The sofosbuvir plus ribavirin vs sofosbuvir plus daclatasvir in obtaining sustained viral response in chronic Hepatitis C.

Authors

  • Malik Muhammad Waseem Services Hospital, Lahore.
  • Irfan Younus NSMC, ABSTH, Gujrat.
  • Muhammad Habib Mayo Hospital, Lahore.
  • Adnan Qadir Islamic International Medical College, Rawalpindi.
  • Shahid Sarwar SIMS, Lahore.
  • Zameer Butt ABSTH, Gujrat.

DOI:

https://doi.org/10.29309/TPMJ/2023.30.12.7608

Keywords:

Daclatasvir, HCV, PCR, Ribavirin, Sustained Viral Response, Sofosbuvir

Abstract

Objective: To compare the Sustained viral response (SVR) in patients who had taken Sofosbuvir plus Ribavirin for 24 weeks and Sofosbuvir plus Daclatasvir for 12 weeks to treat hepatitis C. Study Design: Randomized Control Trial. Setting: Medical Division of Mayo Hospital, Lahore. Period: One Year duration, 2021. Material & Methods: 130 patients of chronic Hepatitis C were divided into two categories based on whether they met the inclusion requirements. In Group A patients used sofosbuvir plus ribavirin for six months, whereas patients of Group B took sofosbuvir plus daclatasvir for 3 months. In order to determine SVR, PCR for HCV RNA Quantitative was done at week twelve after completion of the course. SPSS 23.0 was applied to enter and analyze the data. Results: All cases had an average age of 48.80 + 16.63 years, whereas it was 48.09 +16.43 years for group A and 49.51+ 16.92 years for groups B. In group A, there were 39 cases (60%) of men and 26 cases (40%) of women, while in group B, there were 34 instances (52.3% men and 31 cases (47.7% women). SVR was attained in 34 (52.34%) of group A participants and 54 (83.12%) of group B participants (p-value of 0.001). Conclusion: Sof+Dacla group had significantly high SVR than Sof+Riba group especially in non-cirrhotic and treatment-naïve individuals.

Author Biographies

Malik Muhammad Waseem, Services Hospital, Lahore.

FCPS (Gastro), Senior Registrar, 

Irfan Younus, NSMC, ABSTH, Gujrat.

MD (Gastro), Assistant Professor Gastro, 

Muhammad Habib, Mayo Hospital, Lahore.

FCPS (Gastro), Medical Officer, EMW, 

Adnan Qadir, Islamic International Medical College, Rawalpindi.

FCPS (Gastro), Assistant Professor Gastro, 

Shahid Sarwar, SIMS, Lahore.

FCPS (Med), FCPS (Gastro), Professor Medicine, 

Zameer Butt, ABSTH, Gujrat.

FCPS (Med), Assistant Professor Medicine, 

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Published

2023-11-30