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Durability of Sustained Virologic Response and Improvement of Fibrosis Markers after Daclatasvir and Asunaprevir Treatment in Genotype 1b Hepatitis C Virus-Infected Patients: a Real Life and Multicenter Study

Title
Durability of Sustained Virologic Response and Improvement of Fibrosis Markers after Daclatasvir and Asunaprevir Treatment in Genotype 1b Hepatitis C Virus-Infected Patients: a Real Life and Multicenter Study
Authors
Shin, Seung KakLee, Jin-WooRa, HannahKwon, Oh SangShin, Jong-BeomJin, Young-JooLee, SangheunHan, Ki JunKim, Young NamKim, Tae HunKim, Yun SooKim, Ju Hyun
Ewha Authors
김태헌
SCOPUS Author ID
김태헌scopus
Issue Date
2019
Journal Title
JOURNAL OF KOREAN MEDICAL SCIENCE
ISSN
1011-8934JCR Link

1598-6357JCR Link
Citation
JOURNAL OF KOREAN MEDICAL SCIENCE vol. 34, no. 41
Keywords
AsunaprevirDaclatasvirFibrosisHepatitis C VirusSustained Virologic Response
Publisher
KOREAN ACAD MEDICAL SCIENCES
Indexed
SCIE; SCOPUS; KCI WOS
Document Type
Article
Abstract
Background: The long-term data with direct acting antiviral agents were rare. This study investigated the durability of a sustained virologic response (SVR) and the improvement of fibrosis after daclatasvir and asunaprevir (DCV/ASV) treatment in genotype 1b (GT1b) hepatitis C virus (HCV)-infected patients. Methods: A total of 288 HCV GT1b patients without baseline non-structural 5A (NS5A) resistance-associated substitution (RAS) treated with DCV/ASV were enrolled. Virologic response was measured at 12 weeks and 1 year after treatment completion. In cirrhotic patients, liver function, aspartate transaminase to platelet ratio index (APRI), FIB-4 index, fibrosis index (FI), and liver stiffness measurement (LSM) at baseline and 1 year after treatment completion were evaluated. Results: SVR12 was obtained in 278 patients (96.5%). Six patients who checked NS5A RAS after treatment failure were RAS positive. Only one patient showed no durability of SVR. In cirrhotic patients who achieved SVR12 (n = 59), the changes of albumin (3.8 [2.2-4.7] to 4.3 [2.4-4.9] g/dL; P< 0.001), platelet count (99 [40-329] to 118 [40-399] x 10(3)/mm(3); P< 0.001), APRI (1.8 [0.144.8] to 0.6 [0.1-4.8); P< 0.001), FIB-4 index (5.45 [0.6-32.8] to 3.3 [0.4-12.2]; P< 0.001), FI (5.5 [0.6-32.8] to 3.3 [0.4-12.2]; P< 0.001), and LSM (17.2 [5.3-48.0] to 11.2 [3.7-28.1] kPa; P = 0.001) between baseline and 1 year after treatment completion were observed. Conclusion: DCV/ASV treatment for HCV GT1b infected patients without RAS achieved high SVR rates and showed durable SVR. Cirrhotic patients who achieved SVR12 showed the improvement of liver function and fibrosis markers.
DOI
10.3346/jkms.2019.34.e264
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의과대학 > 의학과 > Journal papers
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