Comparison of 8- versus 12-weeks of glecaprevir/pibrentasvir for Taiwanese patients with hepatitis C and compensated cirrhosis in a real-world setting.

Real-world data on the effectiveness of glecaprevir/pibrentasvir (GLE/PIB) for patients with HCV infection and compensated cirrhosis is limited, especially for the 8-week regimen and in an Asian population. This retrospective study enrolled 159 consecutive patients with HCV and compensated cirrhosis...

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Main Authors: Yung-Hsin Lu, Chung-Kuang Lu, Chun-Hsien Chen, Yung-Yu Hsieh, Shui-Yi Tung, Yi-Hsing Chen, Chih-Wei Yen, Wei-Lin Tung, Kao-Chi Chang, Wei-Ming Chen, Sheng-Nan Lu, Chao-Hung Hung, Te-Sheng Chang
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0272567
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author Yung-Hsin Lu
Chung-Kuang Lu
Chun-Hsien Chen
Yung-Yu Hsieh
Shui-Yi Tung
Yi-Hsing Chen
Chih-Wei Yen
Wei-Lin Tung
Kao-Chi Chang
Wei-Ming Chen
Sheng-Nan Lu
Chao-Hung Hung
Te-Sheng Chang
author_facet Yung-Hsin Lu
Chung-Kuang Lu
Chun-Hsien Chen
Yung-Yu Hsieh
Shui-Yi Tung
Yi-Hsing Chen
Chih-Wei Yen
Wei-Lin Tung
Kao-Chi Chang
Wei-Ming Chen
Sheng-Nan Lu
Chao-Hung Hung
Te-Sheng Chang
author_sort Yung-Hsin Lu
collection DOAJ
description Real-world data on the effectiveness of glecaprevir/pibrentasvir (GLE/PIB) for patients with HCV infection and compensated cirrhosis is limited, especially for the 8-week regimen and in an Asian population. This retrospective study enrolled 159 consecutive patients with HCV and compensated cirrhosis who were treated with GLE/PIB at a single center in Taiwan. Sustained virological response (SVR) and adverse events (AEs) were evaluated. Among the 159 patients, 91 and 68 were treated with GLE/PIB for 8 and 12 weeks, respectively. In the per protocol analysis, both the 8- and 12-week groups achieved 100% SVR (87/87 vs. 64/64); and in the evaluable population analysis, 95.6% (87/91) of the 8-week group and 94.1% (64/68) of the 12-week group achieved SVR. The most commonly reported AEs, which included pruritus (15.4% vs. 26.5%), abdominal discomfort (9.9% vs. 5.9%), and skin rash (5.5% vs. 5.9%), were mild for the 8- and 12-week groups. Two patients in the 8-week group exhibited total bilirubin elevation over three times the upper normal limit. One of these two patients discontinued GLE/PIB treatment after 2 weeks but still achieved SVR. Both 8- and 12-week GLE/PIB treatments are safe and effective for patients of Taiwanese ethnicity with HCV and compensated cirrhosis.
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spelling doaj.art-fc0f2f09b71f471dacc0d8df40376f442022-12-22T04:04:55ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01178e027256710.1371/journal.pone.0272567Comparison of 8- versus 12-weeks of glecaprevir/pibrentasvir for Taiwanese patients with hepatitis C and compensated cirrhosis in a real-world setting.Yung-Hsin LuChung-Kuang LuChun-Hsien ChenYung-Yu HsiehShui-Yi TungYi-Hsing ChenChih-Wei YenWei-Lin TungKao-Chi ChangWei-Ming ChenSheng-Nan LuChao-Hung HungTe-Sheng ChangReal-world data on the effectiveness of glecaprevir/pibrentasvir (GLE/PIB) for patients with HCV infection and compensated cirrhosis is limited, especially for the 8-week regimen and in an Asian population. This retrospective study enrolled 159 consecutive patients with HCV and compensated cirrhosis who were treated with GLE/PIB at a single center in Taiwan. Sustained virological response (SVR) and adverse events (AEs) were evaluated. Among the 159 patients, 91 and 68 were treated with GLE/PIB for 8 and 12 weeks, respectively. In the per protocol analysis, both the 8- and 12-week groups achieved 100% SVR (87/87 vs. 64/64); and in the evaluable population analysis, 95.6% (87/91) of the 8-week group and 94.1% (64/68) of the 12-week group achieved SVR. The most commonly reported AEs, which included pruritus (15.4% vs. 26.5%), abdominal discomfort (9.9% vs. 5.9%), and skin rash (5.5% vs. 5.9%), were mild for the 8- and 12-week groups. Two patients in the 8-week group exhibited total bilirubin elevation over three times the upper normal limit. One of these two patients discontinued GLE/PIB treatment after 2 weeks but still achieved SVR. Both 8- and 12-week GLE/PIB treatments are safe and effective for patients of Taiwanese ethnicity with HCV and compensated cirrhosis.https://doi.org/10.1371/journal.pone.0272567
spellingShingle Yung-Hsin Lu
Chung-Kuang Lu
Chun-Hsien Chen
Yung-Yu Hsieh
Shui-Yi Tung
Yi-Hsing Chen
Chih-Wei Yen
Wei-Lin Tung
Kao-Chi Chang
Wei-Ming Chen
Sheng-Nan Lu
Chao-Hung Hung
Te-Sheng Chang
Comparison of 8- versus 12-weeks of glecaprevir/pibrentasvir for Taiwanese patients with hepatitis C and compensated cirrhosis in a real-world setting.
PLoS ONE
title Comparison of 8- versus 12-weeks of glecaprevir/pibrentasvir for Taiwanese patients with hepatitis C and compensated cirrhosis in a real-world setting.
title_full Comparison of 8- versus 12-weeks of glecaprevir/pibrentasvir for Taiwanese patients with hepatitis C and compensated cirrhosis in a real-world setting.
title_fullStr Comparison of 8- versus 12-weeks of glecaprevir/pibrentasvir for Taiwanese patients with hepatitis C and compensated cirrhosis in a real-world setting.
title_full_unstemmed Comparison of 8- versus 12-weeks of glecaprevir/pibrentasvir for Taiwanese patients with hepatitis C and compensated cirrhosis in a real-world setting.
title_short Comparison of 8- versus 12-weeks of glecaprevir/pibrentasvir for Taiwanese patients with hepatitis C and compensated cirrhosis in a real-world setting.
title_sort comparison of 8 versus 12 weeks of glecaprevir pibrentasvir for taiwanese patients with hepatitis c and compensated cirrhosis in a real world setting
url https://doi.org/10.1371/journal.pone.0272567
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