Retreatment of chronic hepatitis C patients who failed previous therapy with directly acting antivirals: A multicenter study

Int J Infect Dis. 2020 Jul:96:367-370. doi: 10.1016/j.ijid.2020.04.022. Epub 2020 Apr 20.

Abstract

Aim of the study: The current study aimed to evaluate the efficacy of different DAAs regimens in the treatment of chronic hepatitis C (CHC) Egyptian patients who failed to achieve SVR after their treatment with SOF-based regimens.

Methods: This was a retrospective observational multicenter study that included CHC patients that failed to achieve cure on SOF-based regimens who were re-treated using different DAAs regimen and were allocated according to national guidelines for the treatment of hepatitis C. Primary outcome was to assess the SVR12 rate among prior non-responders after retreatment with a second course of DAAs.

Results: Our study included 172 patients who failed to achieve SVR after treatment with SOF-based treatment regimen [age: 51.2 ± 11.3, 58.7% men]. Included patients were retreated using SOF/DCV/RBV, SOF/ r/PAR /OMB /RBV, SOF/DCV/SIM, SOF/LDV ± RBV or SIM/SOF. SVR12 was successfully attained in 95.35% (164/172) of the included non-responders.

Conclusion: The current multicenter study proved the efficacy of various DAAs regimens issued by the National Committee for Control of Viral Hepatitis for retreatment of relapsed CHC Egyptian patients.

Keywords: HCV; Retreatment; non-responders.

Publication types

  • Multicenter Study
  • Observational Study

MeSH terms

  • Adult
  • Antiviral Agents / administration & dosage*
  • Drug Therapy, Combination
  • Egypt
  • Female
  • Hepacivirus / drug effects
  • Hepacivirus / physiology
  • Hepatitis C, Chronic / drug therapy*
  • Hepatitis C, Chronic / virology
  • Humans
  • Male
  • Middle Aged
  • Retreatment
  • Retrospective Studies
  • Sofosbuvir / administration & dosage
  • Treatment Outcome

Substances

  • Antiviral Agents
  • Sofosbuvir