Clinical profile of Spanish hepatitis C virus-infected treatment-naïve patients with compensated cirrhosis in the CREST study.

Perfil clínico de los pacientes españoles con Hepatitis C naïve con cirrosis compensada tratados en el estudio CREST.
España Glecaprevir y Pibrentasvir Hepatitis C Spain cirrosis hepática duración de la terapia duration of therapy glecaprevir and pibrentasvir liver cirrhosis

Journal

Gastroenterologia y hepatologia
ISSN: 0210-5705
Titre abrégé: Gastroenterol Hepatol
Pays: Spain
ID NLM: 8406671

Informations de publication

Date de publication:
12 Feb 2024
Historique:
received: 31 05 2023
revised: 30 01 2024
accepted: 06 02 2024
medline: 15 2 2024
pubmed: 15 2 2024
entrez: 14 2 2024
Statut: aheadofprint

Résumé

There are still patients with hepatitis C in Spain who have yet to be diagnosed, but their clinical profile is unclear. In 2021, 21.93% of patients diagnosed had cirrhosis and were mostly treatment-naïve. This sub-analysis describes the clinical profile of the 60 Spanish treatment-naïve patients with compensated cirrhosis who were included in the CREST study. Sixty percent of patients were male, median age 56 years, and 33% had a history of drug use. Almost three-quarters (71.3%) had more than one comorbidity and 78.3% took concomitant medication. At treatment initiation, median platelet count was 139 x 10 Treatment with glecaprevir/pibrentasvir for 8 weeks in this cohort of treatment-naïve patients with compensated cirrhosis in Spain was safe and effective. This information reinforces the use of this short antiviral regimen even when there is compensated cirrhosis, simplifying the approach to hepatitis C among those patients still to be diagnosed and treated in Spain.

Sections du résumé

BACKGROUND AND AIM OF THE STUDY OBJECTIVE
There are still patients with hepatitis C in Spain who have yet to be diagnosed, but their clinical profile is unclear. In 2021, 21.93% of patients diagnosed had cirrhosis and were mostly treatment-naïve.
METHODS METHODS
This sub-analysis describes the clinical profile of the 60 Spanish treatment-naïve patients with compensated cirrhosis who were included in the CREST study.
MAJOR RESULTS RESULTS
Sixty percent of patients were male, median age 56 years, and 33% had a history of drug use. Almost three-quarters (71.3%) had more than one comorbidity and 78.3% took concomitant medication. At treatment initiation, median platelet count was 139 x 10
CONCLUSIONS CONCLUSIONS
Treatment with glecaprevir/pibrentasvir for 8 weeks in this cohort of treatment-naïve patients with compensated cirrhosis in Spain was safe and effective. This information reinforces the use of this short antiviral regimen even when there is compensated cirrhosis, simplifying the approach to hepatitis C among those patients still to be diagnosed and treated in Spain.

Identifiants

pubmed: 38355095
pii: S0210-5705(24)00037-2
doi: 10.1016/j.gastrohep.2024.02.003
pii:
doi:

Types de publication

Journal Article

Langues

eng spa

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2024 Elsevier España, S.L.U. All rights reserved.

Auteurs

Francisco Jorquera (F)

Complejo Asistencial Universitario de León, IBIOMED y CIBERehd, León, Spain. Electronic address: fjorquera@saludcastillayleon.es.

Francisco Ledesma (F)

Former employee, AbbVie Spain, Madrid, Spain. Electronic address: f.ledesma@me.com.

Adriana Ahumada (A)

Hospital General Universitario Gregorio Marañón, Madrid, Spain. Electronic address: ahumada.adriana@gmail.com.

María Luisa Manzano (ML)

Hospital Universitario 12 De Octubre, Madrid, Spain. Electronic address: marialuisa.manzano@salud.madrid.org.

Agustín Castiella (A)

Hospital Universitario Donostia, San Sebastián, Spain. Electronic address: agustin.castiellaeguzkiza@osakidetza.eus.

Sara Lorente (S)

Hospital Clínico Universitario Lozano Blesa, Universidad de Zaragoza, IIS Aragón, Zaragoza, Spain. Electronic address: slorentep@gmail.com.

Mireia Miquel (M)

Hospital Universitario Parc Taulí, Institut d'Investigació i Innovació I3PT, UA Barcelona, Sabadell, Spain, UVic-UCC, Vic, España, CIBERehd. I. Carlos III, Madrid, Spain. Electronic address: MMiquel@tauli.cat.

Zoe Mariño (Z)

Hospital Clínic, IDIBAPS, CIBERehd, Universitat de Barcelona, Barcelona, Spain. Electronic address: zmarino@clinic.cat.

José Castellote (J)

Hospital Universitario Bellvitge, IDIBELL, Universidad de Barcelona, Barcelona, Spain. Electronic address: jcastellote@bellvitgehospital.cat.

Eva Sanz (E)

AbbVie Spain, Madrid, Spain. Electronic address: eva.sanz@abbvie.com.

Juan Uriz (J)

Hospital Universitario de Navarra. IdiSNA, Pamplona, Spain. Electronic address: jurizota@navarra.es.

Classifications MeSH