Title
Safety and Efficacy of Sofosbuvir-Based Regimens in the Treatment of Egyptian Patients With Hepatitis C Infection
Study of the Safety and Efficacy of Sofosbuvir-Based Regimens in the Treatment of Egyptian Patients With and Without Post-hepatitis C Cirrhosis
Phase
Phase 4Lead Sponsor
Tanta UniversityStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Hepatitis CIntervention/Treatment
daclatasvir ribavirin sofosbuvir simeprevir interferon alpha-2b ...Study Participants
10000Egypt has the highest prevalence of hepatitis C virus (HCV) in the world, estimated nationally at 14.7%. Genotype 4 (and subtype 4a in particular) dominates the HCV epidemic in Egypt. For decades the antiviral therapy of chronic HCV infection was based on the administration of Interferon(IFN), initially alone and then in combination with Ribavirin (RBV), but this regimen was effective in only 50% of patients with genotype 1, with significant side effects.
Egypt has the highest prevalence of hepatitis C virus (HCV) in the world, estimated nationally at 14.7%. Genotype 4 (and subtype 4a in particular) dominates the HCV epidemic in Egypt. For decades the antiviral therapy of chronic HCV infection was based on the administration ofInterferon(IFN), initially alone and then in combination with Ribavirin (RBV), but this regimen was effective in only 50% of patients with genotype 1, with significant side effects. The introduction of direct acting antiviral agents, in particular sofosbuvir (SOF), has revolutionized the treatment for chronic hepatitis C virus.
Sofosbuvir 400 mg daily.
Ribavirin 1000-1200 mg daily
Pegylated interferon alfa-2a once weekly for 3 months
Olysio once daily.
Dakla once daily for three months.
Querevo for three months
Once daily for three months
three months in repeated treatment failure
Sofosbuvir, Ribavirin and Pegylated-interferon alfa-2a 3 months
Sofosbuvir and simeprevir for 3 months.
Sofosbuvir and Daclatasvir for 3 months.
Querevo for 3 months
sofosbuvir, daclatasvir, simeprevir,ribavirin or sofosbuvir and querevo
Inclusion Criteria: • HCV infection Adult patients, 18years and older. Exclusion Criteria: • Child score > 12 Severe Renal impairment Pregnant and lactating women HCC or other malignant neoplasms Co-infection with human immunodeficiency virus (HIV) Co-infection with hepatitis B virus (HBV)