Logo

Long-term effects of the new direct antiviral agents (DAAs) therapy for HCV-related mixed cryoglobulinaemia without renal involvement: a multicentre open-label study

1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12

  1. Clinical of Experimental Onco-Haematology Unit, CRO Aviano National Cancer Institute IRCCS, Aviano (PN), Italy. cesare.mazzaro@gmail.com
  2. Cancer Epidemiology Unit, CRO Aviano National Cancer Institute IRCCS, Aviano (PN), Italy.
  3. Rheumatology Clinic, University of Udine, Italy.
  4. Department of Internal Medicine, Pordenone General Hospital, Pordenone, Italy.
  5. Department of Internal Medicine, University of Bologna, Italy.
  6. Department of Internal Medicine, Pordenone General Hospital, Pordenone, Italy.
  7. Rheumatology Clinic, University of Udine, Italy.
  8. Department of Internal Medicine, Pordenone General Hospital, Pordenone, Italy.
  9. Clinical of Experimental Onco-Haematology Unit, CRO Aviano National Cancer Institute IRCCS, Aviano (PN), Italy.
  10. Department of Infectious Diseases, University of Trieste, Italy.
  11. Rheumatology Clinic, University of Udine, Italy.
  12. Department Clinical and Surgical Sciences, University of Trieste, Italy.

CER10630 Submission on line
2018 Vol.36, N°2 ,Suppl.111 - PI 0107, PF 0114
Treatment

Free to view (click on article PDF icon to read the article)

Rheumatology Article

 

Abstract

OBJECTIVES:
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.
METHODS:
The study enrolled 22 consecutive patients, 19 received sofosbuvir-based regimen and three patients received other DAAs, individually tailored according to latest guidelines. As of December 2016, the median length of follow-up was 17 months (range 13-21).
RESULTS:
Extra-hepatic manifestations at enrollment were: purpura and arthralgia (12 cases), peripheral neuropathy (10 cases) and marginal zone B- lymphomas (2 cases). After a four-week DAA therapy, all patients became HCV- negative. Moreover, after 48 weeks since the beginning of DAA treatment, sustained regression of purpura and arthralgias was observed respectively in eight and in nine cases; peripheral neuropathy improved in seven cases, and cryocrit median values decreased from three (1-20) at baseline to two (1-12) after 48 weeks. Two cases with indolent marginal zone lymphomas did not show any haematological response: size and number of the involved nodes remained unchanged. In addition, the monoclonal B-cell population found in the peripheral blood in four cases did not disappear after recovery from HCV- RNA. Mild side effects occurred in nine patients, but six patients developed ribavirin-related anaemia requiring reduction of ribavirin dose.
CONCLUSIONS:
DAA therapy is safe and effective to eradicate HCV in MC, but seems associated with satisfactory clinical response in mild or moderate cryoglobulinaemic vasculitis and no response in B-NHL.

PMID: 29465371 [PubMed]

Received: 21/06/2017 - Accepted : 27/09/2017 - In Press: 13/02/2018 - Published: 18/05/2018