PMID- 36973633 OWN - NLM STAT- MEDLINE DCOM- 20230529 LR - 20230530 IS - 1936-0541 (Electronic) IS - 1936-0533 (Print) IS - 1936-0533 (Linking) VI - 17 IP - 3 DP - 2023 Jun TI - Effectiveness and safety of 8-week glecaprevir/pibrentasvir in HCV treatment-naive patients with compensated cirrhosis: real-world experience from Taiwan nationwide HCV registry. PG - 550-561 LID - 10.1007/s12072-023-10506-z [doi] AB - BACKGROUND: Large-scale real-world data of the 8-week glecaprevir/pibrentasvir (GLE/PIB) therapy for treatment-naive patients of chronic hepatitis C virus (HCV) infection with compensated cirrhosis is scarce. METHODS: The TASL HCV Registry (TACR) is an ongoing nationwide registry program that aims to set up a database and biobank of patients with chronic HCV infection in Taiwan. In this study, data were analyzed as of 31 October 2021 for treatment-naive HCV patients with compensated cirrhosis receiving 8-week GLE/PIB therapy. Effectiveness reported as sustained virologic response at off-therapy week 12 (SVR12) and safety profiles were assessed. Patient characteristics potentially related to SVR12 were also evaluated. RESULTS: Of the 301 patients enrolled, 275 had available SVR12 data. The SVR12 rate was 98.2% (270/275) in the modified intention-to-treat (mITT) population and 89.7% (270/301) in the ITT population. For those mITT patients with genotype 3, FibroScan > 20 kPa, platelet < 150,000/microl, and FibroScan > 20 kPa and platelet < 150,000/microl, the SVR12 rates were 100% (6/6), 100% (12/12), 98.0% (144/147), 100% (7/7), respectively. Overall, 24.9% (75/301) patients experienced adverse events (AEs). The most frequent AEs (> 5%) included fatigue (9.0%) and pruritus (7.0%). Seven (2.3%) patients experienced serious AEs and two (0.7%) resulted in permanent drug discontinuation. None of them were considered as GLE/PIB-related. CONCLUSIONS: In this large-scale real-world Taiwanese cohort, 8-week GLE/PIB therapy was efficacious and well tolerated for treatment-naive compensated cirrhosis patients. SVR12 rates were similarly high as in the clinical trials, including those with characteristics of advanced liver disease. CI - (c) 2023. Asian Pacific Association for the Study of the Liver. FAU - Chang, Te-Sheng AU - Chang TS AD - Division of Hepatogastroenterology, Department of Internal Medicine, Chang Gung Memorial Hospital, Chiayi, Taiwan. AD - College of Medicine, Chang Gung University, Taoyuan, Taiwan. FAU - Huang, Chung-Feng AU - Huang CF AD - Hepatobiliary Division, Department of Internal Medicine and Hepatitis Center, Kaohsiung Medical University Hospital, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan. AD - Ph.D. Program in Translational Medicine, College of Medicine, Kaohsiung Medical University, Academia Sinica, Kaohsiung, Taiwan. FAU - Kuo, Hsing-Tao AU - Kuo HT AD - Division of Gastroenterology and Hepatology, Department of Internal Medicine, Chi Mei Medical Center, Yongkang District, Tainan, Taiwan. FAU - Lo, Ching-Chu AU - Lo CC AD - Division of Gastroenterology, Department of Internal Medicine, St. Martin De Porres Hospital, Chiayi, Taiwan. FAU - Huang, Chien-Wei AU - Huang CW AD - Division of Gastroenterology, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan. FAU - Chong, Lee-Won AU - Chong LW AD - Division of Hepatology and Gastroenterology, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan. AD - School of Medicine, Fu-Jen