PMID- 35980912 OWN - NLM STAT- MEDLINE DCOM- 20220822 LR - 20220830 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 17 IP - 8 DP - 2022 TI - Comparison of 8- versus 12-weeks of glecaprevir/pibrentasvir for Taiwanese patients with hepatitis C and compensated cirrhosis in a real-world setting. PG - e0272567 LID - 10.1371/journal.pone.0272567 [doi] LID - e0272567 AB - Real-world data on the effectiveness of glecaprevir/pibrentasvir (GLE/PIB) for patients with HCV infection and compensated cirrhosis is limited, especially for the 8-week regimen and in an Asian population. This retrospective study enrolled 159 consecutive patients with HCV and compensated cirrhosis who were treated with GLE/PIB at a single center in Taiwan. Sustained virological response (SVR) and adverse events (AEs) were evaluated. Among the 159 patients, 91 and 68 were treated with GLE/PIB for 8 and 12 weeks, respectively. In the per protocol analysis, both the 8- and 12-week groups achieved 100% SVR (87/87 vs. 64/64); and in the evaluable population analysis, 95.6% (87/91) of the 8-week group and 94.1% (64/68) of the 12-week group achieved SVR. The most commonly reported AEs, which included pruritus (15.4% vs. 26.5%), abdominal discomfort (9.9% vs. 5.9%), and skin rash (5.5% vs. 5.9%), were mild for the 8- and 12-week groups. Two patients in the 8-week group exhibited total bilirubin elevation over three times the upper normal limit. One of these two patients discontinued GLE/PIB treatment after 2 weeks but still achieved SVR. Both 8- and 12-week GLE/PIB treatments are safe and effective for patients of Taiwanese ethnicity with HCV and compensated cirrhosis. FAU - Lu, Yung-Hsin AU - Lu YH AD - Department of Internal Medicine, Division of Gastroenterology and Hepatology, Chang Gung Memorial Hospital, Chiayi, Taiwan. FAU - Lu, Chung-Kuang AU - Lu CK AD - Department of Internal Medicine, Division of Gastroenterology and Hepatology, Chang Gung Memorial Hospital, Chiayi, Taiwan. FAU - Chen, Chun-Hsien AU - Chen CH AD - Department of Internal Medicine, Division of Gastroenterology and Hepatology, Chang Gung Memorial Hospital, Chiayi, Taiwan. FAU - Hsieh, Yung-Yu AU - Hsieh YY AD - Department of Internal Medicine, Division of Gastroenterology and Hepatology, Chang Gung Memorial Hospital, Chiayi, Taiwan. FAU - Tung, Shui-Yi AU - Tung SY AD - Department of Internal Medicine, Division of Gastroenterology and Hepatology, Chang Gung Memorial Hospital, Chiayi, Taiwan. AD - College of Medicine, Chang Gung University, Taoyuan, Taiwan. FAU - Chen, Yi-Hsing AU - Chen YH AD - Department of Internal Medicine, Division of Gastroenterology and Hepatology, Chang Gung Memorial Hospital, Chiayi, Taiwan. FAU - Yen, Chih-Wei AU - Yen CW AD - Department of Internal Medicine, Division of Gastroenterology and Hepatology, Chang Gung Memorial Hospital, Chiayi, Taiwan. FAU - Tung, Wei-Lin AU - Tung WL AD - Department of Internal Medicine, Division of Gastroenterology and Hepatology, Chang Gung Memorial Hospital, Chiayi, Taiwan. FAU - Chang, Kao-Chi AU - Chang KC AD - Department of Internal Medicine, Division of Gastroenterology and Hepatology, Chang Gung Memorial Hospital, Chiayi, Taiwan. FAU - Chen, Wei-Ming AU - Chen WM AUID- ORCID: 0000-0002-4949-393X AD - Department of Internal Medicine, Division of Gastroenterology and Hepatology, Chang Gung Memorial Hospital, Chiayi, Taiwan. FAU - Lu, Sheng-Nan AU - Lu SN AD - Department of Internal Medicine, Division of Gastroenterology and Hepatology, Chang Gung Memorial Hospital, Chiayi, Taiwan. AD - College of Medicine, Chang Gung University, Taoyuan, Taiwan. FAU - Hung, Chao-Hung AU - Hung CH AD - Department of Internal Medicine, Division of Gastroenterology and Hepatology, Chang Gung Memorial Hospital, Chiayi, Taiwan. AD - College of Medicine, Chang Gung University, Taoyuan, Taiwan. FAU - Chang, Te-Sheng AU - Chang TS AUID- ORCID: 0000-0002-1581-6948 AD - Department of Internal Medicine, Division of Gastroenterology and Hepatology, Chang Gung Memorial Hospital, Chiayi, Taiwan. AD - College of Medicine, Chang Gung University, Taoyuan, Taiwan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220818 PL - United States TA - PLoS One JT - PloS one JID - 101285081 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 - Cyclopropanes MH - Hepacivirus MH - *Hepatitis C/chemically induced/complications/drug therapy MH - *Hepatitis C, Chronic/complications/drug therapy/epidemiology MH - Humans MH - Lactams, Macrocyclic MH - Leucine/analogs & derivatives MH - Liver Cirrhosis/chemically induced/complications/drug therapy MH - Proline/analogs & derivatives/therapeutic use MH - Pyrrolidines/therapeutic use MH - Quinoxalines/adverse effects MH - Retrospective Studies MH - Sulfonamides PMC - PMC9387785 COIS- The authors have declared that no competing interests exist. EDAT- 2022/08/19 06:00 MHDA- 2022/08/23 06:00 PMCR- 2022/08/18 CRDT- 2022/08/18 13:44 PHST- 2022/05/28 00:00 [received] PHST- 2022/07/22 00:00 [accepted] PHST- 2022/08/18 13:44 [entrez] PHST- 2022/08/19 06:00 [pubmed] PHST- 2022/08/23 06:00 [medline] PHST- 2022/08/18 00:00 [pmc-release] AID - PONE-D-22-15455 [pii] AID - 10.1371/journal.pone.0272567 [doi] PST - epublish SO - PLoS One. 2022 Aug 18;17(8):e0272567. doi: 10.1371/journal.pone.0272567. eCollection 2022.