Response to Pegylated Interferon Plus Ribavirin in Patients with Hepatitis C Virus Genotype 6a Infection from Guangdong and Guangxi Province of China

الملخص EN

Aim.

Our aim is to survey the treatment effect of PEG-IFN plus ribavirin in patients infected with HCV genotype 6a in Guangdong and Guangxi province of China and investigate best course of antiviral treatment for patients with HCV-6a infection.

Methods.

515 eligible patients received subcutaneous 180 μg PEG-IFNα-2a or 1.5 μg/kg PEG-IFNα-2b once weekly plus oral ribavirin.

Primary outcome was SVR by intention-to-treat analysis.

Secondary outcome was RVR, cEVR, ETR, and relapse rate.

Results.

SVR in patients with HCV-6a infection treated for 48 weeks was comparable to that in patients with HCV-2/3 infection (80.9% versus 82.5%, p = 0.812 ) and higher than that in patients with HCV-1b infection (80.9% versus 67.2%, p = 0.014 ).

ETR (98.9% versus 90.6%, p = 0.016 ), virological response at month 3 of end-of- treatment (88.8% versus 76.6%, p = 0.044 ), SVR (80.9% versus 65.6%, p = 0.032 ), and virological response at month 12 of end-of-treatment (76.4% versus 60.9%, p = 0.04 ) in patients with HCV-6a infection treated for 48 weeks were higher than those in patients with HCV-6a infection treated for 24 weeks.

Conclusion.

SVR in patients with HCV-6a treated for 48 weeks was comparable to that in patients with HCV-2/3 infection and higher than that in patients with HCV-1b infection; patients with HCV-6a infection treated for 48 weeks had a superior treatment response than patients treated for 24 weeks.