PMID- 34053916 OWN - NLM STAT- MEDLINE DCOM- 20211119 LR - 20211203 IS - 2005-1212 (Electronic) IS - 1976-2283 (Print) IS - 1976-2283 (Linking) VI - 15 IP - 6 DP - 2021 Nov 15 TI - Efficacy and Safety of Glecaprevir/Pibrentasvir in Korean Patients with Chronic Hepatitis C: A Pooled Analysis of Five Phase II/III Trials. PG - 895-903 LID - 10.5009/gnl20321 [doi] AB - BACKGROUND/AIMS: Glecaprevir/pibrentasvir (G/P) is the first pan-genotypic direct-acting antiviral combination therapy approved in Korea. An integrated analysis of five phase II and III trials was conducted to evaluate the efficacy and safety of G/P in Korean patients with chronic hepatitis C virus (HCV) infection. METHODS: The study analyzed pooled data on Korean patients with HCV infection enrolled in the ENDURANCE 1 and 2, SURVEYOR II part 4 and VOYAGE I and II trials, which evaluated the efficacy and safety of 8 or 12 weeks of G/P treatment. The patients were either treatment-naive or had received sofosbuvir or interferon-based treatment. Efficacy was evaluated by assessing the rate of sustained virologic response at 12 weeks posttreatment (SVR12). Safety was evaluated by monitoring adverse events (AEs) and laboratory assessments. RESULTS: The analysis included 265 patients; 179 (67.5%) were HCV treatment-naive, and most patients were either subgenotype 1B (48.7%) or 2A (44.5%). In the intention-to-treat population, 262 patients (98.9%) achieved SVR12. Three patients did not achieve SVR12: one had virologic failure and two had non-virologic failures. Most AEs were grade 1/2; eight patients (3.0%) experienced at least one grade >/=3 AE. No serious AEs related to G/P treatment were reported, and grade >/=3 hepatic laboratory abnormalities were rare (0.8%). CONCLUSIONS: G/P therapy was highly efficacious and well tolerated in Korean patients with HCV infection, with most patients achieving SVR12. The safety profile was comparable to that observed in a pooled analysis of a global pan-genotypic population of patients with HCV infection who received G/P. FAU - Heo, Jeong AU - Heo J AUID- ORCID: 0000-0003-0961-7851 AD - Department of Internal Medicine, Pusan National University College of Medicine and Medical Research Institute, Pusan National University Hospital, Busan, Korea. FAU - Kim, Yoon Jun AU - Kim YJ AUID- ORCID: 0000-0001-9141-7773 AD - Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, Korea. FAU - Lee, Jin-Woo AU - Lee JW AUID- ORCID: 0000-0002-7227-4938 AD - Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea. FAU - Kim, Ji Hoon AU - Kim JH AUID- ORCID: 0000-0002-4427-3997 AD - Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea. FAU - Lim, Young-Suk AU - Lim YS AUID- ORCID: 0000-0002-1544-577X AD - Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. FAU - Han, Kwang-Hyub AU - Han KH AUID- ORCID: 0000-0003-3960-6539 AD - Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. FAU - Jeong, Sook-Hyang AU - Jeong SH AUID- ORCID: 0000-0002-4916-7990 AD - Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea. FAU - Cho, Mong AU - Cho M AUID- ORCID: 0000-0002-0498-6300 AD - Department of Internal Medicine, Pusan National University Yangsan Hospital, Pusan National University College of Medicine, Yangsan, Korea. FAU - Yoon, Ki Tae AU - Yoon KT AUID- ORCID: 