Nephrol Dial Transplant (1999) 14: 2079-2081
© 1999 European Renal Association-European Dialysis and Transplant Association
Editorial Comments
Combination of interferon alpha and ribavirin in the treatment of hepatitis C: implications for the clinical nephrologist
Nephrology and Dialysis Division, Azienda Ospedale di Lecco, Lecco, Italy
Correspondence and offprint requests to: Fabrizio Fabrizi, Nephrology and Dialysis Division, Azienda Ospedale di Lecco, via Ghislanzoni 22, I-23900 Lecco, Italy. E-mail nefrolec@tin.it.
Introduction
Hepatitis C virus (HCV) infection is very frequent among patients with end-stage renal disease (ESRD). Recent studies have shown that HCV may increase the risk for death in the haemodialysis (HD) population and appears to have a deleterious impact on long-term graft and patient survival among renal transplant recipients [1]. Furthermore, HCV results in a significantly increased risk of kidney allograft failure and death among kidneypancreas transplant patients.
While important advances have been made in preventing hepatitis C, therapy for this disease among ESRD patients remains unsatisfactory. In fact, valid animal models and effective cell culture systems with which to study HCV are lacking.
At present, the most important therapy for hepatitis C in ESRD patients is interferon (IFN), but it is expensive and has limited efficacy and safety. Alternative approaches based on new formulations of IFN are currently under way and combinations of IFN with nucleotide analogues
Interferon treatment of HCV in ESRD
Novel treatments for HCV in ESRD
Combination of IFN-
and ribavirin
Conclusions
References
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