Glecaprevir/pibrentasvir for patients with chronic hepatitis C virus infection: Real-world effectiveness and safety in Taiwan
Journal
Liver International
Journal Volume
40
Journal Issue
4
Pages
758-768
Date Issued
2020
Abstract
Background & Aims: Large-scale data regarding the real-world effectiveness and safety of glecaprevir/pibrentasvir (GLE/PIB) for patients with chronic hepatitis C virus (HCV) infection were limited in East Asia. We aimed to evaluate the clinical performance of GLE/PIB in different HCV populations in Taiwan. Methods: A total of 658 chronic HCV patients with compensated liver diseases receiving GLE/PIB for 8 (n?=?549), 12 (n?=?103) or 16 (n?=?6) weeks were retrospectively enrolled. The effectiveness was determined by sustained virologic response at off-therapy 12?weeks (SVR12). Patient characteristics potentially related to SVR12 and the safety profiles were also assessed. Results: By evaluable population (EP) and per-protocol (PP) analyses, the overall SVR12 rate was 98.2% (95% confidence interval (CI): 96.8%-99.0%) and 99.4% (95% CI: 98.4%-99.8%). The SVR12 rates were 98.9% (95% CI: 97.6%-99.5%), 94.2% (95% CI: 87.9%-97.3%) and 100% (95% CI: 60.1%-100%) in patients receiving 8, 12 and 16?weeks of treatment respectively. A total of 656 (99.7%) patients completed the scheduled treatment. The SVR12 rates were comparable regardless of baseline characteristics or week 4 viral decline. Twenty (3.0%) patients had serious adverse events (AEs), but none were not related to GLE/PIB. The two most common AEs were pruritus (7.8%) and fatigue (5.5%). Two (0.3%) and no patients had ?3-fold upper limit of normal (ULN) for total bilirubin and alanine aminotransferase (ALT) levels. Conclusions: GLE/PIB for 8-16?weeks is effective and well-tolerated for patients with chronic HCV infection in Taiwan. ? 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd
SDGs
Other Subjects
alanine aminotransferase; bilirubin; glecaprevir plus pibrentasvir; adult; alanine aminotransferase blood level; Article; bilirubin blood level; chronic hepatitis C; clinical effectiveness; drug safety; fatigue; female; human; major clinical study; male; middle aged; patient compliance; pruritus; retrospective study; sustained virologic response; Taiwan
Publisher
Blackwell Publishing Ltd
Type
journal article