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Author Topic: Could the HCV Drug Sofosbuvir Be Cardiotoxic?  (Read 6360 times)

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Offline charly8

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  • Posts: 113
Could the HCV Drug Sofosbuvir Be Cardiotoxic?
« on: April 01, 2015, 08:49:10 am »
Could somebody comment on this?  There is a lot of medical mumbo jumbo.

http://www.medscape.com/viewarticle/842315

"he ISMP also noted that sofosbuvir was approved under breakthrough rules and "was one of the first noncancer drugs approved without a controlled efficacy trial for its largest patient population.""

"We know a third of the population in the RE-LY trial[4] harbored a single nucleotide polymorphism (rs2244613) that affects CES-1. These patients had lower dabigatran trough concentrations and lower rates of bleeding. Polymorphisms have also been recognized for the P-GP system.

Genetics, therefore, plays a role in how sofosbuvir is metabolized, absorbed, and cleared. You can imagine a subset of patients who are taking a P-GP–inhibiting drug—such as amiodarone—who could also have genetically altered sofosbuvir handling. These patients might be exposed to very high levels of either the prodrug or its active metabolite."
1a, VL  1.05 Mil, ALT 47
Fibrosure F3 December 2014
Fibroscan F0-F1 March 2015
1995 INT & RYB -non-responder
2007 PEGIN & RYB 72 weeks tx - partial responder relapsed
1/23/15 Started Harvoni 12 weeks, EOT 4/17
2 week blood work -  <15 Und. (ALT 25)
4 week blood work - <15 Und. (ALT 29)
2/20/15 added RYB (4 weeks into 12 of tx)
8 week blood work - <15 Und. (ALT 23)
(EOT) 12 week blood work - <15 Und.
4wk POST tx VL - Und. (ALT16, AST 17)

 


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