Treatment of early stage chronic hepatitis C virus infection

Francesca Romana Ponziani1, Luca Miele1, Annalisa Tortora1

  • 1a Internal Medicine, Gastroenterology and Hepatology Unit, Fondazione Policlinico "A. Gemelli" , Catholic University of Rome , Rome , Italy.

Insights

Treating early-stage Hepatitis C Virus (HCV) infection with direct-acting antivirals (DAAs) offers significant benefits beyond liver health. Early intervention improves extra-hepatic conditions and quality of life, making it a rewarding approach.

Area of Science:

  • Hepatology
  • Virology
  • Pharmacoeconomics

Background:

  • Hepatitis C Virus (HCV) infection is effectively treated with direct-acting antivirals (DAAs), achieving high cure rates.
  • The primary barrier to widespread HCV treatment is the high cost of DAAs.
  • Early-stage treatment of HCV infection is increasingly recognized as a highly beneficial strategy.

Purpose of the Study:

  • To review the advantages of treating chronic HCV infection during its early stages.
  • To assess considerations for initiating HCV treatment in patients with minimal liver disease.
  • To evaluate the impact of viral eradication on extra-hepatic manifestations and quality of life.

Main Methods:

  • Literature review focusing on early-stage HCV treatment benefits.
  • Analysis of HCV-associated conditions affected by viral eradication.
  • Evaluation of pharmaco-economic data related to early HCV treatment.

Main Results:

  • HCV viral eradication in early disease positively impacts lymphoma risk, insulin resistance, glycemic control, and renal function.
  • Early treatment leads to improvements in patients' overall quality of life.
  • Pharmaco-economic analysis supports the cost-effectiveness of early HCV intervention.

Conclusions:

  • Treating HCV in patients with minimal liver disease yields pleiotropic benefits extending beyond liver outcomes.
  • Early HCV treatment is a clinically and economically advantageous strategy.
  • Viral eradication offers a comprehensive approach to managing HCV and its associated comorbidities.
Abstract

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