Outcomes assessment of hepatitis C virus-positive psoriatic patients treated using pegylated interferon in combination with ribavirin compared to new Direct-Acting Antiviral agents

• 作者: Alessia Pacifico Andrea Altomare Chiara Franchi Giovanni Damiani Marco Fiore Maria Caterina Pace Paolo Pigatto Sebastiano Leone Stephen Petrou
• 来源期刊: 世界肝病学杂志：英文版（电子版）
• 学科: 医学
• 关键词: Hepatitis C virus NEW Direct-Acting ANTIVIRAL agents PSORIASIS Biological disease MODIFYING drugs
• 年，卷（期）: 2018,（2）
• 页码范围: 329-336
• 页数: 8页
• 分类号: R

摘要

AIM To evaluate the outcomes in biological treatment and quality of life of psoriatic patients with chronic hepatitis C(CHC)treated with new Direct-Acting Antiviral agents(DAAs)compared to pegylated interferon-2αplus ribavirin(P/R)therapy.METHODS This is a retrospective study involving psoriatic patients in biological therapy who underwent anti-hepatitis C virus(HCV)treatment at the Department of Dermatology Galeazzi Orthopaedic Institute Milan,Italy from January 2010 to November 2017.The patients were divided into two groups:patients that underwent therapy with DAAs and patients that underwent HCV treatment with P/R.Patients were assessed by a dermatologist for psoriasis symptoms,collecting Psoriasis Area Severity Index(PASI)scores and the Dermatology Quality of Life Index(DLQI).PASI and DLQI scores were evaluated 24 wk after the end of HCV treatment and were assumed as an outcome of the progression of psoriasis.Switching to a different bDMARD was considered as an inadequate response to biological therapy.The dropout of HCV therapy and sustained virological response(SVR)were considered as outcomes of HCV therapy.RESULTS Fifty-nine psoriatic patients in biological therapy underwent antiviral therapy for CHC.Of this,27 patients were treated with DAAs and 32 with P/R.After 24 wk post treatment,the DLQI and the PASI scores were significantly lower(P<0.001 and P<0.005,respectively)in the DAAs group compared with P/R group.None of the patients in the DAAs group(0/27)compared to 8 patients of the P/R group(8/32)needed a shift in biological treatment.CONCLUSION DAAs seem to be more effective and safe than P/R in HCV-positive psoriatic patients on biological treatment.Fewer dermatological adverse events may be due to interferon-free therapy.