus (HCV)-associated membranoproliferative glomerulonephritis (MPGN) in the kidney transplant may lead to continuous graft deterioration and the need for further renal replacement therapy. 12

Hepatitis C virus (HCV) infection and its treatments are associated with significant symptoms, side effects and impact on patients functioning. 2

Hepatitis C (HC) is a very relevant negative prognosis factor for graft and transplant recipient survival. 9

Direct-acting anti-virals (DAAs) licensed to treat chronic HCV infection have revolutionised treatment algorithms by drastically mitigating side effects while enhancing efficacy relative to interferon-based therapy. 28

The COSMOS study was a phase 2a clinical trial that showed high cure rates of genotype 1 chronic hepatitis C (CHC) and a favorable side effect profile using a 12-week regimen of simeprevir + sofosbuvir (SIM + SOF). 21

Outcome data on simeprevir and sofosbuvir (SMV+SOF) in patients with liver transplantation (LT) with hepatitis C virus genotype 1 (HCV-1) are limited with individual studies having a small sample size and limited SVR12 (sustained virological response) data. 22

There are few data on the real-world experience of FDA-approved oral hepatitis C virus (HCV) direct-acting antiviral (DAA) drug combinations in HIV/HCV-coinfected patients. 18

To investigate the long-term effects and safety of new direct anti-viral agents (DAAs) in patients with hepatitis C virus (HCV)-related mixed cryoglobulinaemia (MC) without renal involvement. 5

Over the last years it has started a real revolution in the treatment of chronic hepatitis C. 27

The combination of sofosbuvir and simeprevir ± ribavirin (SOF + SMV ± RBV) for hepatitis C virus (HCV) treatment has been associated with high rates of sustained virological response (SVR). 8

Since 2014 several direct-acting antivirals (DAAs) have been made available, allowing interferon-free antiviral treatments with high sustained virological response rates. 19

There have been no previous reports on the use of interferon-free combinations in pediatric patients with chronic hepatitis C infection. 24

Direct acting antiviral has offered treatment of hepatitis C virus (HCV) recurrence post liver transplantation (LT) with an all-oral regimen for short duration, excellent safety profile, and high sustained virological response (SVR). 3

Chronic hepatitis C virus (HCV) infection is the most common chronic liver disease in patients with end-stage renal disease (ESRD). 13

Approximately three million individuals in the United States are chronically infected with hepatitis C virus (HCV). 10

Treatment of chronic hepatitis C (HCV) with newer direct acting antiviral (DAA) agents has been highly effective. 7

Interferon and ribavirin-free regimens to treat chronic hepatitis C virus (HCV) infection in patients with end stage renal disease are not approved and represent an area of unmet clinical need. 26

Hepatitis C is one of the commonest public health problems with 130 million people infected worldwide and the burden is increasing. 8

Due to the intimate relationship between liver and kidney disease in hepatitis C virus (HCV) infection, treatment options for HCV-positive patients at any stage of chronic kidney disease (CKD) are essential. 25

Hepatitis C virus (HCV) infection is a major worldwide problem that has emerged as one of the most significant diseases affecting humans. 6

Interferon-free regimens are associated with high sustained virological response; however, associated adverse effects have yet to be fully reported. 4

The prevalence of Hepatitis C Virus (HCV) infection is significantly higher in patients with end-stage renal disease compared to the general population and poses important clinical challenges in patients who undergo kidney transplantation. 17

Direct-acting antivirals (DAAs) against Hepatitis C virus (HCV) show effective antiviral activity with few side effects. 15

We evaluated the safety and side effects of sildenafil in a group of sexually active volunteers younger than 40 years under conditions without sexual stimulation. 1

Reasons for Side Effects

The reasons for side effects of simeprevir can vary, including pharmacological action and individual constitution. Please refer to the papers for more details.

Common Side Effects

Rash

Rash and pruritus have been reported in patients receiving simeprevir treatment. 22 8

Fatigue

Fatigue has been reported in patients receiving simeprevir treatment. 8

Anemia

Anemia has been reported in patients receiving simeprevir treatment. 8

Dyspepsia

Dyspepsia has been reported in patients receiving simeprevir treatment. 1

Headache

Headache has been reported in patients receiving simeprevir treatment. 1 8

Palpitation

Palpitation has been reported in patients receiving simeprevir treatment. 1

Arthralgia

Arthralgia has been reported in patients receiving simeprevir treatment. 1

Neurotoxicity

Neurotoxicity has been reported in patients receiving simeprevir treatment. 9

Side Effects Management

Rash

If you experience a rash, consult your doctor. If the symptoms are severe, you may need to stop treatment.

Fatigue

If you experience fatigue, get enough rest and avoid overexertion. If the symptoms are severe, consult your doctor.

Anemia

If you experience anemia, consult your doctor. You may need to receive treatment such as iron supplements if necessary.

Dyspepsia

If you experience dyspepsia, be careful about your diet and eat easily digestible foods. If the symptoms are severe, consult your doctor.

Headache

If you experience a headache, take over-the-counter pain relievers or rest. If the symptoms are severe, consult your doctor.

Palpitation

If you experience palpitations, calm down by taking deep breaths. If the symptoms are severe, consult your doctor.

Arthralgia

If you experience arthralgia, rest. If the symptoms are severe, consult your doctor.

Neurotoxicity

If you experience symptoms of neurotoxicity, consult your doctor immediately. You may need to stop treatment.

Comparison Between Studies

Similarities in Studies

Many studies have shown that simeprevir treatment is effective. It is also common that simeprevir treatment may be accompanied by side effects.

Differences in Studies

The effects and incidence of side effects of simeprevir may differ depending on the study. This may be due to differences in the patient population and treatment methods studied.

Precautions for Real-Life Applications

Simeprevir is an effective treatment for hepatitis C, but there is a risk of side effects. When receiving simeprevir treatment, it is important to consult your doctor and choose a treatment method that suits your situation. Also, during treatment, be sure to undergo regular examinations as instructed by your doctor.

Limitations of Current Research

Research on simeprevir is still insufficient. In particular, data on long-term effects are lacking.

Future Research Directions

Research on the long-term effects and safety of simeprevir is needed in the future.

Conclusion

Simeprevir is an effective treatment for hepatitis C, but there is a risk of side effects. When receiving simeprevir treatment, it is important to consult your doctor and choose a treatment method that suits your situation. Also, during treatment, be sure to undergo regular examinations as instructed by your doctor. Future research is expected to further elucidate information on the safety and efficacy of simeprevir.


Literature analysis of 29 papers
Positive Content
28
Neutral Content
1
Negative Content
0
Article Type
1
0
0
5
28

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