Chronic Hepatitis C Treatment : A Systematic Review

Aishah Mohammed Alenezi; Abdulaziz Hassan Mohammed Al-Fakih; Sultan Mohammed Al-Afif; Abdulkarem Mohammed Al-Afif; Bashayer Abbas Habib; Mooj Abdullah Alghofaili; Shaykhah Ali Almalki; Shahad Dhafer Adraj; Mada Khaled Arfaj; Waad Musayid Alsadi; Lama Hamed Almazroei; Amjad Meshal Allhyani; Hanof Abdulrhman Bakri; Bandar Aedh Alyami; Ola Ali Alsaihati; Zahra Issa A. Al Ali; Abdulrahman Salem D. Altalhi; Abdualrhman Ali Al-Amri; Arwa Ibrahim Y. Ramel

doi:10.12816/0036641

Article Details

Chronic Hepatitis C Treatment : A Systematic Review

Authors:

Aishah Mohammed Alenezi | Abdulaziz Hassan Mohammed Al-Fakih | Sultan Mohammed Al-Afif | Abdulkarem Mohammed Al-Afif | Bashayer Abbas Habib | Mooj Abdullah Alghofaili | Shaykhah Ali Almalki | Shahad Dhafer Adraj | Mada Khaled Arfaj | Waad Musayid Alsadi | Lama Hamed Almazroei | Amjad Meshal Allhyani | Hanof Abdulrhman Bakri | Bandar Aedh Alyami | Ola Ali Alsaihati | Zahra Issa A. Al Ali | Abdulrahman Salem D. Altalhi | Abdualrhman Ali Al-Amri | Arwa Ibrahim Y. Ramel

Publisher:

Pan Arab League of Continuous Medical Education

Main Topics:

Medicine

Journal:

The Egyptian Journal of Hospital Medicine 2017 Vol.67 Issue 1, pp.305-313

Document Type:

Article

Publication Date:

4/2017

Document Language:

English

Document ID (Org No.):

101298

Frequency:

Quarterly

eISSN:

20907125

pISSN:

16872002

DOI:

10.12816/0036641

Descriptors:

Keywords:

Abstract:

 
Background: Chronic hepatitis C (CHC) infection affects almost 3% of the global population and can lead to cirrhosis, liver failure, and hepatocellular carcinoma in a significant number of those infected. Thus, there is a complelling need to develop and introduce new therapeutics with a direct-acting antiviral effect in order to target various stages of the HCV lifecycle for HCV eradication without concomitant interferon.
Study Objective: to provide treatment recommendations for chronic HCV for specialists and generalists based on published evidence.
Methods: A literature search of Web of Science, Scopus, Embase, Agricola, Cochrane Library, Cinahl Plus, Google Scholar, and Oaister was conducted from 1990 to 2016, records were filtered according to the Inclusion criteria and 27 hits were yielded.
Results: Hepatitis C virus genotype 1 is more difficult to cure than genotype 2 or genotype 3. Patients with HCV genotype 1 should receive treatment with sofosbuvir + pegylated interferon + ribavirin because of the shorter duration of therapy and high rates of SVR (89%-90%). Simeprevir + pegylated interferon + ribavirin is an alternative for patients with HCV genotype 1 (SVR, 79%-86%). Patients with HCV genotypes 2 and 3 should receive therapy with sofosbuvir + ribavirin alone (SVR for genotype 2, 12 weeks’ duration: 82%-93%; SVR for genotype 3, 24 weeks’ duration, 80%-95%). Patients with HIV-HCV coinfection and patients with compensated cirrhosis (ie, cirrhosis but preserved synthetic liver function) should receive the same treatment as HCV-monoinfected patients. Conclusion: A growing body of evidence suggests that recently developed HCV combined treatment modalities have transformed chronic HCV into a routinely curable disease being relatively available and well tolerated ,which can potentially reduce the need for liver transplantation and reduce HCV-related mortality. Treatment protocol for genotype1 is based on a combined regimen of Pegylated interferons with ribavirin and sofosbuvir or simeprevir while Sofosbuvir with ribavirin alone should be used to treat patients infected with HCV genotypes 2 and 3. Patients coinfected with human immunodefiency virus and HCV genotype 1 should be treated for HCV with pegylated interferons, ribavirin, and sofosbuvir by a physician with experience in treating this particular group of patients and familiar with potential drug interactions.

Article Details

Chronic Hepatitis C Treatment : A Systematic Review

Publisher:

Pan Arab League of Continuous Medical Education

Main Topics:

Medicine

Journal:

The Egyptian Journal of Hospital Medicine 2017 Vol.67 Issue 1, pp.305-313

Document Type:

Article

Publication Date:

4/2017

Document Language:

English

Document ID (Org No.):

101298

Frequency:

Quarterly

eISSN:

20907125

pISSN:

16872002

DOI:

10.12816/0036641

Descriptors:

INFECTIOUS HEPATITIS

HEPATITIS A VIRUS

HEPATITIS

LIVER DISEASES

THERAPY

PATIENTS

Hepatitis C

Treatment

SVR

HCV Genotype

Simeprevir

Ribavirin

Issues

Article Details

Publisher: Pan Arab League of Continuous Medical Education

Main Topics: Medicine

Journal: The Egyptian Journal of Hospital Medicine 2017 Vol.67 Issue 1, pp.305-313

Document Type: Article

Publication Date: 4/2017

Document Language: English

Document ID (Org No.): 101298

Frequency: Quarterly

eISSN: 20907125

pISSN: 16872002

DOI: 10.12816/0036641

Descriptors:

Issues

Publisher:

Pan Arab League of Continuous Medical Education

Main Topics:

Medicine

Journal:

The Egyptian Journal of Hospital Medicine 2017 Vol.67 Issue 1, pp.305-313

Document Type:

Article

Publication Date:

4/2017

Document Language:

English

Document ID (Org No.):

101298

Frequency:

Quarterly

eISSN:

20907125

pISSN:

16872002

DOI:

10.12816/0036641