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Information Journal Paper

Title

Sofosbuvir and Ribavirin with or Without Pegylated-Interferon in Hepatitis C Virus Genotype-2 or-3 Infections: A Systematic Review and Meta-Analysis

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Abstract

 Background: Direct-acting antiviral agents (DAAs) have changed the treatment landscape of Hepatitis C virus (HCV) infection. Sofosbuvir (SOF), as a DAA inhibiting HCV NS5B polymerase, has found a remarkable contribution to the treatment regimens of HCV genotype-2 (HCV-2) and-3 infections. Objectives: In this Meta-Analysis, we aimed to evaluate the effi cacy of the combination of SOF and Ribavirin (RBV) with or without Pegylated-Interferon (PegIFN) in the treatment of HCV-2 and-3 infections. Methods: In this Meta-Analysis, we searched electronic databases including PubMed, Scopus, ScienceDirect, and Web of Science using appropriate and relevant keywords. Based on the results of the heterogeneity test (chi-squared and I-squared), fi xed-or randomeff ects models were used to calculate the pooled sustained virological response (SVR) rates. Results: After removing duplicates and screening of 1408 articles, 16 studies were included in the quantitative synthesis. The pooled SVR rates calculated for the treatment of patients suff ering HCV-2 infection were 91. 2% (95% CI: 86. 6%-95. 8%) using the SOF + RBV regimen for 12 weeks and 92. 6% (95% CI: 87. 1%-98. 1%) using the SOF + RBV + PegIFN regimen for 12 weeks. The pooled SVR calculated for the treatment of patients suff ering HCV-3 infection was 53. 1% (95% CI: 41%-65. 1%) using the SOF + RBV regimen for 12 weeks, 81. 6% (95% CI: 74. 4%-88. 7%) using the SOF + RBV regimen for 24 weeks, and 93. 8% (95% CI: 86. 9%-100%) using the SOF + RBV + PegIFN regimen for 12 weeks. Conclusions: The combination of SOF and BV with or without PegIFN for 12 weeks is highly effi cacious (> 90%) for the treatment of patients with HCV-2 infection. However, for the treatment of patients with HCV-3 infection only would 12 weeks of SOF + PegIFN + RBV result in > 90% treatment success.

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    APA: Copy

    SHARAFI, HEIDAR, BEHNAVA, BITA, & ALAVIAN, SEYED MOAYED. (2019). Sofosbuvir and Ribavirin with or Without Pegylated-Interferon in Hepatitis C Virus Genotype-2 or-3 Infections: A Systematic Review and Meta-Analysis. ARCHIVES OF CLINICAL INFECTIOUS DISEASES, 14(1), 0-0. SID. https://sid.ir/paper/745423/en

    Vancouver: Copy

    SHARAFI HEIDAR, BEHNAVA BITA, ALAVIAN SEYED MOAYED. Sofosbuvir and Ribavirin with or Without Pegylated-Interferon in Hepatitis C Virus Genotype-2 or-3 Infections: A Systematic Review and Meta-Analysis. ARCHIVES OF CLINICAL INFECTIOUS DISEASES[Internet]. 2019;14(1):0-0. Available from: https://sid.ir/paper/745423/en

    IEEE: Copy

    HEIDAR SHARAFI, BITA BEHNAVA, and SEYED MOAYED ALAVIAN, “Sofosbuvir and Ribavirin with or Without Pegylated-Interferon in Hepatitis C Virus Genotype-2 or-3 Infections: A Systematic Review and Meta-Analysis,” ARCHIVES OF CLINICAL INFECTIOUS DISEASES, vol. 14, no. 1, pp. 0–0, 2019, [Online]. Available: https://sid.ir/paper/745423/en

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