PMID- 29351766 OWN - NLM STAT- MEDLINE DCOM- 20180918 LR - 20181113 IS - 1743-422X (Electronic) IS - 1743-422X (Linking) VI - 15 IP - 1 DP - 2018 Jan 19 TI - Efficacy and safety of Sofosbuvir-containing regimens in patients co-infected with chronic hepatitis C virus and human immunodeficiency virus: a meta-analysis. PG - 19 LID - 10.1186/s12985-018-0934-6 [doi] LID - 19 AB - BACKGROUND: The treatment of hepatitis C virus (HCV) in HCV/human immunodeficiency virus (HIV) co-infected patients remains complex. This present meta-analysis evaluated the efficacy and safety of Sofosbuvir (SOF) for treatment in HCV/HIV co-infected patients using the most recent and available data. METHODS: A systematic search of the published data was conducted in PubMed Medline, EMBASE and Cochrane databases. Eligible studies were clinical trials, case-control studies or prospective cohort studies aiming at assessing the efficacy and safety of the SOF-containing regimens in patients co-infected with HCV and HIV. Heterogeneity of results was assessed and a pooled analysis was performed using random effects model with maximum likelihood estimate and 95% confidence intervals (95%CI). Subgroup analysis and assessment of publication bias through Egger's test were also performed. STATA 13.0 software was used to analyze the data. RESULTS: Seven studies (n = 1167 co-infected patients) were included in this analysis. The pooled estimate of sustained virological response at 12 weeks (SVR12) was 94.0% (95%CI: 92.0%-95.0%). Subgroup analysis showed that the treatment-naive patients had higher SVR12 compared with patients that were treated before (chi(2) = 21.39, P < 0.01). The pooled incidence of any adverse events (AEs) was 79.6% (95%CI: 77.1%-82.1%). Publication bias did not exist. CONCLUSION: The results of this study showed that the treatment response of SOF-containing regimens in patients co-infected with HIV and HCV was satisfied. Attention should be paid to the high rates of AEs. FAU - Li, Guotao AU - Li G AD - Department of Infectious Diseases, LuoYang Central Hospital Affiliated to ZhengZhou University, Luoyang, Henan, 471000, China. FAU - Zang, Ke AU - Zang K AD - Department of Infectious Diseases, LuoYang Central Hospital Affiliated to ZhengZhou University, Luoyang, Henan, 471000, China. FAU - Zhang, Guoqiang AU - Zhang G AD - Department of Infectious Diseases, LuoYang Central Hospital Affiliated to ZhengZhou University, Luoyang, Henan, 471000, China. FAU - Zhu, Danyan AU - Zhu D AD - Department of Infectious Diseases, LuoYang Central Hospital Affiliated to ZhengZhou University, Luoyang, Henan, 471000, China. FAU - Deng, Xiaozhao AU - Deng X AUID- ORCID: 0000-0001-6995-7781 AD - HuaDong Research Institute for Medicine and Biotecnics, No.293 Zhongshan East Road, Nanjing, 210002, China. molescience@163.com. LA - eng PT - Journal Article PT - Meta-Analysis PT - Research Support, Non-U.S. Gov't DEP - 20180119 PL - England TA - Virol J JT - Virology journal JID - 101231645 RN - 0 (Antiviral Agents) RN - WJ6CA3ZU8B (Sofosbuvir) SB - IM MH - Antiviral Agents/administration & dosage/adverse effects/*therapeutic use MH - *Coinfection MH - Drug Therapy, Combination MH - Genotype MH - HIV Infections/*drug therapy/virology MH - HIV-1/*drug effects/genetics MH - Hepacivirus/*drug effects/genetics MH - Hepatitis C, Chronic/*drug therapy/virology MH - Humans MH - Publication Bias MH - Sofosbuvir/administration & dosage/adverse effects/*therapeutic use MH - Viral Load PMC - PMC5775578 OTO - NOTNLM OT - HCV/HIV co-infection OT - Meta-analysis OT - SVR12 OT - Sofosbuvir COIS- ETHICS APPROVAL AND CONSENT TO PARTICIPATE: Not applicable. CONSENT FOR PUBLICATION: Not applicable. COMPETING INTERESTS: The authors declare that they have no competing interests. PUBLISHER'S NOTE: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. EDAT- 2018/01/21 06:00 MHDA- 2018/09/19 06:00 PMCR- 2018/01/19 CRDT- 2018/01/21 06:00 PHST- 2017/08/09 00:00 [received] PHST- 2018/01/15 00:00 [accepted] PHST- 2018/01/21 06:00 [entrez] PHST- 2018/01/21 06:00 [pubmed] PHST- 2018/09/19 06:00 [medline] PHST- 2018/01/19 00:00 [pmc-release] AID - 10.1186/s12985-018-0934-6 [pii] AID - 934 [pii] AID - 10.1186/s12985-018-0934-6 [doi] PST - epublish SO - Virol J. 2018 Jan 19;15(1):19. doi: 10.1186/s12985-018-0934-6.