Treatment rate for HCV in the direct-acting antivirals era in HIV co-infected patients: data from an Italian cohort.

Abstract:

BACKGROUND:New direct antiviral agents (DAA) are now effective in hepatitis C virus (HCV) infection; persons living with human immunodeficiency virus (HIV) (PLWH) were undertreated. Aim of this study was to describe the management of HCV treatment in a HIV/HCV cohort during a 16 years period. METHODS:An electronic review of all HIV patients with >1 clinic check from the year 2000 was made. Demographic, virologic and treatment data were collected. RESULTS:From 2000 to 2015 a total of 2352 PLWH were enrolled; 776 (33%) resulted positive at HCV antibodies, and were mostly genotype 1 and 3. 279/579 (48.2%) were treated, and 170 (29.3% of total, 60.9% of treated) obtained a SVR. Treatment rate for HCV had a significant increase in the 2015 (20.6%, P<0.05 when compared with previous years). SVR rate was significantly improved in the 2015 (P<0.05 when compared with each single previous year). At univariate analysis among the different year group there were significant differences in term of HCV RNA positive patients (P<0.001), number of treated (total) and naïve patients (P<0.001 in each of cases), SVR rate (P<0.001), mortality rate (P=0.003). HCV-Ab positive patients with HCV-RNA not detectable (cured) increased during years. At 2015, 50.4% of the HCV-Ab positive patients resulted to be HCV-RNA negative. CONCLUSIONS:In the DAA's era a significant increase in the number of treatments was observed. SVR rate was significantly higher. Treatment rate still remains quite low. More than a half of our population of HCV co-infected patients results to be cured for HCV.

journal_name

Minerva Med

journal_title

Minerva medica

authors

Cuomo G,Puzzolante C,Lazzaretti C,Guaraldi G,Borghi V,Mussini C

doi

10.23736/S0026-4806.18.05435-6

subject

Has Abstract

pub_date

2018-06-01 00:00:00

pages

203-210

issue

3

eissn

0026-4806

issn

1827-1669

pii

S0026-4806.18.05435-6

journal_volume

109

pub_type

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