Publication: Real-world efficacy and safety of Ledipasvir plus Sofosbuvir and Ombitasvir/Paritaprevir/Ritonavir ± Dasabuvir combination therapies for chronic hepatitis C: A Turkish experience
dc.contributor.author | Değertekin, Bülent | |
dc.contributor.author | Demir, Mehmet | |
dc.contributor.author | Akarca, Ulus S. | |
dc.contributor.author | Kani, Haluk Tarık | |
dc.contributor.author | Üçbilek, Enver | |
dc.contributor.author | Yıldırım, Emre | |
dc.contributor.author | Güzelbulut, Fatih | |
dc.contributor.author | Balkan, Ayhan | |
dc.contributor.author | Vatansever, Sezgin | |
dc.contributor.author | Danış, Nilay | |
dc.contributor.author | Demircan, Melek | |
dc.contributor.author | Soylu, Aliye | |
dc.contributor.author | Yaras, Serkan | |
dc.contributor.author | Kartal, Aysun | |
dc.contributor.author | Kefeli, Ayşe | |
dc.contributor.author | Gündüz, Feyza | |
dc.contributor.author | Yalçın, Kendal | |
dc.contributor.author | Erarslan, Elife | |
dc.contributor.author | Aladağ, Murat | |
dc.contributor.author | Harputluoğlu, Murat | |
dc.contributor.author | Özakyol, Ayşegül | |
dc.contributor.author | Temel, Tuncer | |
dc.contributor.author | Akarsu, Mesut | |
dc.contributor.author | Sümer, Hale | |
dc.contributor.author | Akın, Mete | |
dc.contributor.author | Albayrak, Bülent | |
dc.contributor.author | Şen, İlker | |
dc.contributor.author | Alkim, Hüseyin | |
dc.contributor.author | Uyanıkoğlu, Ahmet | |
dc.contributor.author | Irak, Kader | |
dc.contributor.author | Öztaşkın, Sinem | |
dc.contributor.author | Uğurlu, Çağrı Burak | |
dc.contributor.author | Güneş, Şevkican | |
dc.contributor.author | Gürel, Selim | |
dc.contributor.author | Nuriyev, Kenan | |
dc.contributor.author | İnci, İsmail | |
dc.contributor.author | Kaçar, Sabite | |
dc.contributor.author | Dinçer, Dinç | |
dc.contributor.author | Doğanay, Levent | |
dc.contributor.author | Göktürk, Hüseyin Savaş | |
dc.contributor.author | Mert, Ali | |
dc.contributor.author | Coşar, Arif Mansur | |
dc.contributor.author | Dursun, Hakan | |
dc.contributor.author | Atalay, Roni | |
dc.contributor.author | Akbulut, Sabiye | |
dc.contributor.author | Balkan, Yasemin | |
dc.contributor.author | Koklu, Hayrettin | |
dc.contributor.author | Şimşek, Halis | |
dc.contributor.author | Özdoğan, Osman | |
dc.contributor.author | Çoban, Mehmet | |
dc.contributor.author | Poturoğlu, Şule | |
dc.contributor.author | Ayyıldız, Talat | |
dc.contributor.author | Yapalı, Suna | |
dc.contributor.author | Günşar, Fulya | |
dc.contributor.author | Akdoğan, Meral | |
dc.contributor.author | Özenirler, Seren | |
dc.contributor.author | Akyıldız, Murat | |
dc.contributor.author | Sezgin, Orhan | |
dc.contributor.author | Özdoğan, Osman | |
dc.contributor.author | Kaymakoğlu, Sabahattin | |
dc.contributor.author | Besişik, Fatih | |
dc.contributor.author | Karasu, Zeki | |
dc.contributor.author | Idılman, Ramazan | |
dc.contributor.buuauthor | GÜREL, SELİM | |
dc.contributor.department | Tıp Fakültesi | |
dc.contributor.department | Gastroenteroloji ve Hepatoloji Ana Bilim Dalı | |
dc.contributor.orcid | 0000-0002-7279-2161 | |
dc.contributor.researcherid | HLH-8209-2023 | |
dc.date.accessioned | 2024-07-09T11:06:29Z | |
dc.date.available | 2024-07-09T11:06:29Z | |
dc.date.issued | 2020-10-09 | |
