Sofosbuvir and Ledipasvir for 8 Weeks for the Treatment of Chronic Hepatitis C Virus (HCV) Infection in HCV-Monoinfected and HIV-HCV–Coinfected Individuals: Results From the German Hepatitis C Cohort (GECCO-01)

• Published in: Clinical infectious diseases Vol. 63; no. 10; pp. 1320 - 1324
• Main Authors: Ingiliz, Patrick, Christensen, Stefan, Kimhofer, Torben, Hueppe, Dietrich, Lutz, Thomas, Schewe, Knud, Busch, Heiner, Schmutz, Günther, Wehmeyer, Malte H., Boesecke, Christoph, Simon, Karl-Georg, Berger, Florian, Rockstroh, Jürgen K., zur Wiesch, Julian Schulze, Baumgarten, Axel, Mauss, Stefan
• Format: Journal Article
• Language: English
• Published: United States Oxford University Press 15-11-2016
• Subjects: Adolescent; Adult; Aged; Aged, 80 and over; Antiviral Agents - administration & dosage; Antiviral Agents - therapeutic use; ARTICLES AND COMMENTARIES; Benzimidazoles - administration & dosage; Benzimidazoles - therapeutic use; Coinfection - drug therapy; Female; Fluorenes - administration & dosage; Fluorenes - therapeutic use; Genotype & phenotype; Germany - epidemiology; Hepatitis; Hepatitis C; Hepatitis C virus; Hepatitis C, Chronic - complications; Hepatitis C, Chronic - drug therapy; Hepatitis C, Chronic - epidemiology; Hepatitis C, Chronic - virology; HIV; HIV Infections - complications; Human immunodeficiency virus; Humans; Lentivirus; Male; Medical treatment; Middle Aged; Prescription drugs; Prospective Studies; Retroviridae; Sofosbuvir - administration & dosage; Sofosbuvir - therapeutic use; Viral Load; Young Adult; Germany; ledipasvir; sofosbuvir; 8 weeks; HIV coinfection; short course treatment
• ISSN: 1058-4838; 1537-6591
• DOI: 10.1093/cid/ciw567

Background. Shortening the duration of treatment with HCV direct-acting antivirals (DAAs) leads to substantial cost reductions. According to the label, sofosbuvir and ledipasvir can be prescribed for 8 weeks (SL8) in noncirrhotic women or men with HCV genotype 1 and low viral loads. However, real-world data about the efficacy and safety of SL8 are largely missing. Methods. Interim results from an ongoing prospective, multicenter cohort of 9 treatment centers in Germany (GECCO). All patients started on treatment with HCV DAAs since January 2014 were included. This report describes safety and efficacy outcomes in 210 patients with HCV monoinfection and 35 with human immunodeficiency virus (HIV)–HCV coinfection given SL8 in a real-world setting. Results. Of 1353 patients included into the GECCO cohort until December 2015, a total of 1287 had complete data sets for this analysis; 337 (26.2%) fulfilled the criteria for SL8 according to the package insert, but only 193 (57.2%) were eventually treated for 8 weeks. Another 52 patients did not fulfill the criteria but were treated for 8 weeks. SL8 was generally well tolerated. The overall sustained virologic response rate 12 weeks after the end of treatment was 93.5% (186 of 199). The on-treatment response rate was 99.4% (159 of 160) in HCV-monoinfected and 96.4% (27 of 28) in HIV-HCV–coinfected patients. Ten patients were lost to follow-up. Conclusions. SL8 seems highly effective and safe in well-selected HCV-monoinfected and HIV-HCV–coinfected patients in a real-world setting.