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Email this article Regression of hepatocellular carcinoma and increase overall survival in patients treated with ledipasvir/sofosbuvir for hepatitis C virus infection: real-life single-center experience
Abstract
Background: Chronic hepatitis C induced liver cirrhosis is one of the main causes of the Hepatocellular carcinoma (HCC). There are controversial data about the effects of the different anti-hepatitis C virus treatment regiments on the risk of development and prognosis of HCC. Furthermore, there is not any data about HCC prognosis in patients who undergoes viral eradication therapy. Recently, “Nationwide hepatitis C elimination program” was launched in Georgia. According to the protocol, patients with HCC also are included in the program.
Aim: The goal of the study was to determine the effect of the Ledipasvir/Sofosbuvir on HCCregression, disease free and Overall Survivals in Patients with Hepatitis C Virus
Methods: Patients were enrolled in a period of January – December 2015 year (n=6). Inclusion criteria – diagnosis of HCC or HCC recurrence and HCV-related cirrhosis who had been selected for surgical resection at the beginning of Led/Sof therapy. Clinical monitoring and management of adverse events were performed at a regular base.
Results: Our data show that in the treatment group early phase (12 months) intrahepatic recurrence rate is less than in control data, but without statistical significance (40% versus 50%, p=0.747). Improvement of late survival (maximum observation time 36 month) is more evident - (40% versus 50%, p=0.12), but still failed to reach statistical significance.
Overall survival was significantly higher. In the treatment group mean overall survival was 34.0±2.0 month in comparison with the control group - 25.2±3.6, P<0.05. In one case regression of the size of the recurred tumour were observed.
Conclusions: Antiviral treatment can be included in the management of HCV patients with HCC. It may have additional benefits, in terms of improvement of overall and recurrence-free survival in cancer patients. Antiviral treatment could be indicated in the subgroup of patients with HCV-pure infection in whom recurrences can be significantly reduced. Also considering that our investigation is based on a small group of the patients, Further study on should be made in larger cohorts. Also, it will be valuable to explain mechanisms of the effect of the Ledipasvir/sofosbuvir on cancer regression.
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DOI: http://dx.doi.org/10.29088/TCM-GMJ.2018-2.31
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ISSN: 2346-8491 (online)