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Japanese Man with HCV Genotype 4 Infection and Cirrhosis Who Was Successfully Treated by the Combination of Glecaprevir and Pibrentasvir

Abstract

A 74-year-old man with a history of transfusion at 35 years old in Egypt was referred to our hospital. He was infected with hepatitis C virus (HCV) genotype 4 (GT4), which is a rare HCV GT in Japan, and was also diagnosed with hepatic compensated cirrhosis. We safely treated the patient for 12 weeks with the combination of glecaprevir and pibrentasvir, and a sustained virologic response (SVR) was achieved. This is the first report of HCV GT4 infection in a treatment-naïve Japanese patient with cirrhosis in whom SVR was achieved with the combination treatment of glecaprevir and pibrentasvir.

References
1.
Hayashi K, Fukuda Y, Nakano I, Katano Y, Toyoda H, Yokozaki S . Prevalence and characterization of hepatitis C virus genotype 4 in Japanese hepatitis C carriers. Hepatol Res. 2003; 25(4):409-414. DOI: 10.1016/s1386-6346(03)00016-0. View

2.
Jonas M, Squires R, Rhee S, Lin C, Bessho K, Feiterna-Sperling C . Pharmacokinetics, Safety, and Efficacy of Glecaprevir/Pibrentasvir in Adolescents With Chronic Hepatitis C Virus: Part 1 of the DORA Study. Hepatology. 2019; 71(2):456-462. PMC: 7028097. DOI: 10.1002/hep.30840. View

3.
Foster G, Asselah T, Kopecky-Bromberg S, Lei Y, Asatryan A, Trinh R . Safety and efficacy of glecaprevir/pibrentasvir for the treatment of chronic hepatitis C in patients aged 65 years or older. PLoS One. 2019; 14(1):e0208506. PMC: 6314565. DOI: 10.1371/journal.pone.0208506. View

4.
Sano T, Akuta N, Suzuki F, Kasuya K, Fujiyama S, Kawamura Y . Role of NS5A-L31/Y93 Double Wild-type in Failure of Glecaprevir/Pibrentasvir Double Therapy in Two Patients with a History of Direct-acting Antiviral Agent Failure: An Ultra-deep Sequencing Analysis. Intern Med. 2019; 58(18):2657-2662. PMC: 6794189. DOI: 10.2169/internalmedicine.2604-18. View

5.
DAmbrosio R, Pasulo L, Puoti M, Vinci M, Schiavini M, Lazzaroni S . Real-world effectiveness and safety of glecaprevir/pibrentasvir in 723 patients with chronic hepatitis C. J Hepatol. 2018; 70(3):379-387. DOI: 10.1016/j.jhep.2018.11.011. View