Poor Response to Direct-Acting Antiviral Therapy in HCV-Infected Elderly Population: A Real-Life Cohort Study Based on GeneXpert® Technology

Braira Wahid, Muhammad Waqar, Komal Saleem, Faiza Shafi, Zobaria Rehman, Iqra Hanif, Hafiza Maleeha Ahmad, Muhammad Wasim, Sajjad, Khansa Wahid, Muhammad Idrees

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)

Abstract

Aim: This study aimed to determine the efficacy of direct-acting antiviral drugs in different ethnicities and elderly population of Pakistan. 

Methods: We used GeneXpert® technology to quantify HCV RNA and evaluated treatment response in different cohorts that included HCV patients classified on the basis of their age-group and ethnicity. 

Results: The findings of our study suggest that 76% of nonresponder patients were older than 55 years of age which shows that age is the predictor of treatment outcome of direct-acting antiviral drugs. In addition to this, no differences were observed in overall efficacy by ethnicity. 

Conclusion: Treatment-regimen sofosbuvir+ribavirin has a limited effect on older patients; therefore, practitioners and healthcare professionals need to reconsider treatment options for elderly populations.

Original languageEnglish
Pages (from-to)467-474
Number of pages8
JournalFuture Virology
Volume13
Issue number7
DOIs
Publication statusPublished - 2018
Externally publishedYes

Keywords

  • DAA drug
  • elderly population
  • GCMBDR
  • HCV
  • Pakistan
  • treatment response

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