PMID- 26839044 OWN - NLM STAT- MEDLINE DCOM- 20161007 LR - 20220330 IS - 1879-114X (Electronic) IS - 0149-2918 (Linking) VI - 38 IP - 2 DP - 2016 Feb TI - Daclatasvir and Sofosbuvir Versus Sofosbuvir and Ribavirin in Patients with Chronic Hepatitis C Coinfected with HIV: A Matching-adjusted Indirect Comparison. PG - 404-12 LID - S0149-2918(16)00002-3 [pii] LID - 10.1016/j.clinthera.2015.12.017 [doi] AB - PURPOSE: Our aim was to compare the efficacy and tolerability of daclatasvir plus sofosbuvir (DCV+SOF) versus SOF plus ribavirin (SOF+R) in patients coinfected with HIV and hepatitis C virus (HCV). METHODS: A systematic literature review of Phase III clinical trials identified 2 trials of SOF+R-PHOTON-1 (A Phase 3, Open-Label Study to Investigate the Efficacy and Safety of GS-7977 Plus Ribavirin in Chronic Genotype 1, 2 and 3 Hepatitis C Virus [HCV] and Human Immunodeficiency Virus [HIV] Co-Infected Subjects) and PHOTON-2 (A Phase 3, Open-Label Study to Investigate the Efficacy and Safety of Sofosbuvir Plus Ribavirin in Chronic Genotype 1, 2, 3 and 4 Hepatitis C Virus [HCV] and Human Immunodeficiency Virus [HIV] Co-Infected Subjects) suitable for comparison with the trial of DCV+SOF in patients coinfected with HIV and HCV-ALLY-2 (A Phase 3 Evaluation of Daclatasvir Plus Sofosbuvir in Treatment-naive and Treatment-experienced Chronic Hepatitis C [Genotype 1, 2, 3, 4, 5, or 6] Subjects Coinfected With Human Immunodeficiency Virus [HIV]). Individual patient data from ALLY-2 were available; published summary data were extracted and pooled for the PHOTON trials. To adjust for cross-trial differences, ALLY-2 patients were subject to the inclusion and exclusion criteria reported in the PHOTON trials and were weighted to match all available summary baseline characteristics reported in both PHOTON trials. Sustained virologic response at week 12 post-treatment (SVR12) discontinuation due to adverse events (AEs) and rates of AEs were compared. FINDINGS: The SVR12 rate was significantly higher among patients treated with DCV+SOF (n = 91) than among those treated with SOF+R (n = 455) both before (96.7% vs 84.6%; P = 0.002) and after (99.9% vs 84.6%; P < 0.001) adjusting for baseline characteristics. After adjustment, compared with patients treated with SOF+R, patients receiving DCV+SOF had a significantly lower rate of discontinuation due to AEs and significantly lower rates of the following specific AEs: cough, diarrhea, insomnia, nasopharyngitis, upper respiratory tract infection, and hemoglobin <10 g/dL. IMPLICATIONS: After adjustment for cross-trial differences in baseline characteristics, DCV+SOF was associated with a significantly higher SVR12 rate and lower rate of discontinuation due to AEs than SOF+R in patients coinfected with HIV and HCV. CI - Copyright (c) 2016 Elsevier HS Journals, Inc. All rights reserved. FAU - Swallow, Elyse AU - Swallow E AD - Analysis Group, Inc., Boston, Massachusetts. Electronic address: elyse.swallow@analysisgroup.com. FAU - Song, Jinlin AU - Song J AD - Analysis Group, Inc., Boston, Massachusetts. FAU - Yuan, Yong AU - Yuan Y AD - Bristol-Myers Squibb, Princeton, New Jersey. FAU - Kalsekar, Anupama AU - Kalsekar A AD - Bristol-Myers Squibb, Princeton, New Jersey. FAU - Kelley, Caroline AU - Kelley C AD - Analysis Group, Inc., Boston, Massachusetts. FAU - Peeples, Miranda AU - Peeples M AD - Analysis Group, Inc., Boston, Massachusetts. FAU - Mu, Fan AU - Mu F AD - Analysis Group, Inc., Boston, Massachusetts. FAU - Ackerman, Peter AU - Ackerman P AD - Bristol-Myers Squibb, Wallingford, Connecticut. FAU - Signorovitch, James AU - Signorovitch J AD - Analysis Group, Inc., Boston, Massachusetts. LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PT - Systematic Review DEP - 20160203 PL - United States TA - Clin Ther JT - Clinical therapeutics JID - 7706726 RN - 0 (Antiviral Agents) RN - 0 (Carbamates) RN - 0 (Imidazoles) RN - 0 (Pyrrolidines) RN - 49717AWG6K (Ribavirin) RN - HG18B9YRS7 (Valine) RN - LI2427F9CI (daclatasvir) RN - WJ6CA3ZU8B (Sofosbuvir) SB - IM MH - Antiviral Agents/therapeutic use MH - Carbamates MH - Clinical Trials, Phase III as Topic MH - Coinfection MH - Drug Therapy, Combination MH - Genotype MH - HIV Infections/*drug therapy MH - Hepacivirus/genetics MH - Hepatitis C, Chronic/*drug therapy MH - Humans MH - Imidazoles/*therapeutic use MH - Pyrrolidines MH - Ribavirin/*therapeutic use MH - Sofosbuvir/*therapeutic use MH - Valine/analogs & derivatives OTO - NOTNLM OT - HIV OT - daclatasvir OT - hepatitis C OT - matching-adjusted indirect comparison OT - ribavirin OT - sofosbuvir EDAT- 2016/02/04 06:00 MHDA- 2016/10/08 06:00 CRDT- 2016/02/04 06:00 PHST- 2015/08/25 00:00 [received] PHST- 2015/12/22 00:00 [revised] PHST- 2015/12/31 00:00 [accepted] PHST- 2016/02/04 06:00 [entrez] PHST- 2016/02/04 06:00 [pubmed] PHST- 2016/10/08 06:00 [medline] AID - S0149-2918(16)00002-3 [pii] AID - 10.1016/j.clinthera.2015.12.017 [doi] PST - ppublish SO - Clin Ther. 2016 Feb;38(2):404-12. doi: 10.1016/j.clinthera.2015.12.017. Epub 2016 Feb 3.