Comparative effectiveness of pan-genotypic therapies for the treatment of patients with hepatitis C virus infection in Bulgaria

Hepatitis C virus (HCV) is a positive-stranded RNA virus which belongs to the family of , predominantly infecting liver hepatocytes. HCV infection is a major cause for morbidity worldwide. The primary objective was to evaluate the comparative effectiveness of pan-genotypic therapies for the treatmen...

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Veröffentlicht in:Journal of comparative effectiveness research 2019-05, Vol.8 (7), p.455-459
Hauptverfasser: Djambazov, Slaveyko, Slavchev, Georgi, Encheva, Marta, Mitova, Radoslava, Vekov, Toni
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container_end_page 459
container_issue 7
container_start_page 455
container_title Journal of comparative effectiveness research
container_volume 8
creator Djambazov, Slaveyko
Slavchev, Georgi
Encheva, Marta
Mitova, Radoslava
Vekov, Toni
description Hepatitis C virus (HCV) is a positive-stranded RNA virus which belongs to the family of , predominantly infecting liver hepatocytes. HCV infection is a major cause for morbidity worldwide. The primary objective was to evaluate the comparative effectiveness of pan-genotypic therapies for the treatment of patients with HCV infection in Bulgaria. The databases MEDLINE, EMBASE, Cochrane Library, PubMed and were searched to identify studies evaluating the therapeutic efficacy of sofosbuvir/velpatasvir/voxilaprevir, sofosbuvir/velpatasvir and glecaprevir/pibrentasvir for the treatment of HCV patients. The range of sustained virologic response rates among all genotypes achieved after therapy with sofosbuvir/velpatasvir/voxilaprevir was 92-100% (8-week therapy) in treatment-naive patients and 99-100% (12-week therapy) in experienced patients. The range of sustained virologic response rates with glecaprevir/pibrentasvir was 91-100% (12-week therapy) and 97-100% (12-week therapy) with sofosbuvir/velpatasvir. Sofosbuvir/velpatasvir/voxilaprevir is a noninferior therapy offering a simple and short-term treatment regimen with high efficacy, favorable safety profile and good tolerability.
doi_str_mv 10.2217/cer-2018-0143
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subjects Antiviral Agents - therapeutic use
Bulgaria
Carbamates - therapeutic use
Clinical trials
comparative effectiveness
Drug Therapy, Combination
Genotype
Genotype & phenotype
HCV
Hepacivirus - genetics
Hepatitis
Hepatitis C
hepatitis C virus
Hepatitis C, Chronic - drug therapy
Hepatology
Heterocyclic Compounds, 4 or More Rings - administration & dosage
Heterocyclic Compounds, 4 or More Rings - therapeutic use
Humans
Infections
Liver diseases
Macrocyclic Compounds - therapeutic use
Mortality
Patients
Sofosbuvir - therapeutic use
Studies
Sulfonamides - therapeutic use
Sustained Virologic Response
treatment
title Comparative effectiveness of pan-genotypic therapies for the treatment of patients with hepatitis C virus infection in Bulgaria
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