PMID- 31520460 OWN - NLM STAT- MEDLINE DCOM- 20210322 LR - 20220110 IS - 1365-2893 (Electronic) IS - 1352-0504 (Linking) VI - 27 IP - 1 DP - 2020 Jan TI - Safety and efficacy of coblopasvir and sofosbuvir in patients with genotypes 1, 2, 3 and 6 HCV infections without or with compensated cirrhosis. PG - 45-51 LID - 10.1111/jvh.13208 [doi] AB - A simple, pangenotypic and effective treatment regimen for patients with a broad range of chronic hepatitis C virus (HCV) infections remains an unmet medical need. We conducted a phase 2, randomized, open study involving untreated patients with chronic HCV genotypes 1, 2, 3, or 6 infections. Patients without cirrhosis were randomly assigned in a 1:2 ratio to receive capsules of the NS5A inhibitor coblopasvir at a dose of 30 or 60 mg plus tablets of the nucleotide polymerase inhibitor sofosbuvir (400 mg) once daily for 12 weeks. Patients with cirrhosis received 60 mg coblopasvir plus sofosbuvir for 12 weeks. The primary endpoint was the sustained virologic response at 12 weeks after the end of therapy (SVR12). Of the 110 patients who were enrolled in the study, 59 were male, 62.7% had HCV genotype 1, 24.5% had genotype 2, 6.4% had genotype 3, and 6.4% had genotype 6. The average age was 45.5 years. A total of 10.9% of patients had compensated cirrhosis. The rate of SVR12 was 98.2% in the intention-to-treat (ITT). One genotype 6 patient with cirrhosis experienced virologic relapse. One genotype 2 patient without cirrhosis failed to complete the follow-up and quit the study. Serious adverse events (SAEs) were reported in 2 patients and were not related to coblopasvir and sofosbuvir. Most adverse events (AEs) did not require treatment. Coblopasvir plus sofosbuvir taken once daily for 12 weeks provided high rates of sustained virologic response (SVR) and had a good safety profile among patients with HCV genotypes 1, 2, 3, or 6 infections, including those with compensated cirrhosis. CI - (c) 2019 John Wiley & Sons Ltd. FAU - Rao, Huiying AU - Rao H AD - Beijing Key Laboratory for Hepatitis C and Immunotherapy for Liver Disease, Peking University People's Hospital, Peking University Hepatology Institute, Beijing, China. FAU - Song, Guangjun AU - Song G AD - Hepatology Department, Peking University People's Hospital, Beijing, China. FAU - Li, Guangming AU - Li G AD - Zhengzhou Municipal Sixth People's Hospital, Zhengzhou, China. FAU - Yang, Yongfeng AU - Yang Y AD - Nanjing Municipal Second Hospital, Nanjing, China. FAU - Wu, Xiaofeng AU - Wu X AD - Shenyang Municipal Sixth People's Hospital, Shenyang, China. FAU - Guan, Yujuan AU - Guan Y AD - Guangzhou Municipal Eighth People's Hospital, Guanzhou, China. FAU - Mao, Qing AU - Mao Q AD - Chinese PLA Third Military Medical University First Affiliated Hospital, Chongqing, China. FAU - Jiang, Xiangjun AU - Jiang X AD - Qingdao Municipal Hospital, Qingdao, China. FAU - Wang, Changyuan AU - Wang C AD - Ji'nan Municipal Hospital of Infectious Disease, Ji'nan, Shandong, China. FAU - Zhang, Ying AU - Zhang Y AD - Dalian Municipal Sixth People's Hospital, Dalian, China. FAU - Jia, Jidong AU - Jia J AD - Capital Medical University Affiliated Beijing Friendship Hospital, Beijing, China. FAU - Guo, Xiaolin AU - Guo X AD - Jilin University First Hospital, Changchun, China. FAU - Li, Chenghao AU - Li C AD - Yanbian University Affiliated Hospital, Yanji, China. FAU - Ning, Jing AU - Ning J AD - Beijing Kawin Technology Share-holding Co., Ltd., Beijing, China. FAU - Qin, Hong AU - Qin H AD - Beijing Kawin Technology Share-holding Co., Ltd., Beijing, China. FAU - Pan, Hai AU - Pan H AD - Beijing Kawin Technology Share-holding Co., Ltd., Beijing, China. FAU - Wei, Lai AU - Wei L AUID- ORCID: 0000-0003-2326-1257 AD - Hepatopancreatobiliary Center, Beijing Tsinghua Changgung Hospital, Tsinghua University, Beijing, China. LA - eng SI - ClinicalTrials.gov/NCT03416491 PT - Clinical Trial, Phase II PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20191002 PL - England TA - J Viral Hepat JT - Journal of viral hepatitis JID - 9435672 RN - 0 (Antiviral Agents) RN - 0 (Viral Nonstructural Proteins) RN - EC 2.7.7.48 (NS-5 protein, hepatitis C virus) RN - WJ6CA3ZU8B (Sofosbuvir) SB - IM MH - Adult MH - Aged MH - Antiviral Agents/*therapeutic use MH - Drug Therapy, Combination MH - Female MH - Genotype MH - Hepacivirus/drug effects/genetics MH - Hepatitis C, Chronic/*drug therapy MH - Humans MH - Liver Cirrhosis/complications/*virology MH - Male MH - Middle Aged MH - Sofosbuvir/*therapeutic use MH - Treatment Outcome MH - Viral Nonstructural Proteins/antagonists & inhibitors MH - Young Adult OTO - NOTNLM OT - coblopasvir OT - direct-acting antiviral OT - hepatitis C virus OT - pangenotypic OT - sofosbuvir EDAT- 2019/09/15 06:00 MHDA- 2021/03/23 06:00 CRDT- 2019/09/15 06:00 PHST- 2018/12/25 00:00 [received] PHST- 2019/08/03 00:00 [revised] PHST- 2019/08/15 00:00 [accepted] PHST- 2019/09/15 06:00 [pubmed] PHST- 2021/03/23 06:00 [medline] PHST- 2019/09/15 06:00 [entrez] AID - 10.1111/jvh.13208 [doi] PST - ppublish SO - J Viral Hepat. 2020 Jan;27(1):45-51. doi: 10.1111/jvh.13208. Epub 2019 Oct 2.