Real-world efficacy and safety of Ledipasvir + Sofosbuvir and Ombitasvir/Paritaprevir/Ritonavir ± Dasabuvir combination therapies for chronic hepatitis C: A Turkish experience

Autor: Değertekin, Bülent, Demir, Mehmet, Akarca, Ulus S., Kani, Haluk Tarık, Uçbilek, Enver, Yıldırım, Emre, Güzelbulut, Fatih, Balkan, Ayhan, Vatansever, Sezgin, Danış, Nilay, Demircan, Melek, Soylu, Aliye, Yaras, Serkan, Kartal, Aysun, Kefeli, Ayşe, Gündüz, Feyza, Yalçın, Kendal, Erarslan, Elife, Aladag, Murat, Harputluoğlu, Murat, Özakyol, Aysegül, Temel, Tuncer, Akarsu, Mesut, Sümer, Hale, Akın, Mete, Albayrak, Bülent, Şen, İlker, Alkım, Hüseyin, Uyanıkoğlu, Ahmet, Irak, Kader, Öztaşkın, Sinem, Uğurlu, Çağrı Burak, Günes, Şevkican, Gürel, Selim, Nuriyev, Kenan, İnci, İsmail, Kaçar, Sabite, Dinçer, Dinç, Doğanay, Levent, Göktürk, Hüseyin Savaş, Mert, Ali, Coşar, Arif Mansur, Dursun, Hakan, Atalay, Roni, Akbulut, Sabiye, Balkan, Yasemin, Köklü, Hayrettin, Şimsek, Halis, Özdoğan, Osman, Çoban, Mehmet, Poturoğlu, Şule, Ayyıldız, Talat, Yapalı, Suna, Günsar, Fulya, Akdoğan, Meral, Özenirler, Seren, Akyıldız, Murat, Sezgin, Orhan, Kaymakoğlu, Sabahattin, Beşışık, Fatih, Karasu, Zeki, İdilman, Ramazan
Přispěvatelé: Dicle Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, İç Hastalıklar Ana Bilim Dalı, Gastroenteroloji & Hepatoloji Bölümü, Yalçın, Kendal, Dicle Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, İç HastalıklarAna Bilim Dalı, Degertekin B., Demir M., Akarca U. S., KANİ H. T., Ucbilek E., Yildirim E., Guzelbulut F., Balkan A., Vatansever S., DANIŞ N., et al., Acibadem University Dspace, Ege Üniversitesi
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Internal Diseases
Cyclopropanes
Male
Sofosbuvir
Turkey
medicine.medical_treatment
Hepacivirus
Liver transplantation
Sağlık Bilimleri
Direct-acting antiviral
medicine.disease_cause
Gastroenterology
İç Hastalıkları
Clinical Medicine (MED)
chemistry.chemical_compound
Liver disease
0302 clinical medicine
HEPATOCELLULAR-CARCINOMA
INFECTION
Klinik Tıp (MED)
Anilides
030212 general & internal medicine
Prospective Studies
CIRRHOSIS
Sulfonamides
Klinik Tıp
biology
Original Article: Liver
Valine
Middle Aged
GASTROENTEROLOJİ VE HEPATOLOJİ
Tıp
Hepatoloji
Treatment Outcome
SUSTAINED VIROLOGICAL RESPONSE
HCV
Medicine
030211 gastroenterology & hepatology
Drug Therapy
Combination

Female
RIBAVIRIN
medicine.drug
Ledipasvir
medicine.medical_specialty
Proline
Hepatitis C virus
Lactams
Macrocyclic

Direct-Acting Antiviral
Gastroenterology and Hepatology
Antiviral Agents
ACTING ANTIVIRAL THERAPY
03 medical and health sciences
Gastroenteroloji-(Hepatoloji)
Internal medicine
Health Sciences
medicine
Humans
Aged
Retrospective Studies
Fluorenes
Internal Medicine Sciences
Ritonavir
Hepatology
business.industry
GASTROENTEROLOGY & HEPATOLOGY
Dahili Tıp Bilimleri
CLINICAL MEDICINE
Hepatitis C
Chronic

medicine.disease
Gastroenteroloji
Treatment
chemistry
Alanine transaminase
Paritaprevir
biology.protein
Benzimidazoles
Liver function
business
Zdroj: Turk J Gastroenterol
Popis: Background/Aims: This study aimed to evaluate the real-life efficacy and tolerability of direct-acting antiviral treatments for patients with chronic hepatitis C (CHC) with/without cirrhosis in the Turkish population. Material and Methods: A total of 4,352 patients with CHC from 36 different institutions in Turkey were enrolled. They received ledipasvir (LDV) and sofosbuvir (SOF)+/- ribavirin (RBV) ombitasvir/paritaprevir/ritonavir +/- dasabuvir (PrOD)+/- RBV for 12 or 24 weeks. Sustained virologic response (SVR) rates, factors affecting SVR, safety profile, and hepatocellular cancer (HCC) occurrence were analyzed. Results: SVR12 was achieved in 92.8% of the patients (4,040/4,352) according to intention-to-treat and in 98.3% of the patients (4,040/4,108) according to per-protocol analysis. The SVR12 rates were similar between the treatment regimens (97.2%-100%) and genotypes (95.6%-100%). Patients achieving SVR showed a significant decrease in the mean serum alanine transaminase (ALT) levels (50.90 +/- 54.60 U/L to 17.00 +/- 14.50 U/L) and model for end-stage liver disease (MELD) scores (7.51 +/- 4.54 to 7.32 +/- 3.40) (p
Turkish Association for the Study of The Liver (TASL)
The present study was supported by The Turkish Association for the Study of The Liver (TASL).
Databáze: OpenAIRE