Table 1.
Regimen | Duration | Side effects | Contraindications | Characteristics that decrease SVR |
---|---|---|---|---|
Peg-IFN + Ribavirin | 48 weeks | Fatigue 65 % Headache 43 % Pyrexia 41 % Myalgia 40 % Anxiety 33 % Alopecia 28 % Neutropenia 27 % Rigors 25 % Depression 20 % |
Child-Pugh B or C Autoimmune hepatitis Pregnancy or a pregnant partner Neuropsychiatric illness |
HIV co-infection Black IL28B-nonCC Cirrhosis |
Peg-IFN + Ribavirin + Telaprevir | 24 weeks | As above plus Rash 56 % Pruritis 47 % Nausea 39 % Anemia 36 % |
Child-Pugh B or C Autoimmune hepatitis Pregnancy or a pregnant partner Neuropsychiatric illness |
HIV co-infection Black IL28B-nonCC Cirrhosis |
Ledipasvir/Sofosbuvir (Harvoni) | 12 weeks or 24 weeks | Headache 14 % Fatigue 13 % Nausea 7 % Insomnia 5 % Diarrhea 3 % |
Severe renal impairment | None |
Ombitasvir/Paritaprevir/ritonavir/Dasabuvir (Viekira Pak) Ribavirin | 12 weeks | Fatigue 34 % Nausea 22 % Pruritis 18 % Skin reactions 16 % Insomnia 14 % Asthenia 14 % |
Severe hepatic impairment Pregnancy or a pregnant partner |
None |
Grazoprevir/Elbasvir (Zepatier) +/- Ribavirin | 12 weeks or 16 weeks |
Fatigue 5 % Abdominal pain 2 % Diarrhea 2 % Depression 1 % Irritability 1 % |
Child-Pugh B or C In patients on Ribavirin: Pregnancy or a pregnant partner |
Baseline NS5A polymorphisms |
Above data from package inserts for products