Effects of Dual Sofosbuvir/Daclatasvir Therapy on Weight and Linear Growth in Adolescent Patients with Chronic Hepatitis C Virus Infection

Pediatr Infect Dis J. 2019 Jul;38(7):e154-e157. doi: 10.1097/INF.0000000000002222.

Abstract

Negative effects on growth indices had been reported in children treated with interferon for chronic viral hepatitis. Forty chronic hepatitis C virus-infected adolescents, 12-17 years of age, were treated with sofosbuvir/daclatasvir therapy for 12 weeks. The intent-to-treat sustained virologic response rate at 12 weeks after end of treatment was 39/40 (97.5%). Unlike interferon-based therapy, we did not detect significant negative effects on linear growth or weight. Contrarily, a trend to increased appetite and insignificant weight gain was observed, but further larger studies are needed to confirm. See Video-Abstract, http://links.lww.com/ASAIO/A381.

MeSH terms

  • Adolescent
  • Antiviral Agents / administration & dosage
  • Antiviral Agents / adverse effects*
  • Body Height / drug effects
  • Body Weight / drug effects
  • Carbamates
  • Child
  • Child Development / drug effects*
  • Female
  • Hepatitis C, Chronic / drug therapy*
  • Humans
  • Imidazoles / administration & dosage
  • Imidazoles / adverse effects*
  • Male
  • Pyrrolidines
  • Sofosbuvir / administration & dosage
  • Sofosbuvir / adverse effects*
  • Sustained Virologic Response
  • Treatment Outcome
  • Valine / analogs & derivatives

Substances

  • Antiviral Agents
  • Carbamates
  • Imidazoles
  • Pyrrolidines
  • Valine
  • daclatasvir
  • Sofosbuvir