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The Alaska Native/American Indian experience of hepatitis C treatment with sofosbuvir-based direct-acting antivirals

PLoS Neglected Tropical Diseases Dec 08, 2021

Townshend-Bulson L, Roik E, Barbour Y, et al. - The safety, tolerability, and efficacy outcomes of sofosbuvir- based regimens for treatment of HCV were evaluated in Alaska Native/American Indian (AN/AI) people in a real life setting.

  • Within the Alaska Tribal Health System, a total of 501 AN/AI patients with a mean age of 54.3 (range 21.3–78.3) with confirmed positive anti-HCV and HCV RNA were included in the study.

  • Overall, 95.2% of patients, who received one of the three DAA regimens, achieved SVR.

  • Overall SVR was 92.8% for those with cirrhosis, and 91.1% for those with genotype 3.

  • Sofosbuvir-based treatment is identified as safe, effective, and well tolerated in AN/AI patients in this real-world setting.

  • Regardless of HCV genotype or cirrhosis status, high sustained virologic response was observed.

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