Table 1.
Genotype 1a | |
Treatment Naive | |
Ledipasvir 90 mg/sofosbuvir 400 mg daily | 12 weeks |
Paritaprevir 150 mg/ritonavir 100 mg/ombitasvir 25 mg daily + dasabuvir 250 mg BID + WB ribavirin 1000/1200 mg | 12 weeks |
Sofosbuvir 400 mg + simeprevir 150 mg ± WB ribavirin 1000/1200 mg | 12 weeks |
Treatment Naive + Cirrhosis | |
Paritaprevir 150 mg/ritonavir 100 mg/ombitasvir 25 mg daily + dasabuvir 250 mg BID + WB ribavirin 1000/1200 mg | 24 weeks |
Sofosbuvir 400 mg + simeprevir 150 mg ± WB ribavirin 1000/1200 mg | 24 weeks |
Treatment Failure: PEG-IFN and Ribavirin | |
Ledipasvir 90 mg/sofosbuvir 400 mg daily | 12 weeks |
Paritaprevir 150 mg/ritonavir 100 mg/ombitasvir 25 mg daily + dasabuvir 250 mg BID + WB ribavirin 1000/1200 mg | 12 weeks |
Sofosbuvir 400 mg + simeprevir 150 mg ± WB ribavirin 1000/1200 mg | 12 weeks |
Treatment Failure: Sofosbuvir | |
Without advanced fibrosis: defer treatment | |
Treatment Failure: PEG-IFN, Ribavirin, PI | |
Ledipasvir 90 mg/sofosbuvir 400 mg daily | 12 weeks |
Treatment Failure: PEG-IFN and Ribavirin + Cirrhosis | |
Ledipasvir 90 mg/sofosbuvir 400 mg daily | 24 weeks |
Ledipasvir 90 mg/sofosbuvir 400 mg daily + WB ribavirin 1000/1200 mg | 12 weeks |
Paritaprevir 150 mg/ritonavir 100 mg/ombitasvir 25 mg daily + dasabuvir 250 mg BID + WB ribavirin 1000/1200 mg | 24 weeks |
Sofosbuvir 400 mg + simeprevir 150 mg ± WB ribavirin 1000/1200 mg | 24 weeks |
Treatment Failure: Sofosbuvir + Cirrhosis | |
Advanced fibrosis: ledipasvir 90 mg/sofosbuvir 400 mg daily ± WB ribavirin 1000/1200 mg | 24 weeks |
Treatment Failure: PEG-IFN, Ribavirin, PI + Cirrhosis | |
Ledipasvir 90 mg/sofosbuvir 400 mg daily | 24 weeks |
Ledipasvir 90 mg/sofosbuvir 400 mg daily + WB ribavirin 1000/1200 mg | 12 weeks |
Genotype 1b | |
Treatment Naive | |
Ledipasvir 90 mg/sofosbuvir 400 mg daily | 12 weeks |
Paritaprevir 150 mg/ritonavir 100 mg/ombitasvir 25 mg daily + dasabuvir 250 mg BID | 12 weeks |
Sofosbuvir 400 mg + simeprevir 150 mg | 12 weeks |
Treatment Naive + Cirrhosis | |
Paritaprevir 150 mg/ritonavir 100 mg/ombitasvir 25 mg daily + dasabuvir 250 mg BID + WB ribavirin 1000/1200 mg | 12 weeks |
Sofosbuvir 400 mg + simeprevir 150 mg | 24 weeks |
Treatment Failure: PEG-IFN and Ribavirin | |
Ledipasvir 90 mg/sofosbuvir 400 mg daily | 12 weeks |
Paritaprevir 150 mg/ritonavir 100 mg/ombitasvir 25 mg daily + dasabuvir 250 mg BID | 12 weeks |
Sofosbuvir 400 mg + simeprevir 150 mg ± WB ribavirin 1000/1200 mg | 12 weeks |
Treatment Failure: Sofosbuvir | |
Without advanced fibrosis: defer treatment | |
Treatment Failure: PEG-IFN, Ribavirin, PI | |
Ledipasvir 90 mg/sofosbuvir 400 mg daily | 12 weeks |
Treatment Failure: PEG-IFN and Ribavirin + Cirrhosis | |
Ledipasvir 90 mg/sofosbuvir 400 mg daily | 24 weeks |
Ledipasvir 90 mg/sofosbuvir 400 mg daily + WB ribavirin 1000/1200 mg | 12 weeks |
Paritaprevir 150 mg/ritonavir 100 mg/ombitasvir 25 mg daily + dasabuvir 250 mg BID + WB ribavirin 1000/1200 mg | 12 weeks |
Sofosbuvir 400 mg + simeprevir 150 mg ± WB ribavirin 1000/1200 mg | 24 weeks |
Treatment Failure: Sofosbuvir + Cirrhosis | |
Advanced fibrosis: ledipasvir 90 mg/sofosbuvir 400 mg daily ± WB ribavirin 1000/1200 mg | 24 weeks |
Treatment Failure: PEG-IFN, Ribavirin, PI + Cirrhosis | |
Ledipasvir 90 mg/sofosbuvir 400 mg daily | 24 weeks |
Ledipasvir 90 mg/sofosbuvir 400 mg daily + WB ribavirin 1000/1200 mg | 12 weeks |
PEG-IFN, pegylated interferon; PI, protease inhibitor; WB, weight-based. WB ribavirin: <75 kg=1000 mg, ≥75 kg=1200 mg.