[Combined therapy with daclatasvir plus asunaprevir for chronic hepatitis C genotype 1b: a case report]

Sai-Nan Pi1, You-Peng Chen

  • 1Department of Infectious Diseases, First Affiliated Hospital of Jinan University, Guangzhou 510630, China.

Insights

Daclatasvir and asunaprevir combination therapy achieved a sustained viral response in a Chinese patient with chronic hepatitis C genotype 1b. This treatment led to a clinical cure, demonstrating its efficacy in this population.

Area of Science:

  • Hepatology
  • Virology
  • Pharmacology

Background:

  • Hepatitis C virus (HCV) genotype 1b is a significant global health concern.
  • Daclatasvir and asunaprevir combination therapy has shown efficacy in HCV genotype 1 treatment.
  • Limited data exists on this regimen for Chinese patients with chronic hepatitis C (CHC) genotype 1b.

Observation:

  • A 44-year-old Chinese female patient with CHC genotype 1b was treated with daclatasvir and asunaprevir for 24 weeks.
  • The patient experienced transient hyperbilirubinemia and mild anemia during therapy.
  • Hemoglobin levels fluctuated between 100 and 110 g/L.

Findings:

  • The patient achieved a sustained viral response (SVR) post-treatment.
  • Clinical cure was observed after the 24-week treatment course.
  • The regimen was effective despite transient laboratory abnormalities.

Implications:

  • This case suggests daclatasvir and asunaprevir is a viable treatment option for Chinese CHC genotype 1b patients.
  • Further research is warranted to confirm efficacy and safety in larger cohorts.
  • This regimen offers a potential therapeutic strategy for HCV genotype 1b in diverse populations.
Abstract