Daclatasvir-based regimens in HCV cirrhosis: experience from the Italian early access program.

Author: AlbertiAlfredo, AngeliElena, AngelicoMario, BadiaLorenzo, BelliLuca, BiolatoMarco, BorghiVanni, CalvarusoVincenza, CarraiPaola, CraxìAntonio, D'OffiziGianpiero, FagiuoliStefano, FelderMartina, GriecoAntonio, GuaraldiGiovanni, LionettiRaffaella, MancusiRossella Letizia, MazzarelliChiara, MilazzoLaura, MontalbanoMarzia, PasuloLuisa, PersicoMarcello, PiaiGuido, PuotiMassimo, SantantonioTeresa, VerucchiGabriella, VillaErica

Paper Details 
Original Abstract of the Article :
We reported the efficacy and safety data for daclatasvir (DCV)-based all-oral antiviral therapy in patients treated in the Italian compassionate-use program. 275 patients were included (202 male-73.5%, mean age: 57.4 years, 62 HIV-coinfected, 94 with recurrence of hepatitis C post-OLT). Forty-nine p...See full text at original site
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引用元:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6345835/

データ提供:米国国立医学図書館(NLM)

Daclatasvir-based Regimens for HCV Cirrhosis: A Desert Oasis in a Challenging Landscape

This study explores the realm of hepatology, specifically focusing on the treatment of Hepatitis C virus (HCV) cirrhosis. It's a complex and challenging landscape with unique challenges like co-infection, recurrence, and difficult-to-treat genotypes. The study used a compassionate-use program to assess the efficacy and safety of daclatasvir (DCV)-based antiviral therapy in patients with HCV cirrhosis. The researchers navigated this desert of challenges using a variety of techniques like logistic regression to identify factors associated with success and analyzing liver function changes over time.

A Beacon of Hope: SVR12 Rates and Key Factors

The results shine a light on the effectiveness of DCV-based regimens, particularly in combination with sofosbuvir (SOF). The study revealed a significantly higher sustained virological response (SVR12) rate with the DCV+SOF combination compared to other regimens. This finding suggests that DCV+SOF could be a crucial tool for treating HCV cirrhosis, offering patients a path to recovery in a challenging environment. Additionally, the study identified bilirubin levels and the inclusion of SOF in the regimen as independent factors positively associated with SVR12. This detailed analysis helps us understand the nuances of treatment and optimize the journey to recovery for patients with HCV cirrhosis.

Navigating the Desert of HCV: A Guide for Patients

These findings highlight the importance of utilizing effective treatment options like DCV+SOF for HCV cirrhosis. For those traversing this desert, a doctor's guidance and a tailored approach based on individual factors like bilirubin levels are essential. It's crucial to discuss the potential benefits and risks of different treatment regimens to find the best path to recovery.

Dr. Camel's Conclusion

This study provides a valuable roadmap for navigating the challenging landscape of HCV cirrhosis. The results suggest that DCV-based regimens, particularly DCV+SOF, hold immense promise for treating this complex condition. Like finding a refreshing oasis in a vast desert, these regimens offer hope for a healthier future. Remember, just like navigating a desert requires careful planning and a keen eye for the details, treating HCV cirrhosis requires a customized approach and ongoing collaboration with healthcare professionals.
Date :
  1. Date Completed 2020-07-23
  2. Date Revised 2021-12-04
Further Info :

Pubmed ID

30679515

DOI: Digital Object Identifier

PMC6345835

Related Literature

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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