Cure with ledipasvir/sofosbuvir for chronic hepatitis C virus in an individual with gastric bypass

S W Johnson1,2, A L Teachey1, S M Valanejad2

  • 1Department of Pharmacy, Novant Health Forsyth Medical Center, Winston-Salem, NC, USA.

Insights

Ledipasvir/sofosbuvir (LDV/SOF) effectively cured chronic hepatitis C in a patient with a history of gastric bypass surgery. This suggests LDV/SOF may be a viable treatment option for such patients.

Area of Science:

  • Hepatology
  • Gastroenterology
  • Pharmacokinetics

Background:

  • Gastric bypass surgery alters medication pharmacokinetics.
  • Limited data exist on ledipasvir/sofosbuvir (LDV/SOF) treatment in patients with prior gastric bypass.

Observation:

  • A case report details a patient with a history of gastric bypass who underwent treatment for chronic hepatitis C.
  • The patient received LDV/SOF and experienced a successful cure.
  • Treatment was well-tolerated, with only a minor headache reported.

Findings:

  • Ledipasvir/sofosbuvir (LDV/SOF) achieved a sustained virologic response in a patient with a history of gastric bypass.
  • The patient tolerated the medication regimen without significant adverse events.

Implications:

  • Ledipasvir/sofosbuvir treatment appears effective and safe in patients with a history of gastric bypass.
  • These findings support the use of LDV/SOF in this specific patient population.
  • Further research may be warranted to confirm efficacy and safety in a larger cohort.
Abstract

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