2019, Number 1
Rescue Therapy for Genotype-3 DAA Non-responders, Almost all Done
Language: English
References: 8
Page: 236-239
PDF size: 127.72 Kb.
ABSTRACT
Nowadays, the retreatment of patients with Hepatitis C virus (HCV) genotype 3 (GT3) especially cirrhotic, who have already been treated with regimens containing a NS5A inhibitor represents a challenge. Use a novel retreatment option for patients with a difficult approach. We present three case reports of retreatment with a new combination of Direct-acting antivirals (DAAs), Sofosbuvir, Elbasvir/ Grazoprevir in patients with GT3 with a previous failure with Sofosbuvir/Ledipasvir. All the cases achieved sustained virologic response (SVR) at week +12 without adverse effects. In our experience, this combo may represent an effective and safe option for these patients.REFERENCES
De Ledinghen V, Leforest C, Hezode C, Pol S, Renault A, Alric L, Larrey DG, et al. Retreatment with Sofosbuvir + Grazoprevir + Elbasvir + Ribavirin of Patients with Hepatitis C Virus Genotype 1 or 4 with RASs at Failure of a Sofosbuvir + Ledipasvir or + Declatasvir or + Simeprevir Regimen. American Association for the Study of Liver Diseases (AASLD); 2016.
Foster GR, Agarwal K, Cramp M, Moreea S, Barclay S, Collier J, Brown AS, et al. Elbasvir/Grazoprevir plus Sofosbuvir ± Ribavirin in Treatment-naive and Treatment-experienced Patients with Hepatitis C Virus Genotype 3 Infection and Compensated Cirrhosis: The C-ISLE Study. Vol. 64. The Liver Meeting Boston: 2016; Abstract Supplement. AASLD 2016, p. 39A.
Bourlière M, Gordon SC, Ramji A, Ravendhran N, Tran TT, Hyland RH, ZHang J, et al. Sofosbuvir/velpatasvir/voxilaprevir for 12 weeks as a salvage regimen in NS5A inhibitor experienced patients with genotype 1-6 infection: The phase 3 POLARIS-1 study [Abstract 194]. Vol 64. 67th Annual Meeting of the American Association for the Study of Liver Diseases (AASLD); 2016, p. 102A.
Serfaty L, Pianko S, Ben-Ari Z, Laursen AL, Hansen J, Gane EJ, Huang H, et al. High SVR rates in patients with chronic HCV GT1, 2 or 3 infection following 16 weeks of MK-3682/ grazoprevir/MK-8408 plus ribavirin after failure of 8 weeks of therapy (Part C of C-CREST-1 & 2) Vol 64. Abstract 112. American Association for the Study of Liver Disease (AASLD); 2016, p. 61A
Palladino C, Sanchez-Carrillo M, Mate-Cano I, Vazquez-Moron S, Jimenez-Sousa MA, Gutierrez-Rivas M, Resino S, et al. Low frequency of NS5A relevant resistance-associated substitutions to Elbasvir among hepatitis C virus genotype 1a in Spain: a cross-sectional study. Sci Rep 2017; 7: 2892.DOI: 10.1038/s41598-017-02968-7