@article{56fa08b163bd4f2698e59fcc2bd3cf6d,
title = "Comparison of three therapeutic regimens for genotype-3 hepatitis C virus infection in a large real-life multicentre cohort: Liver International",
abstract = "Background & Aims: In the direct-acting antiviral era, treatment of genotype-3 HCV (HCV-GT3) is still challenging. Real-life comparisons between recommended regimens, sofosbuvir (SOF)+daclatasvir (DAC), SOF/velpatasvir (VEL), glecaprevir/pibrentasvir (GLE/PIB), are scarce. We aimed at filling this data gap. Methods: Sustained virological response 12 weeks after treatment completion (SVR12) was assessed for all HCV-GT3 patients consecutively treated within the Lombardia web-based Navigatore HCV-Network; differences in SVR12 across regimens were evaluated by logistic regression. Results: Of the 2082 subjects with HCV-GT3, 1544 were evaluable for comparisons between regimens: SOF + DAC (1023, 66.2%), SOF/VEL (369, 23.9%), GLE/PIB (152, 9.8%). Patients treated with former regimens were more frequently male, cirrhotic, HIV-positive, pretreated, used ribavirin in their regimen, and had lower baseline HCV-RNA. SVR12 was similar across groups: 94.8% in SOF + DAC, 97.6% in SOF/VEL, 96.7% in GLE/PIB (P =.065). At univariate analysis, SVR12 was associated with female gender (97.9% vs 94.8%, P =.007) and lower median pretreatment Log10HCV-RNA (5.87 vs 6.20, P =.001). At multivariate logistic regression analysis, treatment with SOF/VEL was associated with a higher likelihood of SVR12 than SOF + DAC, but only in the absence of ribavirin (98% vs 90.3%). Female gender and lower pretreatment HCV-RNA were independently associated with SVR12. Conclusions: In a large real-life setting of HCV-GT3-infected patients with a high proportion of cirrhosis, the success rate was remarkable. The slight advantage of SOF/VEL on SOF + DAC was significant only without ribavirin. The current prescription shift towards novel regimens (ie SOF/VEL and GLE/PIB) in easier-to-treat patients allows ribavirin-free and shorter schedules without mining SVR12 in this <> genotype. {\textcopyright} 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd",
keywords = "daclatasvir, genotype 3, glecaprevir, Hepatitis C, pibrentasvir, ribavirin, sofosbuvir, sustained virological response, velpatasvir, daclatasvir plus sofosbuvir, glecaprevir plus pibrentasvir, sofosbuvir plus velpatasvir, unclassified drug, virus RNA, adult, antiviral therapy, Article, cohort analysis, comparative effectiveness, female, hepatitis C, Hepatitis C virus genotype 3, human, Human immunodeficiency virus infected patient, liver cirrhosis, longitudinal study, major clinical study, male, multicenter study, sex difference, sustained virologic response, treatment duration, treatment response",
author = "A. Soria and M. Fava and D.P. Bernasconi and G. Lapadula and E. Colella and M.G. Valsecchi and G.M. Migliorino and R. D'Ambrosio and S. Landonio and M. Schiavini and A. Spinetti and C. Carriero and E. Degasperi and G. Cologni and F. Gatti and P. Vigan{\`o} and H. Hasson and C. Uberti-Foppa and L. Pasulo and C. Baiguera and R. Rossotti and M. Vinci and M. Puoti and A. Giorgini and B. Menzaghi and A. Lombardi and A. Pan and A. Aghemo and P.A. Grossi and R. Boldizzoni and S. Colombo and M. Vigan{\`o} and M.G. Rumi and {Del Poggio}, P. and L. Valenti and O. Giglio and {De Bona}, A. and {d'Arminio Monforte}, A. and A. Colombo and O. Spinelli and M.G. Pigozzi and C. Molteni and P. Bonfanti and N. Terreni and P. Perini and A. Capretti and D. Bella and C. Liani and S. Polo and G. Aimo and L. Pagnucco and S. Bhoori and R. Centenaro and M. Graffeo and A. Ciaccio and E. Dionigi and S. Lazzaroni and I. Carderi and {Di Marco}, M. and G. Rizzardini and F. Noventa and P. Lampertico and S. Fagiuoli",
note = "Cited By :4 Export Date: 11 March 2021 CODEN: LIINC Correspondence Address: Soria, A.; Division of Infectious Diseases, Italy; email: a.soria@asst-monza.it Chemicals/CAS: daclatasvir, 1009119-64-5, 1009119-65-6; ribavirin, 36791-04-5; sofosbuvir, 1190307-88-0 Funding details: Bayer Funding details: GlaxoSmithKline, GSK Funding details: Novartis Funding details: Gilead Sciences Funding details: AbbVie Funding details: Meso Scale Diagnostics, MSD Funding text 1: Alessandro Soria: Advisory Board: AbbVie; Speaker: MSD, AbbVie; Travel Support: Gilead, MSD, Abbvie; Elisabetta Degasperi: Speaker: AbbVie, Gilead, MSD; Research Grants: Gilead; Travel Support: AbbVie; Luisa Pasulo: Advisory Board: AbbVie; Maria Vinci: Advisory Board: AbbVie; Grant: AbbVie; Massimo Puoti: Speaker's bureau and Advisory: AbbVie, BMS, Boehringer Ingelheim, Janssen, Gilead, MSD, Roche; Research Grant: Gilead, MSD; Alessia Giorgini: Speaker: AbbVie, MSD, Gilead; Advisory Board: AbbVie; Alessio Aghemo: Speaker's bureau and Advisory: AbbVie, Gilead, Intercept, Alfasigma, MSD; Paolo Bonfanti: Speaker: MSD, Gilead; Advisory Board MSD, Gilead; Pietro Lampertico: Speaker's bureau and Advisory: AbbVie, BMS, Gilead, GSK, Janssen, MSD, Roche; Stefano Fagiuoli: Speaker's bureau and Advisory: Gilead, AbbVie, MSD, Bayer, Novartis, Kedrion, Intercept, Astellas. All the other authors have nothing to disclose.",
year = "2020",
doi = "10.1111/liv.14386",
language = "English",
volume = "40",
pages = "769--777",
journal = "Liver Int.",
issn = "1478-3223",
publisher = "Blackwell Publishing Ltd",
number = "4",
}