PMID- 29922761 OWN - NLM STAT- MEDLINE DCOM- 20190422 LR - 20190422 IS - 1842-1121 (Electronic) IS - 1841-8724 (Linking) VI - 27 IP - 2 DP - 2018 Jun TI - Efficacy and safety of sofosbuvir-containing regimens in chronic hepatitis C patients with genotype 2 and 3: a comprehensive analysis of 18 randomized controlled trials. PG - 159-168 LID - 10.15403/jgld.2014.1121.272.sof [doi] AB - BACKGROUND AND AIM: Sofosbuvir is a hepatitis C virus (HCV) NS5B polymerase inhibitor. The objective of this study was to explore the efficacy and safety of sofosbuvir for HCV genotype (GT) 2 and 3 infected patients. METHOD: We searched randomized controlled trials (RCTs) which analyzed the efficacy and safety of sofosbuvir-containing regimens for HCV GT 2/3 infected patients and collected data. The endpoints were sustained virological response 12- and 24-weeks after the cessation of therapy (SVR12 and SVR24), the adverse events (AEs) and the severe adverse events (SAEs). RESULTS: Eighteen trials comprising 2,975 HCV GT 2/3 infected patients were included. The pooled estimate SVR12, SVR24, AEs and SAEs rates were 84.6% (95% CI: 83.2-86.0), 83.7% (95% CI: 82.0-85.2), 83.8 (95% CI: 82.3-85.3) and 3.9 (95% CI: 3.2-4.8). The SVR12 rate of sofosbuvir-containing regimens for HCV GT 2 infection was higher than that for HCV GT 3 infection (95.7% vs. 80.8%). The sofosbuvir combined with velpatasvir (with or without ribavirin) regimen presented a higher SVR12 rate and lower AEs rate than the sofosbuvir combined with ribavirin (with or without peg-IFN) regimen (94.9% vs. 80.7% for SVR12 rate; 69.3% vs. 87.7% for AEs rate). CONCLUSIONS: The sofosbuvir-containing regimens in patients with HCV GT 2 infection have better efficacy than in patients with HCV GT 3 infection. FAU - Fan, Haozhi AU - Fan H AD - Department of Epidemiology and Biostatistics, School of Public Health, Nanjing Medical University, Nanjing, R.P.China. FAU - Huang, Peng AU - Huang P AD - Department of Epidemiology and Biostatistics, School of Public Health, Nanjing Medical University, Nanjing;Institute of Epidemiology and Microbiology, Huadong Research Institute for Medicine and Biotechnics, Nanjing, R.P.China. FAU - Tian, Ting AU - Tian T AD - Department of Epidemiology and Biostatistics, School of Public Health, Nanjing Medical University, Nanjing, R.P.China. FAU - Wu, Jingjing AU - Wu J AD - Department of Epidemiology and Biostatistics, School of Public Health, Nanjing Medical University, Nanjing, R.P.China. FAU - Xia, Xueshan AU - Xia X AD - Faculty of Life Science and Technology, Kunming University of Science and Technology, Yunnan, R.P.China. FAU - Feng, Yue AU - Feng Y AD - Faculty of Life Science and Technology, Kunming University of Science and Technology, Yunnan, R.P.China. FAU - Wang, Jie AU - Wang J AD - Department of Basic and Community Nursing, School of Nursing, Nanjing Medical University, Nanjing, R.P.China. FAU - Yu, Rongbin AU - Yu R AD - Department of Epidemiology and Biostatistics, School of Public Health, Nanjing Medical University, Nanjing, R.P.China. FAU - Zhang, Yun AU - Zhang Y AD - Department of Epidemiology and Biostatistics, School of Public Health, Nanjing Medical University, Nanjing; Institute of Epidemiology and Microbiology, Huadong Research Institute for Medicine and Biotechnics, Nanjing, R.P.China. FAU - Yue, Ming AU - Yue M AD - Department of Infectious Diseases, the First Affiliated Hospital of Nanjing Medical University, Nanjing, P.R. China. njym08@163.com. LA - eng PT - Meta-Analysis PL - Romania TA - J Gastrointestin Liver Dis JT - Journal of gastrointestinal and liver diseases : JGLD JID - 101272825 RN - 0 (Antiviral Agents) RN - WJ6CA3ZU8B (Sofosbuvir) SB - IM MH - Antiviral Agents/adverse effects/pharmacology/*therapeutic use MH - Drug Therapy, Combination MH - Genotype MH - Hepacivirus/drug effects/*genetics MH - Hepatitis C, Chronic/*drug therapy/virology MH - Humans MH - Randomized Controlled Trials as Topic MH - Sofosbuvir/adverse effects/pharmacology/*therapeutic use MH - Sustained Virologic Response EDAT- 2018/06/21 06:00 MHDA- 2019/04/23 06:00 CRDT- 2018/06/21 06:00 PHST- 2018/06/21 06:00 [entrez] PHST- 2018/06/21 06:00 [pubmed] PHST- 2019/04/23 06:00 [medline] AID - 8 [pii] AID - 10.15403/jgld.2014.1121.272.sof [doi] PST - ppublish SO - J Gastrointestin Liver Dis. 2018 Jun;27(2):159-168. doi: 10.15403/jgld.2014.1121.272.sof.