Recommendations for the clinical management of hepatitis C in Iran: A consensus-based national guideline

Seyed Moayed Alavian, Behzad Hajarizadeh, Kamran Bagheri Lankarani, Heidar Sharafi, Nasser Ebrahimi Daryani, Shahin Merat, Minoo Mohraz, Masoud Mardani, Mohamad Reza Fattahi, Hossein Poustchi, Mehri Nikbin, Mahmood Nabavi, Peyman Adibi, Masood Ziaee, Bita Behnava, Mohammad Saeid Rezaee-Zavareh, Massimo Colombo, Hatef Massoumi, Abdul Rahman Bizri, Bijan EghtesadMajid Amiri, Ali Namvar, Khashayar Hesamizadeh, Reza Malekzadeh

Research output: Contribution to journalReview article

Abstract

Context: Hepatitis C virus (HCV) infection is a major public health issue worldwide, including Iran. The new direct-acting antiviral agents (DAAs) with high efficacy have changed the landscape of HCV treatment. This guideline provides updated recommendations for clinical management of HCV infection in Iran. Evidence Acquisition: The recommendations of this guideline are based on international and national scientific evidences and consensus-based expert opinion. Scientific evidences were collected through a systematic review of studies that evaluated efficacy and safety of DAA regimens, using PubMed, ScopusandWeb of Science. Expert opinionwasbasedonthe consensus of Iran Hepatitis Scientific Board (IHSB) in the 3rd national consensus on management of Hepatitis C in Iran, held on 22nd of July 2016. Results: Pegylated Interferon alpha (PegIFN), Ribavirin (RBV), Sofosbuvir (SOF), Ledipasvir (LDV) and Daclatasvir (DCV) are currently available in Iran. Pre-treatment assessments include HCV RNA level, HCV genotype and resistance testing, assessment of liver fibrosis, and underlying diseases. InHCVgenotype 1 and 4, DCV/SOF and LDV/SOF are recommended. InHCVgenotype 2, SOF plus RBV and inHCVgenotype 3, DCV/SOF is recommended. Additional care for underlying diseases should be considered. Conclusions: Affordable new HCV treatment regimens are available in Iran, providing an opportunity for HCV elimination. Recommendations provided in this current national guideline can facilitate evidence-based management of HCV infection.

Original languageEnglish
Article numbere40959
JournalHepatitis Monthly
Volume16
Issue number8
DOIs
Publication statusPublished - Aug 1 2016

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Keywords

  • Consensus
  • Disease elimination
  • Hepatitis C
  • Iran
  • Therapy

ASJC Scopus subject areas

  • Hepatology
  • Infectious Diseases

Cite this

Alavian, S. M., Hajarizadeh, B., Lankarani, K. B., Sharafi, H., Daryani, N. E., Merat, S., Mohraz, M., Mardani, M., Fattahi, M. R., Poustchi, H., Nikbin, M., Nabavi, M., Adibi, P., Ziaee, M., Behnava, B., Rezaee-Zavareh, M. S., Colombo, M., Massoumi, H., Bizri, A. R., ... Malekzadeh, R. (2016). Recommendations for the clinical management of hepatitis C in Iran: A consensus-based national guideline. Hepatitis Monthly, 16(8), [e40959]. https://doi.org/10.5812/hepatmon.guideline