PMID- 26162860 OWN - NLM STAT- MEDLINE DCOM- 20170428 LR - 20181202 IS - 1203-4754 (Print) IS - 1203-4754 (Linking) VI - 20 IP - 1 DP - 2016 Jan TI - Cutaneous Adverse Events in Chronic Hepatitis C Patients Treated With New Direct-Acting Antivirals: A Systematic Review and Meta-Analysis. PG - 58-66 LID - 10.1177/1203475415595775 [doi] AB - BACKGROUND: Direct-acting antivirals (DAAs) are known to present with additional dermatological events over pegylated-interferon/ribavirin (Peg-IFN/RBV). OBJECTIVE: A systematic review and meta-analysis was conducted to assess the incidence/risk of cutaneous adverse events (AEs) for simeprevir, sofosbuvir, ABT450/r-ombitasvir, dasabuvir, ledipasvir, daclatasvir, and asunaprevir. METHODS: The databases searched included PubMed, Clinicaltrials.gov, and Clinicaloptions.com. Data on telaprevir and boceprevir were obtained from a previous study. RESULTS: The incidences of cutaneous AEs were 34.3% (95% CI 18.4%-54.8%) for the old DAAs + Peg-IFN/RBV, 22.0% (95% CI 17.9%-26.8%) for the new DAAs + Peg-IFN/RBV, 9.8% (95% CI 8.6%-11.2%) for the DAAs + RBV, and 3.8% (95% CI 2.4%-6.1%) for DAAs only. Simeprevir + Peg-IFN/RBV was associated with an increased relative risk over Peg-IFN/RBV; RR = 1.319 (95% CI 1.026-1.697). CONCLUSION: Dermatological events are still an important issue for many of the new DAAs. Appropriate monitoring, management, and patient education are needed to minimize AEs and achieve HCV cure. CI - (c) The Author(s) 2015. FAU - Patel, Parth AU - Patel P AD - Department of Medicine, Division of Dermatology, Albert Einstein College of Medicine, Bronx, NY, USA. FAU - Malik, Kunal AU - Malik K AD - College of Medicine, SUNY Downstate Medical Center, Brooklyn, NY, USA. FAU - Krishnamurthy, Karthik AU - Krishnamurthy K AD - Department of Medicine, Division of Dermatology, Albert Einstein College of Medicine, Bronx, NY, USA kkderm@gmail.com. LA - eng PT - Journal Article PT - Meta-Analysis PT - Review PT - Systematic Review DEP - 20150710 PL - United States TA - J Cutan Med Surg JT - Journal of cutaneous medicine and surgery JID - 9614685 RN - 0 (Antiviral Agents) SB - IM MH - Antiviral Agents/*adverse effects MH - Hepatitis C, Chronic/*drug therapy MH - Humans MH - Skin Diseases/*chemically induced OTO - NOTNLM OT - dermatitis OT - dermatology OT - immunology OT - infectious disease EDAT- 2015/07/15 06:00 MHDA- 2017/04/30 06:00 CRDT- 2015/07/12 06:00 PHST- 2015/07/12 06:00 [entrez] PHST- 2015/07/15 06:00 [pubmed] PHST- 2017/04/30 06:00 [medline] AID - 1203475415595775 [pii] AID - 10.1177/1203475415595775 [doi] PST - ppublish SO - J Cutan Med Surg. 2016 Jan;20(1):58-66. doi: 10.1177/1203475415595775. Epub 2015 Jul 10.