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2016 ; 16
(9
): e41077
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Daclatasvir-based Treatment Regimens for Hepatitis C Virus Infection: A
Systematic Review and Meta-Analysis
#MMPMID27826322
Alavian SM
; Rezaee-Zavareh MS
Hepat Mon
2016[Sep]; 16
(9
): e41077
PMID27826322
show ga
CONTEXT: Direct acting antivirals (DAAs) have recently emerged as a promising
therapeutic regimen for the treatment of hepatitis C virus (HCV) infection, which
is a major public health problem. Among the known DAAs, daclatasvir (DCV), an
inhibitor of the non-structural 5A protein, has been used in combination with
several drugs for treatment of infection with HCV of different genotypes under
different conditions. We conducted a systematic review and meta-analysis of
combination therapy with DCV. EVIDENCE ACQUISITION: We performed a systematic
search in PubMed, Scopus, Science Direct and Web of Science with appropriate
keywords for DCV. Studies that evaluated any regimen containing DCV and reported
the sustained virological response (SVR) 12 weeks after therapy based on the HCV
genotype, treatment duration and use of ribavirin (RBV) were included. The
selected studies were considered for meta-analysis using STATA 11.0. RESULTS: We
found six different regimens containing DCV: DCV/asunaprevir (ASV),
DCV/ASV/beclubavir, DCV/pegylated interferon lambda or alpha/RBV with or without
ASV, DCV/simeprevir, DCV/VX-135 and DCV/sofosbuvir (SOF). Most of these regimens
were used for the treatment of HCV genotype 1 infections, and in most cases,
treatment failure was noted in subtype 1a infections. Among all these regimens,
DCV/SOF with or without RBV for 12 or 24 weeks was found to be an efficacious
approach for treatment of different types of patients with infections with
different HCV genotypes. CONCLUSIONS: Among the treatment regimens containing
DCV, DCV/SOF has the highest SVR rate for the treatment of infection with
different HCV genotypes in different patient contexts; thus, this regimen shows
promise for the treatment of HCV infections.