Liu Xiaoqing, Hu Peng
Department of Infectious Diseases, Institute for Viral Hepatitis, The Key Laboratory of Molecular Biology for Infectious Diseases, Chinese Ministry of Education, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
J Clin Transl Hepatol. 2021 Feb 28;9(1):125-132. doi: 10.14218/JCTH.2020.00078. Epub 2021 Jan 18.
Hepatitis C virus (HCV) infection is a major cause of end-stage liver disease, including decompensated cirrhosis and hepatocellular carcinoma. Over 95% of patients with HCV infection have achieved sustained virologic response at 12 weeks under the treatment of several pan-genotypic regimens approved for patients with HCV infection. The glecaprevir/pibrentasvir (G/P) regimen has some features that distinguish it from others and is the only 8-week regimen approved for treatment-naive patients and patients experienced in regimens containing (peg)interferon, ribavirin, and/or sofosbuvir, without an HCV NS3/4A protease inhibitor or NS5A inhibitor (except those with genotype 3). This review aims to summarize the efficacy and safety of G/P in HCV-infected patients from clinic trials and real-world studies, including those who have historically been considered difficult to cure.
丙型肝炎病毒(HCV)感染是终末期肝病的主要病因,包括失代偿期肝硬化和肝细胞癌。在几种已获批用于HCV感染患者的泛基因型治疗方案的治疗下,超过95%的HCV感染患者在12周时实现了持续病毒学应答。格卡瑞韦/哌仑他韦(G/P)方案具有一些与其他方案不同的特点,是唯一获批用于初治患者以及有使用(聚乙二醇化)干扰素、利巴韦林和/或索磷布韦治疗经历的患者的8周治疗方案,且不含HCV NS3/4A蛋白酶抑制剂或NS5A抑制剂(基因型3患者除外)。本综述旨在总结G/P方案在HCV感染患者中的疗效和安全性,这些研究来自临床试验和真实世界研究,包括那些历来被认为难以治愈的患者。