Juan A. Pineda Profile picture
Profesor Titular de Medicina jubilado. Investigador Honorario de la Universidad de Sevilla. Pedalista entusiasta. Visueño y sevillista.

Apr 10, 2018, 5 tweets

#easl guidelines for #HCV therapy available at journal-of-hepatology.eu/article/S0168-…

Surprising recommendations for #HCV genotype 3. G/P 8 weeks for all non cirrhotic patients, irrespective RAS, HCV-RNA and fibrosis is difficult to understand, considering the results of ENDURANCE-3 trial (SVR 89% if F3, 88% if VL>=6MU and 75% with A30K) nejm.org/doi/full/10.10…

Conversely, SOF/VEL is not recommended in GT3 with cirrhosis, in spite of the fact that SVR was 91% in the Spanish study (PS-035 at this meeting) in the overall population and 96% in those with prior expericiece ilc-congress.eu/wp-content/upl…

It will be interesting to hear from @JMPawlotsky why the criteria used for both combinations were so different, but this is no good for the credibility of these guidelines

The recommendation of EBR/GZR 8 w for GT1b, despite only preliminary data being reported, and 3D 8w, a combination with more interactions and a more complicated dosing schedule, at the same level than G/P, SOF/LDV or SOF/VEL is also difficult to justify

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