dc.description.abstract | Background/Aims: This study aimed to evaluate the real-life efficacy and tolerability of direct-acting antiviral treatments for patients with chronic hepatitis C (CHC) with/without cirrhosis in the Turkish population.Material and Methods: A total of 4,352 patients with CHC from 36 different institutions in Turkey were enrolled. They received ledipasvir (LDV) and sofosbuvir (SOF)+/- ribavirin (RBV) ombitasvir/paritaprevir/ritonavir +/- dasabuvir (PrOD)+/- RBV for 12 or 24 weeks. Sustained virologic response (SVR) rates, factors affecting SVR, safety profile, and hepatocellular cancer (HCC) occurrence were analyzed.Results: SVR12 was achieved in 92.8% of the patients (4,040/4,352) according to intention-to-treat and in 98.3% of the patients (4,040/4,108) according to per-protocol analysis. The SVR12 rates were similar between the treatment regimens (97.2%-100%) and genotypes (95.6%-100%). Patients achieving SVR showed a significant decrease in the mean serum alanine transaminase (ALT) levels (50.90 +/- 54.60 U/L to 17.00 +/- 14.50 U/L) and model for end-stage liver disease (MELD) scores (7.51 +/- 4.54 to 7.32 +/- 3.40) (p<0.05). Of the patients, 2 were diagnosed with HCC during the treatment and 14 were diagnosed with HCC 37.0 +/- 16.0 weeks post-treatment. Higher initial MELD score (odds ratio [OR]: 1.92, 95% confidence interval [CI]: 1.22-2.38; p=0.023]), higher hepatitis C virus (HCV) RNA levels (OR: 1.44, 95% CI: 1.31-2.28; p=0.038), and higher serum ALT levels (OR: 1.38, 95% CI: 1.21-1.83; p=0.042) were associated with poor SVR12. The most common adverse events were fatigue (12.6%), pruritis (7.3%), increased serum ALT (4.7%) and bilirubin (3.8%) levels, and anemia (3.1%).Conclusion: LDV/SOF or PrOD +/- RBV were effective and tolerable treatments for patients with CHC and with or without advanced liver disease before and after liver transplantation. Although HCV eradication improves the liver function, there is a risk of developing HCC. | |
dc.description.sponsorship | Türk Karaciğer Araştırmaları Derneği (TASL) | |
dc.identifier.doi | 10.5152/tjg.2020.20696 | |
dc.identifier.eissn | 2148-5607 | |
dc.identifier.endpage | 893 | |
dc.identifier.issue | 12 | |
dc.identifier.startpage | 883 | |
dc.identifier.uri | https://doi.org/10.5152/tjg.2020.20696 | |
dc.identifier.uri | https://turkjgastroenterol.org/en/real-world-efficacy-and-safety-of-ledipasvir-sofosbuvir-and-ombitasvir-paritaprevir-ritonavir-dasabuvir-combination-therapies-for-chronic-hepatitis-c-a-turkish-experience-136723 | |
dc.identifier.uri | https://hdl.handle.net/11452/43081 | |
dc.identifier.volume | 31 | |
dc.identifier.wos | 000621603800007 | |
dc.indexed.wos | WOS.SCI | |
dc.language.iso | en | |
dc.publisher | Aves | |
dc.relation.journal | Turkish Journal of Gastroenterology | |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi | |
dc.rights | info:eu-repo/semantics/openAccess | |
dc.subject | Sustained virological response | |
dc.subject | Acting antiviral therapy | |
dc.subject | Hepatocellular-carcinoma | |
dc.subject | Hcv | |
dc.subject | Infection | |
dc.subject | Ribavirin | |
dc.subject | Cirrhosis | |
dc.subject | Turkey | |
dc.subject | Treatment | |
dc.subject | Direct-acting antiviral | |
dc.subject | Gastroenterology & hepatology | |
dc.title | Real-world efficacy and safety of Ledipasvir plus Sofosbuvir and Ombitasvir/Paritaprevir/Ritonavir ± Dasabuvir combination therapies for chronic hepatitis C: A Turkish experience | |
dc.type | Article | |
dspace.entity.type | Publication | |
local.contributor.department | Tıp Fakültesi/Gastroenteroloji ve Hepatoloji Ana Bilim Dalı | |
relation.isAuthorOfPublication | d7a9ea11-69fc-4122-a365-8fb2123512e6 | |
relation.isAuthorOfPublication.latestForDiscovery | d7a9ea11-69fc-4122-a365-8fb2123512e6 |
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