0000-0002-8580-0239 AD - Department of Internal Medicine, Pusan National University Yangsan Hospital, Pusan National University College of Medicine, Yangsan, Korea. FAU - Bae, Si Hyun AU - Bae SH AUID- ORCID: 0000-0003-1727-7842 AD - Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. FAU - Crown, Eric D AU - Crown ED AUID- ORCID: 0000-0002-5157-1095 AD - Abbvie Inc., North Chicago, IL, USA. FAU - Fredrick, Linda M AU - Fredrick LM AUID- ORCID: 0000-0001-7596-0784 AD - Abbvie Inc., North Chicago, IL, USA. FAU - Alami, Negar Niki AU - Alami NN AUID- ORCID: 0000-0003-4455-5780 AD - Abbvie Inc., North Chicago, IL, USA. FAU - Asatryan, Armen AU - Asatryan A AUID- ORCID: 0000-0003-2812-4243 AD - Abbvie Inc., North Chicago, IL, USA. FAU - Kim, Do Hyun AU - Kim DH AUID- ORCID: 0000-0003-0064-1732 AD - AbbVie Korea, Ltd., Korea. FAU - Paik, Seung Woon AU - Paik SW AUID- ORCID: 0000-0002-6746-6652 AD - Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Lee, Youn-Jae AU - Lee YJ AUID- ORCID: 0000-0003-3854-3388 AD - Department of Internal Medicine, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan, Korea. LA - eng PT - Journal Article PT - Meta-Analysis PT - Research Support, Non-U.S. Gov't PL - Korea (South) TA - Gut Liver JT - Gut and liver JID - 101316452 RN - 0 (Aminoisobutyric Acids) RN - 0 (Antiviral Agents) RN - 0 (Benzimidazoles) RN - 0 (Cyclopropanes) RN - 0 (Lactams, Macrocyclic) RN - 0 (Pyrrolidines) RN - 0 (Quinoxalines) RN - 0 (Sulfonamides) RN - 2WU922TK3L (pibrentasvir) RN - 9DLQ4CIU6V (Proline) RN - GMW67QNF9C (Leucine) RN - K6BUU8J72P (glecaprevir) SB - IM MH - Aminoisobutyric Acids MH - Antiviral Agents/adverse effects MH - Benzimidazoles MH - Clinical Trials, Phase III as Topic MH - Cyclopropanes MH - Drug Therapy, Combination MH - Genotype MH - Hepacivirus/genetics MH - *Hepatitis C, Chronic/drug therapy MH - Humans MH - Lactams, Macrocyclic MH - Leucine/analogs & derivatives MH - Proline/analogs & derivatives MH - Pyrrolidines MH - Quinoxalines MH - Republic of Korea MH - Sulfonamides MH - Sustained Virologic Response MH - Treatment Outcome PMC - PMC8593501 OTO - NOTNLM OT - Glecaprevir and pibrentasvir OT - Hepatitis C virus OT - Korea OT - Pan-genotypic antivirals COIS- CONFLICTS OF INTEREST Y.S.L. is an advisory board member of Bayer Healthcare and Gilead Sciences. E.D.C., L.M.F., and N.N.A. are employees of AbbVie, Inc. and may hold stock or stock options. A.A. and D.H.K. are former employees of AbbVie, Inc. and may hold stock or stock options. Other authors have no conflicts of interest to declare. Y.J.K. is an editorial board member of the journal but was not involved in the peer reviewer selection, evaluation, or decision process of this article. No other potential conflicts of interest relevant to this article were reported. EDAT- 2021/06/01 06:00 MHDA- 2021/11/20 06:00 PMCR- 2021/11/15 CRDT- 2021/05/31 05:56 PHST- 2020/10/28 00:00 [received] PHST- 2020/12/24 00:00 [revised] PHST- 2021/01/04 00:00 [accepted] PHST- 2021/06/01 06:00 [pubmed] PHST- 2021/11/20 06:00 [medline] PHST- 2021/05/31 05:56 [entrez] PHST- 2021/11/15 00:00 [pmc-release] AID - gnl20321 [pii] AID - gnl-15-6-895 [pii] AID - 10.5009/gnl20321 [doi] PST - ppublish SO - Gut Liver. 2021 Nov 15;15(6):895-903. doi: 10.5009/gnl20321.