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97938

Two Sofosbuvir Containing Regimens in Egyptian Hepatitis C Related Compensated Liver Cirrhosis: Impact on Clinical Outcome and Liver Stiffness

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Last updated: 24 Dec 2024

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Abstract

Background/Aim: The current study aimed to evaluate the impact of sustained virological response (SVR) after two sofosbuvir (SOF) containing regimens on the clinical outcomes, non invasive markers of hepatic fibrosis and liver stiffness. Patients and Methods: The study included 200 patients with compensated HCV cirrhosis. Group 1: received SOF and Ribavirin (RBV) for 6 months, Group 2: received SOF, Daclatsvir (DAC) and RBV for 3 months. Hepatitis C Virus Ribonucleic Acid (HCV RNA) by Polymerase Chain Reaction (PCR) was done at baseline, end of treatment (EOT), SVR12, SVR48. Model for end stage liver disease (MELD) score was calculated, the aspartate aminotransferase to platelet ratio index (APRI) and Fibrosis-4 (FIB-4) scores were done. FibroScan was done at baseline and SVR48. Results: SVR12 occured in 75% and 96% in group 1 and 2, respectively. There was improvement in both of APRI and FIB-4 scores at EOT in the two groups, and maintained to SVR48. A significant improvement in mean liver stiffness (LS) occurred at SVR48 compared to baseline in the study groups. Improvement in LS was observed more in group 2. There was a significant decrease in the mean value of MELD score in group 2 and non-significant decrease in group 1 at SVR48 in comparison to pre-treatment mean value. Conclusion: SOF/DAC/RBV was effective treatment regimen in compensated liver cirrhosis. This regimen resulted in significant improvement in MELD score, and liver stiffness at SVR48.

DOI

10.21608/ejhm.2020.97938

Keywords

Sofosbuvir, daclatsvir, Cirrhosis, Outcome, MELD, LS

Authors

First Name

Nahed A

Last Name

Makhlouf

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First Name

Youssef M

Last Name

Swifee

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First Name

Mohamed M

Last Name

Darwish

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First Name

Nasr K.

Last Name

Khalil

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First Name

Amal A.

Last Name

Mahmoud

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First Name

Ahmed

Last Name

Medhat

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Email

amedhatnasr@gmail.com

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First Name

Rasha O

Last Name

Refaie

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First Name

Zainab G

Last Name

Mahran

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Volume

80

Article Issue

2

Related Issue

14648

Issue Date

2020-07-01

Receive Date

2020-06-24

Publish Date

2020-07-01

Page Start

798

Page End

802

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_97938.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=97938

Order

7

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Two Sofosbuvir Containing Regimens in Egyptian Hepatitis C Related Compensated Liver Cirrhosis: Impact on Clinical Outcome and Liver Stiffness

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Article

Created At

22 Jan 2023