Treatment of hepatitis C virus infection with direct-acting antiviral agent-based regimens in Iranian patients with hereditary bleeding disorders
Abstract Background Chronic hepatitis C (CHC) is one of the most important comorbidities in patients with hereditary bleeding disorders (HBD). The present study aimed at evaluating the effectiveness of direct-acting antiviral agent (DAA)-based interferon-free HCV antiviral regimens in patients with...
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BMC
2021-10-01
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Online Access: | https://doi.org/10.1186/s12985-021-01659-0 |
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author | Heidar Sharafi Bita Behnava Alireza Azizi-saraji Ali Namvar Ali Anvar Shima Salimi Seyed Moayed Alavian |
author_facet | Heidar Sharafi Bita Behnava Alireza Azizi-saraji Ali Namvar Ali Anvar Shima Salimi Seyed Moayed Alavian |
author_sort | Heidar Sharafi |
collection | DOAJ |
description | Abstract Background Chronic hepatitis C (CHC) is one of the most important comorbidities in patients with hereditary bleeding disorders (HBD). The present study aimed at evaluating the effectiveness of direct-acting antiviral agent (DAA)-based interferon-free HCV antiviral regimens in patients with HBD. Patients and methods The present study was performed on the patients with HBD and CHC between 2015 and 2019. Sofosbuvir-based interferon-free regimens with or without ribavirin were prescribed to treat HCV infection. The main endpoint of the study was to determine the sustained virologic response (SVR), assessed 12 weeks after the completion of treatment. Results A total of 147 patients with a mean age of 41.1 years were enrolled in the study; 4.1% of them were co-infected with HIV, 25.2% had cirrhosis, and 76.9% of them were diagnosed with hemophilia A. HCV genotype-1 includes the largest number (68.1%) of patients. 46.3% of patients were treatment-naïve and others had a treatment history with interferon-based regimens. Out of 147 patients, 15 patients were lost to follow-up during treatment or for SVR evaluation or discontinued treatment. 132 subjects completed treatment and were evaluated for SVR, 12 weeks after the completion of treatment. All of the patients achieved SVR 12 (SVR rate: 100%, 95% CI 97.2–100%). Conclusion Hepatitis C DAA-based regimens are the effective treatments for CHC in patients with HBD, regardless of the treatment modifiers such as previous treatment experience, cirrhosis, HIV co-infection, and HCV genotype. |
first_indexed | 2024-12-22T07:19:34Z |
format | Article |
id | doaj.art-d354a4999533472693e5bb9bf1247125 |
institution | Directory Open Access Journal |
issn | 1743-422X |
language | English |
last_indexed | 2024-12-22T07:19:34Z |
publishDate | 2021-10-01 |
publisher | BMC |
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series | Virology Journal |
spelling | doaj.art-d354a4999533472693e5bb9bf12471252022-12-21T18:34:18ZengBMCVirology Journal1743-422X2021-10-0118111010.1186/s12985-021-01659-0Treatment of hepatitis C virus infection with direct-acting antiviral agent-based regimens in Iranian patients with hereditary bleeding disordersHeidar Sharafi0Bita Behnava1Alireza Azizi-saraji2Ali Namvar3Ali Anvar4Shima Salimi5Seyed Moayed Alavian6Middle East Liver Diseases (MELD) CenterMiddle East Liver Diseases (MELD) CenterIranian Comprehensive Haemophilia Care CentreIranian Comprehensive Haemophilia Care CentreIranian Comprehensive Haemophilia Care CentreMiddle East Liver Diseases (MELD) CenterMiddle East Liver Diseases (MELD) CenterAbstract Background Chronic hepatitis C (CHC) is one of the most important comorbidities in patients with hereditary bleeding disorders (HBD). The present study aimed at evaluating the effectiveness of direct-acting antiviral agent (DAA)-based interferon-free HCV antiviral regimens in patients with HBD. Patients and methods The present study was performed on the patients with HBD and CHC between 2015 and 2019. Sofosbuvir-based interferon-free regimens with or without ribavirin were prescribed to treat HCV infection. The main endpoint of the study was to determine the sustained virologic response (SVR), assessed 12 weeks after the completion of treatment. Results A total of 147 patients with a mean age of 41.1 years were enrolled in the study; 4.1% of them were co-infected with HIV, 25.2% had cirrhosis, and 76.9% of them were diagnosed with hemophilia A. HCV genotype-1 includes the largest number (68.1%) of patients. 46.3% of patients were treatment-naïve and others had a treatment history with interferon-based regimens. Out of 147 patients, 15 patients were lost to follow-up during treatment or for SVR evaluation or discontinued treatment. 132 subjects completed treatment and were evaluated for SVR, 12 weeks after the completion of treatment. All of the patients achieved SVR 12 (SVR rate: 100%, 95% CI 97.2–100%). Conclusion Hepatitis C DAA-based regimens are the effective treatments for CHC in patients with HBD, regardless of the treatment modifiers such as previous treatment experience, cirrhosis, HIV co-infection, and HCV genotype.https://doi.org/10.1186/s12985-021-01659-0Chronic hepatitis CDirect-acting antiviral agentsHereditary bleeding disordersSofosbuvirDaclatasvirLedipasvir |
spellingShingle | Heidar Sharafi Bita Behnava Alireza Azizi-saraji Ali Namvar Ali Anvar Shima Salimi Seyed Moayed Alavian Treatment of hepatitis C virus infection with direct-acting antiviral agent-based regimens in Iranian patients with hereditary bleeding disorders Virology Journal Chronic hepatitis C Direct-acting antiviral agents Hereditary bleeding disorders Sofosbuvir Daclatasvir Ledipasvir |
title | Treatment of hepatitis C virus infection with direct-acting antiviral agent-based regimens in Iranian patients with hereditary bleeding disorders |
title_full | Treatment of hepatitis C virus infection with direct-acting antiviral agent-based regimens in Iranian patients with hereditary bleeding disorders |
title_fullStr | Treatment of hepatitis C virus infection with direct-acting antiviral agent-based regimens in Iranian patients with hereditary bleeding disorders |
title_full_unstemmed | Treatment of hepatitis C virus infection with direct-acting antiviral agent-based regimens in Iranian patients with hereditary bleeding disorders |
title_short | Treatment of hepatitis C virus infection with direct-acting antiviral agent-based regimens in Iranian patients with hereditary bleeding disorders |
title_sort | treatment of hepatitis c virus infection with direct acting antiviral agent based regimens in iranian patients with hereditary bleeding disorders |
topic | Chronic hepatitis C Direct-acting antiviral agents Hereditary bleeding disorders Sofosbuvir Daclatasvir Ledipasvir |
url | https://doi.org/10.1186/s12985-021-01659-0 |
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