Hepatitis C
Conditions
Brief summary
Egypt has the highest prevalence of hepatitis C virus (HCV) in the world, estimated nationally at 14.7%. Genotype 4 (and subtype 4a in particular) dominates the HCV epidemic in Egypt. For decades the antiviral therapy of chronic HCV infection was based on the administration of Interferon(IFN), initially alone and then in combination with Ribavirin (RBV), but this regimen was effective in only 50% of patients with genotype 1, with significant side effects.
Detailed description
Egypt has the highest prevalence of hepatitis C virus (HCV) in the world, estimated nationally at 14.7%. Genotype 4 (and subtype 4a in particular) dominates the HCV epidemic in Egypt. For decades the antiviral therapy of chronic HCV infection was based on the administration ofInterferon(IFN), initially alone and then in combination with Ribavirin (RBV), but this regimen was effective in only 50% of patients with genotype 1, with significant side effects. The introduction of direct acting antiviral agents, in particular sofosbuvir (SOF), has revolutionized the treatment for chronic hepatitis C virus.
Interventions
Sofosbuvir 400 mg daily.
Ribavirin 1000-1200 mg daily
Pegylated interferon alfa-2a once weekly for 3 months
Olysio once daily.
Dakla once daily for three months.
Querevo for three months
Once daily for three months
three months in repeated treatment failure
Sponsors
Study design
Eligibility
Inclusion criteria
* • HCV infection * Adult patients, 18years and older.
Exclusion criteria
* • Child score \> 12 * Severe Renal impairment * Pregnant and lactating women * HCC or other malignant neoplasms * Co-infection with human immunodeficiency virus (HIV) * Co-infection with hepatitis B virus (HBV)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of patients with sustained virological response. | 2 months | The number of patients achieving SVR |
Countries
Egypt