Department of Pharmacy, Monmouth Medical Center, New Jersey, USA
Case Report
Acute Hepatic Failure with Hyperbilirubinemia in a Cirrhotic Patient Receiving Glecaprevir and Pibrentasvir (Mavyret®) For Hepatitis C Infection
Author(s): Germin Fahim*, Farah Heis, Mohamad Hamad, Dana Ahmad, Hardik Fichadiya and Ahmad Al-Alwan
The Hepatitis C Virus (HCV) causes both acute and chronic hepatitis C infection, requiring treatment with Direct
Acting Antiviral (DAA) therapy for 8-24 weeks. Glecaprevir/pibrentasvir (Mavyret®) is a fixed-dose combination of
an NS3/4A protease inhibitor and NS5A inhibitor, respectively, targeted to decrease replication of the Hepatitis C
Virus (HCV). Since its initial approval in 2017, it has gained indications to include management of pan-genotypic
HCV with or without compensated cirrhosis in treatment-naïve or treatment-experienced individuals from children
3 years of age and older. The most common reported adverse effects are headache and fatigue; however, the FDA
recently published a warning about rare occurrence of serious liver injury with the use of glecaprevir/pibrentasvir in
some patients with advanced liver disease.
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