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RESEARCH PRODUCT

Comments on "Real-world re-treatment outcomes of direct-acting antiviral therapy failure in patients with chronic hepatitis C".

Giuseppe Vittorio De SocioAntonio CascioPaolo BonfantiLaura Ambra NicoliniAndrea ParisiniKatia FalascaAntonio Di BiagioChiara MolteniFrancesca VichiBarbara Menzaghi

subject

MaleAntiviral agentSustained Virologic ResponseAnti-hepatitis C virus DAA (directly acting antivirals); Antiviral agents; Hepatitis C virus; Hepatitis virus; Virus classification; Antiviral Agents; Female; Hepacivirus; Hepatitis C Chronic; Humans; Italy; Male; Medication Adherence; Middle Aged; Sustained Virologic ResponseHepatitis C virusTreatment outcomeHepacivirusmedicine.disease_causeAntiviral AgentsHepatitis viruMedication AdherenceChronic hepatitisVirologyMedicineHumansIn patientChronicAnti-hepatitis C virus DAA (directly acting antivirals)Virus classificationHepatitis virusVirus classificationHepatitis C virusbusiness.industryAntiviral therapyHepatitis C ChronicMiddle AgedHepatitis CVirologyHepatitis virusInfectious DiseasesItalyFemaleHepatitis C virubusinessDirect acting

description

Dear Editor, Elhence et al.1 assessed the retreatment outcomes of direct‐ acting antivirals (DAAs) therapy failure in a cohort of 40 patients with chronic hepatitis C (HCV) and previous virological failure (VF) to DAAs. The results were remarkable, with an overall sustained virologic response (SVR) of 100% in patients who completed retreatment with sofosbuvir and velpatasvir (with/without ribavirin). We compared these results with our experience in the multicenter HCV‐ Surveillance Cohort Long‐Term Toxicity Antivirals (HCV‐SCOLTA) cohort, an active pharmacovigilance system supported by the CISAI group (Italian Coordinators for the Study of Allergies and HIV Infection). Since 2012, Italian infectious Diseases centers participating in the HCV‐SCOLTA project share experiences on DAAs benefits and risks, both in HIV/HCV coinfected and in HCV monoinfected patients. Overall, 3201 HCV‐infected patients have been treated at the participating centers up to January 2020, before the spread of the SARS‐CoV‐2 pandemic. Of them, 62 (1.9%) experienced VF, and 17/62 (42.5%) failed to DAAs regimens still recommended by 2018 or subsequent European recommendations

10.1002/jmv.27329https://pubmed.ncbi.nlm.nih.gov/34499359