Efficacy and Safety of Ombitasvir plus Paritaprevir,Ritonavir and Ribavirin in Non-cirrhotic Treatment-na?ve and Treatment-experienced Egyptians with Chronic HCV Genotype-4 Infection

• 作者: Manar Ahmed Azza E.Mansey Engy A.Wahsh Ahmed A.Gomaa Hoda M.Rabea
• 来源期刊: 当代医学科学（英文）
• 年，卷（期）: 2021,（3）
• 所属期刊栏目: ORIGINAL ARTICLES
• 页码范围: 581-586
• 页数: 6页
• 语种: 英文
• DOI: 10.1007/s11596-021-2363-9

摘要

Hepatitis C virus genotype 4(HCV-GT4)is a risk factor for cirrhosis,hepatocellular carcinoma and liver failure.A combination of three new direct-acting antivirals ombitasvir,paritaprevir,and ritonavir has been recommended for treatment of HCV-GT4 infection.The current study was aimed to assess the efficacy and safety of this combination plus ribavirin in non-cirrhotic,treatment-na?ve and-experienced Egyptians with HCV-GT4 infection in a real-world setting.A total of 255 Egyptians with HCV-GT4 infection were enrolled,including 82 treatment-experienced and 173 treatment-naive patients.All of them completed 12-week treatment protocol of ombitasvir,paritaprevir and ritonavir as an oral dose combination with ribavirin.Virological response(VR)was measured,as well as the biochemical parameters related to treatment efficacy and adverse events at baseline and after treatment,at 4(VR4)and 12(VR12)weeks post-treatment.The results showed that the VR4 rates were 98.8％in both groups,and VR12 rates were 97.7％and 96.3％in treatment-na?ve and-experienced patients,respectively,with no significant differences found between the groups concerning VR4(PP=0.9)and VR12(P=0.3).The most common adverse events were headache and fatigue,which were significantly more common(P=0.001 and 0.003,respectively)in treatment-experienced than in treatment-naive group.The quadruple regimen was well-tolerated,and the reported adverse events were generally mild to moderate.This real-world setting study confirms that the combination of ombitasvir,paritaprevir,ritonavir,and ribavirin is highly effective in the treatment of HCV-GT4 infection with a good safety and tolerability profile.