» Articles » PMID: 28367171

Initial Results of Efficacy and Safety of Sofosbuvir Among Pakistani Population: A Real Life Trial - Hepatitis Eradication Accuracy Trial of Sofosbuvir (HEATS)

Overview
Journal Pak J Med Sci
Specialty General Medicine
Date 2017 Apr 4
PMID 28367171
Citations 4
Authors
Affiliations
Soon will be listed here.
Abstract

Objective: The uridine nucleotide analogue sofosbuvir is a selective inhibitor of hepatitis C virus (HCV) NS5B polymerase approved for the treatment of chronic HCV infection with genotypes 1 - 4. The objective of the study was to evaluate the interim results of efficacy and safety of regimens containing Sofosbuvir (Zoval) among Pakistani population with the rapid virologic response (RVR2/4 weeks) with HCV infections.

Methods: This is a multicenter open label prospective observational study. Patients suffering from chronic Hepatitis C infection received Sofosbuvir (Zoval) 400 mg plus ribavirin (with or without peg interferon) for 12/24 weeks. The interim results of this study were rapid virological response on week 4. Data was analyzed using SPSS version 21 for descriptive statistics.

Results: A total of 573 patients with HCV infection were included in the study. The mean age of patients was 46.07 ± 11.41 years. Out of 573 patients 535 (93.3%) were treatment naive, 26 (4.5%) were relapser, 7 (1.2%) were non-responders and 5 (1.0%) were partial responders. A rapid virologic response was reported in 563(98.2%) of patients with HCV infection after four weeks of treatment. The treatment was generally well tolerated.

Conclusion: Sofosbuvir (Zoval) is effective and well tolerated in combination with ribavirin in HCV infected patients.

Citing Articles

End Treatment Response and Sustained Viral Response in Patients With Hepatitis C Virus Receiving Sofosbuvir and Daclatasvir.

Rahman A, Amir M, Jamal Q, Riaz M, Fareed K, Siddiqui M Cureus. 2023; 15(5):e38833.

PMID: 37303399 PMC: 10253241. DOI: 10.7759/cureus.38833.


Cost-effectiveness of screening and treatment using direct-acting antivirals for chronic Hepatitis C virus in a primary care setting in Karachi, Pakistan.

Mafirakureva N, Lim A, Khalid G, Aslam K, Campbell L, Zahid H J Viral Hepat. 2020; 28(2):268-278.

PMID: 33051950 PMC: 7821258. DOI: 10.1111/jvh.13422.


Current Status of Direct Acting Antiviral Agents against Hepatitis C Virus Infection in Pakistan.

Khaliq S, Raza S Medicina (Kaunas). 2018; 54(5).

PMID: 30400604 PMC: 6262417. DOI: 10.3390/medicina54050080.


Rapid virological&End treatment response of patients treated with Sofosbuvir in Chronic Hepatitis C.

Siddique M, Shoaib S, Saad A, Iqbal H, Durrani N Pak J Med Sci. 2017; 33(4):813-817.

PMID: 29067045 PMC: 5648944. DOI: 10.12669/pjms.334.12785.

References
1.
Lam A, Murakami E, Espiritu C, Micolochick Steuer H, Niu C, Keilman M . PSI-7851, a pronucleotide of beta-D-2'-deoxy-2'-fluoro-2'-C-methyluridine monophosphate, is a potent and pan-genotype inhibitor of hepatitis C virus replication. Antimicrob Agents Chemother. 2010; 54(8):3187-96. PMC: 2916354. DOI: 10.1128/AAC.00399-10. View

2.
Williams I, Bell B, Kuhnert W, Alter M . Incidence and transmission patterns of acute hepatitis C in the United States, 1982-2006. Arch Intern Med. 2011; 171(3):242-8. DOI: 10.1001/archinternmed.2010.511. View

3.
Kowdley K, Lawitz E, Crespo I, Hassanein T, Davis M, DeMicco M . Sofosbuvir with pegylated interferon alfa-2a and ribavirin for treatment-naive patients with hepatitis C genotype-1 infection (ATOMIC): an open-label, randomised, multicentre phase 2 trial. Lancet. 2013; 381(9883):2100-7. DOI: 10.1016/S0140-6736(13)60247-0. View

4.
Chung R . A watershed moment in the treatment of hepatitis C. N Engl J Med. 2012; 366(3):273-5. DOI: 10.1056/NEJMe1113272. View

5.
Lavanchy D . Evolving epidemiology of hepatitis C virus. Clin Microbiol Infect. 2010; 17(2):107-15. DOI: 10.1111/j.1469-0691.2010.03432.x. View