Catholic University, New Taipei City, Taiwan. FAU - Cheng, Pin-Nan AU - Cheng PN AD - Division of Gastroenterology and Hepatology, Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan. FAU - Yeh, Ming-Lun AU - Yeh ML AD - Hepatobiliary Division, Department of Internal Medicine and Hepatitis Center, Kaohsiung Medical University Hospital, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan. AD - Center for Liquid Biopsy and Cohort Research, Kaohsiung Medical University, Kaohsiung, Taiwan. FAU - Peng, Cheng-Yuan AU - Peng CY AD - Center for Digestive Medicine, Department of Internal Medicine, China Medical University Hospital, Taichung, Taiwan. AD - School of Medicine, China Medical University, Taichung, Taiwan. FAU - Cheng, Chien-Yu AU - Cheng CY AD - Division of Infectious Diseases, Department of Internal Medicine, Taoyuan General Hospital, Ministry of Health and Welfare, Taoyuan, Taiwan. FAU - Huang, Jee-Fu AU - Huang JF AD - Hepatobiliary Division, Department of Internal Medicine and Hepatitis Center, Kaohsiung Medical University Hospital, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan. AD - Hepatitis Research Center, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan. FAU - Bair, Ming-Jong AU - Bair MJ AD - Division of Gastroenterology, Department of Internal Medicine, Taitung Mackay Memorial Hospital, Taitung, Taiwan. AD - Mackay Medical College, New Taipei City, Taiwan. FAU - Lin, Chih-Lang AU - Lin CL AD - Liver Research Unit, Department of Hepato-Gastroenterology and Community Medicine Research Center, Chang Gung Memorial Hospital at Keelung, College of Medicine, Chang Gung University, Keelung, Taiwan. FAU - Yang, Chi-Chieh AU - Yang CC AD - Department of Gastroenterology, Division of Internal Medicine, Show Chwan Memorial Hospital, Changhua, Taiwan. FAU - Wang, Szu-Jen AU - Wang SJ AD - Division of Gastroenterology, Department of Internal Medicine, Yuan's General Hospital, Kaohsiung, Taiwan. FAU - Hsieh, Tsai-Yuan AU - Hsieh TY AD - Division of Gastroenterology, Department of Internal Medicine, Tri‑Service General Hospital, National Defense Medical Center, Taipei, Taiwan. FAU - Lee, Tzong-Hsi AU - Lee TH AD - Division of Gastroenterology and Hepatology, Far Eastern Memorial Hospital, New Taipei City, Taiwan. FAU - Lee, Pei-Lun AU - Lee PL AD - Division of Gastroenterology and Hepatology, Department of Internal Medicine, Chi Mei Medical Center, Liouying, Tainan, Taiwan. FAU - Wu, Wen-Chih AU - Wu WC AD - Wen-Chih Wu Clinic, Fengshan, Kaohsiung, Taiwan. FAU - Lin, Chih-Lin AU - Lin CL AD - Department of Gastroenterology, Renai Branch, Taipei City Hospital, Taipei, Taiwan. FAU - Su, Wei-Wen AU - Su WW AD - Department of Gastroenterology and Hepatology, Changhua Christian Hospital, Changhua, Taiwan. FAU - Yang, Sheng-Shun AU - Yang SS AD - Division of Gastroenterology and Hepatology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan. AD - Institute of Biomedical Sciences, National Chung Hsing University, Taichung, Taiwan. AD - Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung, Taiwan. FAU - Wang, Chia-Chi AU - Wang CC AD - Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation and School of Medicine, Tzu Chi University, Taipei, Taiwan. FAU - Hu, Jui-Ting AU - Hu JT AD - Liver Center, Cathay General Hospital, Taipei, Taiwan. FAU - Mo, Lein-Ray AU - Mo LR AD - Division of Gastroenterology, Tainan Municipal Hospital (Managed By Show Chwan