Three Children Treated with Direct-acting Antivirals for Chronic Hepatitis C Virus Genotype 1b Infection

Intern Med. 2020 Apr 1;59(7):941-944. doi: 10.2169/internalmedicine.3824-19. Epub 2019 Dec 6.

Abstract

Although direct-acting antivirals (DAAs) have significantly increased the sustained virological response (SVR) rates in chronic hepatitis C virus (HCV)-infected adult patients, the efficacy and safety for children remain unclear. We herein report three HCV-infected children who received DAA treatment. The patients were girls 10-13 years old who had been infected with genotype 1b HCV by vertical transmission based on a phylogenetic tree analysis. Two patients were treated with 12 weeks of ombitasvir/paritaprevir/ritonavir, and the other patient was treated with 8 weeks of glecaprevir/pibrentasvir. All children received DAA doses that were similar to the dosages for adult patients. None developed adverse events, and all children achieved an SVR.

Keywords: DAA; HCV; child.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Aminoisobutyric Acids
  • Anilides / therapeutic use*
  • Antiviral Agents / therapeutic use*
  • Benzimidazoles / therapeutic use*
  • Carbamates / therapeutic use*
  • Child
  • Cyclopropanes
  • Drug Therapy, Combination
  • Female
  • Genotype
  • Hepacivirus / genetics*
  • Hepatitis C, Chronic / drug therapy*
  • Humans
  • Lactams, Macrocyclic
  • Leucine / analogs & derivatives
  • Macrocyclic Compounds / therapeutic use*
  • Proline / analogs & derivatives
  • Pyrrolidines
  • Quinoxalines / therapeutic use*
  • Sulfonamides / therapeutic use*
  • Sustained Virologic Response
  • Treatment Outcome
  • Valine

Substances

  • Aminoisobutyric Acids
  • Anilides
  • Antiviral Agents
  • Benzimidazoles
  • Carbamates
  • Cyclopropanes
  • Lactams, Macrocyclic
  • Macrocyclic Compounds
  • Pyrrolidines
  • Quinoxalines
  • Sulfonamides
  • ombitasvir
  • pibrentasvir
  • Proline
  • Leucine
  • Valine
  • glecaprevir
  • paritaprevir