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논문 기본 정보

자료유형
학술저널
저자정보
Chen-Hua Liu (Department of Internal Medicine National Taiwan University Hospital) Chi-Yi Chen (Department of Internal Medicine Ditmanson Medical Foundation Chiayi Christian Hospital) Wei-Wen Su (Division of Gastroenterology Department of Internal Medicine Changhua Christian Hospital) Chun-Jen Liu (National Taiwan University Hospital) Ching-Chu Lo (Department of Internal Medicine St. Martin De Porres Hospital) Ke-Jhang Huang (Department of Internal Medicine China Medical University Beigang Hospital) Jyh-Jou Chen (Chi-Mei Foundation Medical Center) Kuo-Chih Tseng (Dalin Tzu Chi Hospital) Chi-Yang Chang (Department of Internal Medicine Fu Jen Catholic University Hospital) Cheng-Yuan Peng (Center for Digestive Medicine Department of Internal Medicine China Medical University Hospital) Yu-Lueng Shih (Department of Internal Medicine Tri-Service General Hospital National Defense Medical Center) Chia-Sheng Huang (Department of Internal Medicine Yang Ming Hospital) Wei-Yu Kao (Department of Internal Medicine Taipei Medical University Hospital) Sheng-Shun Yang (Department of Internal Medicine Taichung Veterans General Hospital) Ming-Chang Tsai (Department of Internal Medicine Chung Shan Medical University Hospital) Jo-Hsuan Wu (University of California) Po-Yueh Chen (Department of Internal Medicine Ditmanson Medical Foundation Chiayi Christian Hospital) Pei-Yuan Su (Division of Gastroenterology Department of Internal Medicine Changhua Christian Hospital) Jow-Jyh Hwang (Department of Internal Medicine St. Martin De Porres Hospital) Yu-Jen Fang (Department of Internal Medicine National Taiwan University Hospital) Pei-Lun Lee (Division of Gastroenterology and Hepatology Chi-Mei Medical Center) Chi-Wei Tseng (Department of Internal Medicine Dalin Tzu Chi Hospital Buddhist Tzu Chi Medical Foundation) Fu-Jen Lee (Department of Internal Medicine Fu Jen Catholic University Hospital) Hsueh-Chou Lai (China Medical University) Tsai‐Yuan Hsieh (Department of Internal Medicine Tri-Service General Hospital National Defense Medical Center) Chun-Chao Chang (Taipei Medical University College of Medicine) Chung-Hsin Chang (Department of Internal Medicine Taichung Veterans General Hospital) Yi-Jie Huang (Department of Internal Medicine Taichung Veterans General Hospital) Jia-Horng Kao (Department of Internal Medicine National Taiwan University Hospital)
저널정보
대한간학회 Clinical and Molecular Hepatology Clinical and Molecular Hepatology 제27권 제4호
발행연도
2021.10
수록면
575 - 588 (14page)
DOI
10.3350/cmh.2021.0155

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Background/Aims: Real-world studies assessing the effectiveness and safety of sofosbuvir/velpatasvir (SOF/VEL) plus ribavirin (RBV) for Child-Pugh B/C hepatitis C virus (HCV)-related cirrhosis are limited. Methods: We included 107 patients with Child-Pugh B/C HCV-related cirrhosis receiving SOF/VEL plus RBV for 12 weeks in Taiwan. The sustained virologic response rates at off-treatment week 12 (SVR12) for the evaluable population (EP), modified EP, and per-protocol population (PP) were assessed. The safety profiles were reported. Results: The SVR12 rates in the EP, modified EP and PP were 89.7% (95% confidence interval [CI], 82.5?94.2%), 94.1% (95% CI, 87.8?97.3%), and 100% (95% CI, 96.2?100%). Number of patients who failed to achieve SVR12 were attributed to virologic failures. The SVR12 rates were comparable regardless of patient characteristics. One patient discontinued treatment because of adverse events (AEs). Twenty-four patients had serious AEs and six died, but none were related to SOF/VEL or RBV. Among the 96 patients achieving SVR12, 84.4% and 64.6% had improved Child-Pugh and model for endstage liver disease (MELD) scores. Multivariate analysis revealed that a baseline MELD score ≥15 was associated with an improved MELD score of ≥3 (odds ratio, 4.13; 95% CI, 1.16?14.71; P=0.02). Patients with chronic kidney disease (CKD) stage 1 had more significant estimated glomerular filtration rate declines than patients with CKD stage 2 (-0.42 mL/min/1.73 m2/month; P=0.01) or stage 3 (-0.56 mL/min/1.73 m2/month; P<0.001). Conclusions: SOF/VEL plus RBV for 12 weeks is efficacious and well-tolerated for Child-Pugh B/C HCV-related cirrhosis.

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