Medical Care Corporation), Tainan, Taiwan. FAU - Chen, Chun-Ting AU - Chen CT AD - Division of Gastroenterology, Department of Internal Medicine, Tri‑Service General Hospital, National Defense Medical Center, Taipei, Taiwan. AD - Division of Gastroenterology, Department of Internal Medicine, Tri‑Service General Hospital Penghu Branch, National Defense Medical Center, Taipei, Taiwan. FAU - Huang, Yi-Hsiang AU - Huang YH AD - Division of Gastroenterology and Hepatology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan. AD - Institute of Clinical Medicine, School of Medicine, National Yang-Ming Chiao Tung University, Taipei, Taiwan. FAU - Chang, Chun-Chao AU - Chang CC AD - Division of Gastroenterology and Hepatology, Department of Internal Medicine, Taipei Medical University Hospital, Taipei, Taiwan. AD - Division of Gastroenterology and Hepatology, Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan. FAU - Huang, Chia-Sheng AU - Huang CS AD - Yang Ming Hospital, Chiayi, Taiwan. FAU - Chen, Guei-Ying AU - Chen GY AD - Penghu Hospital, Ministry of Health and Welfare, Penghu, Taiwan. FAU - Kao, Chien-Neng AU - Kao CN AD - National Taiwan University Hospital Hsin-Chu Branch, Hsinchu, Taiwan. FAU - Tai, Chi-Ming AU - Tai CM AD - Department of Internal Medicine, E-Da Hospital, Kaohsiung, Taiwan. AD - School of Medicine, College of Medicine, I-Shou University, Kaohsiung, Taiwan. FAU - Liu, Chun-Jen AU - Liu CJ AD - Hepatitis Research Center and Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan. FAU - Lee, Mei-Hsuan AU - Lee MH AD - Institute of Clinical Medicine, National Yang-Ming Chiao Tung University, Taipei, Taiwan. FAU - Tsai, Pei-Chien AU - Tsai PC AD - Hepatobiliary Division, Department of Internal Medicine and Hepatitis Center, Kaohsiung Medical University Hospital, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan. FAU - Dai, Chia-Yen AU - Dai CY AD - Hepatobiliary Division, Department of Internal Medicine and Hepatitis Center, Kaohsiung Medical University Hospital, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan. FAU - Kao, Jia-Horng AU - Kao JH AD - Hepatitis Research Center and Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan. FAU - Lin, Han-Chieh AU - Lin HC AD - Division of Gastroenterology and Hepatology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan. AD - Institute of Clinical Medicine, School of Medicine, National Yang-Ming Chiao Tung University, Taipei, Taiwan. FAU - Chuang, Wang-Long AU - Chuang WL AD - Hepatobiliary Division, Department of Internal Medicine and Hepatitis Center, Kaohsiung Medical University Hospital, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan. FAU - Chen, Chi-Yi AU - Chen CY AD - Division of Gastroenterology and Hepatology, Department of Medicine, Ditmanson Medical Foundation Chiayi Christian Hospital, Chiayi, Taiwan. FAU - Tseng, Kuo-Chih AU - Tseng KC AD - Department of Internal Medicine, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chiayi, Taiwan. AD - School of Medicine, Tzuchi University, Hualien, Taiwan. FAU - Hung, Chao-Hung AU - Hung CH AUID- ORCID: 0000-0003-1646-9519 AD - Division of Hepatogastroenterology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan. chh4366@yahoo.com.tw. FAU - Yu, Ming-Lung AU - Yu ML AUID- ORCID: 0000-0001-8145-1900 AD - Hepatobiliary Division, Department of Internal Medicine and Hepatitis Center, Kaohsiung Medical University