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dc.rights.licenseopenen_US
dc.contributor.authorSALMON, D.
dc.contributor.authorTRIMOULET, P.
dc.contributor.authorGILBERT, C.
dc.contributor.authorSOLAS, C.
dc.contributor.authorLAFOURCADE, E.
dc.contributor.authorCHAS, J.
dc.contributor.authorPIROTH, L.
dc.contributor.authorLACOMBE, K.
dc.contributor.authorKATLAMA, C.
dc.contributor.authorPEYTAVIN, G.
dc.contributor.authorAUMAITRE, H.
dc.contributor.authorALRIC, L.
dc.contributor.authorBOUE, F.
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorMORLAT, Philippe
dc.contributor.authorPOIZOT-MARTIN, I.
dc.contributor.authorBILLAUD, E.
dc.contributor.authorROSENTHAL, E.
dc.contributor.authorNAQVI, A.
dc.contributor.authorMIAILHES, P.
dc.contributor.authorBANI-SADR, F.
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorESTERLE, Laure
dc.contributor.authorCARRIERI, P.
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorDABIS, Francois
dc.contributor.authorSOGNI, P.
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorWITTKOP, Linda
dc.date.accessioned2021-01-04T14:32:00Z
dc.date.available2021-01-04T14:32:00Z
dc.date.issued2018-11-27
dc.identifier.issn1948-5182 (Print)en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/23625
dc.description.abstractEnAIM: To describe factors associated with treatment failure and frequency of resistance-associated substitutions (RAS). METHODS: Human immunodeficiency virus (HIV)/hepatitis C virus (HCV) coinfected patients starting a first direct-acting antiviral (DAA) regimen before February 2016 and included in the French ANRS CO13 HEPAVIH cohort were eligible. Failure was defined as: (1) non-response [HCV-RNA remained detectable during treatment, at end of treatment (EOT)]; and (2) relapse (HCV-RNA suppressed at EOT but detectable thereafter). Sequencing analysis was performed to describe prevalence of drug class-specific RAS. Factors associated with failure were determined using logistic regression models. RESULTS: Among 559 patients, 77% had suppressed plasma HIV-RNA < 50 copies/mL at DAA treatment initiation, 41% were cirrhotic, and 68% were HCV treatment-experienced. Virological treatment failures occurred in 22 patients and were mainly relapses (17, 77%) then undefined failures (3, 14%) and non-responses (2, 9%). Mean treatment duration was 16 wk overall. Post-treatment NS3, NS5A or NS5B RAS were detected in 10/14 patients with samples available for sequencing analysis. After adjustment for age, sex, ribavirin use, HCV genotype and treatment duration, low platelet count was the only factor significantly associated with a higher risk of failure (OR: 6.5; 95%CI: 1.8-22.6). CONCLUSION: Only 3.9% HIV-HCV coinfected patients failed DAA regimens and RAS were found in 70% of those failing. Low platelet count was independently associated with virological failure.
dc.language.isoENen_US
dc.subject.enCREDIM
dc.subject.enMORPH3Eus
dc.subject.enANRS CO13 HEPAVIH
dc.title.enFactors associated with DAA virological treatment failure and resistance-associated substitutions description in HIV/HCV coinfected patients
dc.title.alternativeWorld J Hepatolen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.4254/wjh.v10.i11.856en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed30533186en_US
bordeaux.journalWorld journal of hepatologyen_US
bordeaux.page856-866en_US
bordeaux.volume10en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - U1219en_US
bordeaux.issue11en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.teamCREDIMen_US
bordeaux.teamMORPH3Eusen_US
bordeaux.teamANRS CO13 HEPAVIHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.exportfalse
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