Efficacy and safety of sofosbuvir plus ribavirin for Korean patients with hepatitis C virus genotype 2 infection: A retrospective multi-institutional study

Background/Aims Sofosbuvir plus ribavirin is a standard treatment for patients infected with chronic hepatitis C virus (HCV) genotype 2 in Korea. The purpose of this study was to examine the efficacy and safety of this treatment in Korean patients with chronic HCV genotype 2 infection. Methods We re...

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Main Authors: Young Min Kim, Suk Bae Kim, Il Han Song, Sae Hwan Lee, Hong Soo Kim, Tae Hee Lee, Young Woo Kang, Seok Hyun Kim, Byung Seok Lee, Hee Bok Chae, Myeong Jun Song, Ji Woong Jang, Soon Young Ko, Jae Dong Lee
Format: Article
Language:English
Published: Korean Association for the Study of the Liver 2018-09-01
Series:Clinical and Molecular Hepatology
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Online Access:http://e-cmh.org/upload/pdf/cmh-2017-0070.pdf
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author Young Min Kim
Suk Bae Kim
Il Han Song
Sae Hwan Lee
Hong Soo Kim
Tae Hee Lee
Young Woo Kang
Seok Hyun Kim
Byung Seok Lee
Hee Bok Chae
Myeong Jun Song
Ji Woong Jang
Soon Young Ko
Jae Dong Lee
author_facet Young Min Kim
Suk Bae Kim
Il Han Song
Sae Hwan Lee
Hong Soo Kim
Tae Hee Lee
Young Woo Kang
Seok Hyun Kim
Byung Seok Lee
Hee Bok Chae
Myeong Jun Song
Ji Woong Jang
Soon Young Ko
Jae Dong Lee
author_sort Young Min Kim
collection DOAJ
description Background/Aims Sofosbuvir plus ribavirin is a standard treatment for patients infected with chronic hepatitis C virus (HCV) genotype 2 in Korea. The purpose of this study was to examine the efficacy and safety of this treatment in Korean patients with chronic HCV genotype 2 infection. Methods We retrospectively analyzed clinical data of patients treated with sofosbuvir plus ribavirin for chronic HCV genotype 2 from May 2016 to December 2017 at eight hospitals located in the Daejeon-Chungcheong area. Results A total of 172 patients were treated with sofosbuvir plus ribavirin. Of them, 163 patients completed the treatment, and 162 patients were tested for sustained virologic response 12 weeks after treatment discontinuation (SVR12). Mean age was 59.6±12.3 years (27–96), and 105 (64.4%) patients were female. Of the total patients, 49 (30.1%) were diagnosed with cirrhosis, and 31 of them were treated for 16 weeks. Sofosbuvir plus ribavirin was the first-line treatment for 144 (88.3%) patients. Eleven (6.7%) patients were intolerant to previous interferon-based treatment. Eight (5.0%) patients relapsed after interferon-based treatment. HCV RNA non-detection rate at 4, 8, and 12 weeks was 97.5%, 99.1%, and 99.3%, respectively, and SVR12 was 98.8% (161/163). During treatment, 18 (11.0%) patients had to reduce their administrated dose of ribavirin because of anemia. One patient stopped the treatment because of severe anemia. Other adverse events, including dizziness, indigestion, and headache, were found in 26 (16.0%) patients. Conclusions A 12-16 week treatment with sofosbuvir plus ribavirin is remarkably effective and well tolerated in Korean patients with chronic HCV genotype 2 infection.