Hospital, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan. fish6069@gmail.com. AD - Center for Liquid Biopsy and Cohort Research, Kaohsiung Medical University, Kaohsiung, Taiwan. fish6069@gmail.com. AD - Hepatitis Research Center, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan. fish6069@gmail.com. AD - Division of Hepatogastroenterology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan. fish6069@gmail.com. AD - School of Medicine, College of Medicine, Center of Excellence for Metabolic Associated Fatty Liver Disease, National Sun Yat-Sen University, Kaohsiung, Taiwan. fish6069@gmail.com. LA - eng GR - 100CM-KMU-09/Kaohsiung Medical University/ GR - KMU-TC109B05/Kaohsiung Medical University/ GR - MOST 108-2314-B-037 -066 -MY3/Kaohsiung Medical University/ GR - KMU-KI110002/Kaohsiung Medical University/ GR - KMUH109-9R06/Kaohsiung Medical University Chung-Ho Memorial Hospital/ GR - KMUH-DK(C)110011/Kaohsiung Medical University Chung-Ho Memorial Hospital/ GR - KMUH-DK(C)110004/Kaohsiung Medical University Chung-Ho Memorial Hospital/ GR - KMUH109-9R05/Kaohsiung Medical University Chung-Ho Memorial Hospital/ PT - Journal Article DEP - 20230327 PL - United States TA - Hepatol Int JT - Hepatology international JID - 101304009 RN - K6BUU8J72P (glecaprevir) RN - 2WU922TK3L (pibrentasvir) RN - 0 (Quinoxalines) RN - 0 (Antiviral Agents) RN - 9DLQ4CIU6V (Proline) SB - IM MH - Humans MH - *Hepatitis C, Chronic/complications/drug therapy/epidemiology MH - Taiwan/epidemiology MH - Hepacivirus/genetics MH - Liver Cirrhosis/epidemiology MH - Sustained Virologic Response MH - Quinoxalines/adverse effects MH - Antiviral Agents/adverse effects MH - Registries MH - Proline MH - Genotype PMC - PMC10042416 OTO - NOTNLM OT - Compensated cirrhosis OT - GLE/PIB OT - HCV OT - Sustained virologic response COIS- Ming-Lung Yu: Research support from Abbvie, Abbott, BMS, Gilead, Merck and Roche. Consultant for Abbvie, Abbott, Ascletis, BMS, Gilead, J&J, Merck, Novartis, Pharmaessential and Roche. Speaker for Abbvie, Abbott, Ascletis, BMS, Gilead, Merck, Pharmaessential and Roche. Sheng-Shun Yang: Speaker for AbbVie, Bristol-Myers, Squibb, Gilead Sciences, Ipsen, and Merck Sharp & Dohme. Advisory board member for AbbVie, Gilead Sciences, Hoffmann-LaRoche, and Ipsen. Te-Sheng Chang, Chung-Feng Huang, Hsing-Tao Kuo, Ching-Chu Lo, Chien-Wei Huang, Lee-Won Chong, Pin-Nan Cheng, Ming-Lun Yeh, Cheng-Yuan Peng, Chien-Yu Cheng, Jee-Fu Huang, Ming-Jong Bair, Chih-Lang Lin, Chi-Chieh Yang, Szu-Jen Wang, Tsai-Yuan Hsieh, Tzong-Hsi Lee, Pei-Lun Lee, Wen-Chih Wu, Chih-Lin Lin, Wei-Wen Su, Chia-Chi Wang, Jui-Ting Hu, Lein-Ray Mo, Chun-Ting Chen, Yi-Hsiang Huang, Chun-Chao Chang, Chia-Sheng Huang, Guei-Ying Chen, Chien-Neng Kao, Chi-Ming Tai, Chun-Jen Liu, Mei-Hsuan Lee, Pei-Chien Tsai, Chia-Yen Dai, Jia-Horng Kao, Han-Chieh Lin, Wang-Long Chuang, Chi-Yi Chen, Kuo-Chih Tseng, and Chao-Hung Hung declare no conflict of interest. EDAT- 2023/03/28 06:00 MHDA- 2023/05/29 06:42 PMCR- 2023/03/27 CRDT- 2023/03/27 23:32 PHST- 2022/10/28 00:00 [received] PHST- 2023/02/22 00:00 [accepted] PHST- 2023/05/29 06:42 [medline] PHST- 2023/03/28 06:00 [pubmed] PHST- 2023/03/27 23:32 [entrez] PHST- 2023/03/27 00:00 [pmc-release] AID - 10.1007/s12072-023-10506-z [pii] AID - 10506 [pii] AID - 10.1007/s12072-023-10506-z [doi] PST - ppublish SO - Hepatol Int. 2023 Jun;17(3):550-561. doi: 10.1007/s12072-023-10506-z. Epub 2023 Mar 27.