Table 1.
Case | Rx | Genotype | Age | Sex | Years since transplant |
Baseline1 |
1st event wk | First episode | Later episodes | Overall outcome | SVR 12 (Y/N) | ||||
Hemoglobin (g/dL) | Platelets (× 103/μL) | Albumin (g/dL) | Total bilirubin (mg/dL) | ALT (U/L) | |||||||||||
1 | SOF/RBV | 13 | 77 | F | 5.0 | 9.3 | 78 | 2.9 | 0.6 | 33 | 15.4 | Hospitalized for SBP | Hospitalized for SBP, ascites, anemia; jaundice, hyperkalemia | Hospitalized for fall soon after EOT, developed ICH, eventually died in hospital | Died |
24 wk2 | |||||||||||||||
2 | SOF/RBV | 2 | 70 | M | 17.0 | 7.9 | 13 | 3.9 | 4.7 | 15 | 4.3 | Hospitalized for PSE | None | Transferred to Hospice, died | Died |
24 wk | |||||||||||||||
3 | SOF/RBV | 13 | 37 | F | 1.2 | 8.9 | 143 | 2.9 | 16.9 | 39 | 2.9 | Hospitalized for failure to thrive, jaundice, anemia requiring transfusion | Hospitalized for jaundice, anemia requiring transfusion, blurred vision | Completed 48 wk of treatment, never undetectable | N |
48 wk | |||||||||||||||
4 | SOF/RBV | 3 | 49 | M | 1.9 | 12.4 | 138 | 4.4 | 0.7 | 43 | 2.0 | Anemia requiring transfusion | Anemia requiring transfusion | Completed treatment | Y |
24 wk | |||||||||||||||
5 | SOF/RBV | 13 | 67 | M | 13.2 | 11.8 | 118 | 3.1 | 2.1 | 72 | 2.9 | Anemia requiring transfusion | Worsening ascites requiring increased dose of diuretics | Hemoglobin level and ascites improved after intervention; completed treatment but relapsed | N |
24 wk | |||||||||||||||
6 | SOF/RBV | 12 | 56 | F | 1.5 | 13.0 | 152 | 5.0 | 0.7 | 44 | 2.9 | Anemia requiring transfusion | None | Hemoglobin improved after transfusion; completed treatment | Y |
24 wk | |||||||||||||||
7 | SOF/RBV | 12 | 70 | F | 7.3 | 12.0 | 127 | 3.6 | 0.4 | 60 | 4.4 | Symptomatic anemia, no transfusion, treatment discontinued | None | Viral load detectable 4 mo after treatment discontinuation | N |
24 wk | |||||||||||||||
8 | SOF/PEG/RBV | 2 | 65 | F | 6.0 | 12.7 | 85 | 3.6 | 0.3 | 38 | 6.6 | Anemia requiring transfusion | Anemia requiring multiple transfusions | Completed treatment | Y |
24 wk3 | |||||||||||||||
9 | SOF/RBV | 12 | 60 | M | 9.1 | 11.3 | 94 | 3.6 | 0.8 | 199 | 5.0 | Anemia requiring transfusion | Hospitalized for hyperglycemia, anemia requiring transfusion; treatment discontinued | Detectable viral load 7 wk after treatment discontinued | N |
24 wk | |||||||||||||||
10 | SOF/RBV | 4 | 64 | F | 7.5 | 9.6 | 98 | 2.7 | 5.5 | 24 | 2.4 | Anemia requiring transfusion | Hospitalized for SBP, anemia requiring transfusion, treatment discontinued | Hemoglobin improved after transfusions; viral load undetectable at treatment discontinuation; became detectable 1 mo later | N |
24 wk | |||||||||||||||
11 | SOF/RBV | 12 | 49 | M | 2.2 | 15.2 | 113 | 3.9 | 0.6 | 74 | 5.9 | Admitted for acute cholangitis after presenting with fever, jaundice, diarrhea | None | Resolution of presenting symptoms with antibiotics, biliary stent placement; completed treatment, relapsed | N |
24 wk | |||||||||||||||
12 | SOF/RBV | 3 | 56 | M | 1.1 | 10.7 | 65 | 3.6 | 1.1 | 94 | 9.0 | Hospitalized for partial SBO | Hospitalized for hyperkalemia | SBO resolved with conservative medical management | Y |
24 wk | |||||||||||||||
13 | SOF/RBV | 13 | 68 | M | 1.7 | 10.7 | 196 | 1.9 | 2.2 | 24 | 5.0 | Hospitalized, PSE, UTI | Hospitalized for recurrent PSE due to UTI | Completed treatment, +EOT response, relapsed 4 wk post-EOT | N |
24 wk |
Baseline: indicates the most recent laboratory values prior to treatment initiation;
SOF/RBV: Sofosbuvir/Ribavirin;
SOF/PEG/RBV: Sofosbuvir/PEG-interferon/Ribavirin. Laboratory Reference Range: Hemoglobin (g/dL), Ref: 13.9-16.3; Platelets (× 103/μL), Ref: 150-450; Albumin (g/dL), Ref: 3.5-4.9; Total Bilirubin (mg/dL), Ref: 0.1-1.2; ALT (U/L), Ref: 1-53. ALT: Alanine aminotransferase; SVR: Sustained virological response; SBP: Spontaneous bacterial peritonitis; EOT: End of treatment; ICH: Intracranial hemorrhage; PSE: Portosystemic encephalopathy; SBO: Small bowel obstruction; UTI: Urinary tract infection.