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spelling doaj.art-5a9ce1fbbb1e4e60850396f9de88913d2022-12-21T21:46:59ZengKorean Association for the Study of the LiverClinical and Molecular Hepatology2287-27282287-285X2018-09-0124331131810.3350/cmh.2017.00701411Efficacy and safety of sofosbuvir plus ribavirin for Korean patients with hepatitis C virus genotype 2 infection: A retrospective multi-institutional studyYoung Min Kim0Suk Bae Kim1Il Han Song2Sae Hwan Lee3Hong Soo Kim4Tae Hee Lee5Young Woo Kang6Seok Hyun Kim7Byung Seok Lee8Hee Bok Chae9Myeong Jun Song10Ji Woong Jang11Soon Young Ko12Jae Dong Lee13 Department of Internal Medicine, Dankook University College of Medicine, Cheonan, Korea Department of Internal Medicine, Dankook University College of Medicine, Cheonan, Korea Department of Internal Medicine, Dankook University College of Medicine, Cheonan, Korea Department of Internal Medicine, Soonchunhyang University College of Medicine, Cheonan, Korea Department of Internal Medicine, Soonchunhyang University College of Medicine, Cheonan, Korea Department of Internal Medicine, Konyang University College of Medicine, Daejeon, Korea Department of Internal Medicine, Konyang University College of Medicine, Daejeon, Korea Department of Internal Medicine, Chungnam National University College of Medicine, Daejeon, Korea Department of Internal Medicine, Chungnam National University College of Medicine, Daejeon, Korea Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea Department of Internal Medicine, College of Medicine, Catholic University of Korea, Daejeon, Korea Department of Internal Medicine, Eulji University Hospital, Daejeon, Korea Department of Internal Medicine, Konkuk University School of Medicine, Chungju, Korea Department of Internal Medicine, Konkuk University School of Medicine, Chungju, KoreaBackground/Aims Sofosbuvir plus ribavirin is a standard treatment for patients infected with chronic hepatitis C virus (HCV) genotype 2 in Korea. The purpose of this study was to examine the efficacy and safety of this treatment in Korean patients with chronic HCV genotype 2 infection. Methods We retrospectively analyzed clinical data of patients treated with sofosbuvir plus ribavirin for chronic HCV genotype 2 from May 2016 to December 2017 at eight hospitals located in the Daejeon-Chungcheong area. Results A total of 172 patients were treated with sofosbuvir plus ribavirin. Of them, 163 patients completed the treatment, and 162 patients were tested for sustained virologic response 12 weeks after treatment discontinuation (SVR12). Mean age was 59.6±12.3 years (27–96), and 105 (64.4%) patients were female. Of the total patients, 49 (30.1%) were diagnosed with cirrhosis, and 31 of them were treated for 16 weeks. Sofosbuvir plus ribavirin was the first-line treatment for 144 (88.3%) patients. Eleven (6.7%) patients were intolerant to previous interferon-based treatment. Eight (5.0%) patients relapsed after interferon-based treatment. HCV RNA non-detection rate at 4, 8, and 12 weeks was 97.5%, 99.1%, and 99.3%, respectively, and SVR12 was 98.8% (161/163). During treatment, 18 (11.0%) patients had to reduce their administrated dose of ribavirin because of anemia. One patient stopped the treatment because of severe anemia. Other adverse events, including dizziness, indigestion, and headache, were found in 26 (16.0%) patients. Conclusions A 12-16 week treatment with sofosbuvir plus ribavirin is remarkably effective and well tolerated in Korean patients with chronic HCV genotype 2 infection.http://e-cmh.org/upload/pdf/cmh-2017-0070.pdfSofosbuvirRibavirinHepatitis C virusKorea
spellingShingle Young Min Kim
Suk Bae Kim
Il Han Song
Sae Hwan Lee
Hong Soo Kim
Tae Hee Lee
Young Woo Kang
Seok Hyun Kim
Byung Seok Lee
Hee Bok Chae
Myeong Jun Song
Ji Woong Jang
Soon Young Ko
Jae Dong Lee
Efficacy and safety of sofosbuvir plus ribavirin for Korean patients with hepatitis C virus genotype 2 infection: A retrospective multi-institutional study
Clinical and Molecular Hepatology
Sofosbuvir
Ribavirin
Hepatitis C virus
Korea
title Efficacy and safety of sofosbuvir plus ribavirin for Korean patients with hepatitis C virus genotype 2 infection: A retrospective multi-institutional study
title_full Efficacy and safety of sofosbuvir plus ribavirin for Korean patients with hepatitis C virus genotype 2 infection: A retrospective multi-institutional study
title_fullStr Efficacy and safety of sofosbuvir plus ribavirin for Korean patients with hepatitis C virus genotype 2 infection: A retrospective multi-institutional study
title_full_unstemmed Efficacy and safety of sofosbuvir plus ribavirin for Korean patients with hepatitis C virus genotype 2 infection: A retrospective multi-institutional study
title_short Efficacy and safety of sofosbuvir plus ribavirin for Korean patients with hepatitis C virus genotype 2 infection: A retrospective multi-institutional study
title_sort efficacy and safety of sofosbuvir plus ribavirin for korean patients with hepatitis c virus genotype 2 infection a retrospective multi institutional study
topic Sofosbuvir
Ribavirin
Hepatitis C virus
Korea
url http://e-cmh.org/upload/pdf/cmh-2017-0070.pdf
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