TABLE 2.
Total cohort | Clinical Trial Registry 1 e | Clinical Trial Registry 2 e | US Veterans Affairs b | Egypt a | UK b | Georgia a | Myanmar d | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Mean | SD | Mean | SD | Mean | SD | Mean | SD | Mean | SD | Mean | SD | Mean | SD | Mean | SD | |
Baseline VL (IU/ml), millions | 2.6 | 6.1 | 9.6 | 8.2 | 5.5 | 5.9 | 4.3 | 5.8 | 2.1 | 6.5 | 1.7 | 3.5 | 1.9 | 4.7 | 4.9 | 7.7 |
VL at 12‐week SVR (IU/ml), millions f | 1.8 | 5.5 | 6.5 | 7.5 | 4.2 | 6.4 | 2.7 | 6.2 | 1.6 | 5.9 | 1.1 | 2.5 | 0.9 | 2.6 | 1.7 | 2.8 |
VL at 12‐week SVR log (IU/ml) | 5.1 | 1.4 | 6.4 | 0.7 | 6.0 | 1.3 | 5.7 | 1.1 | 5.0 | 1.4 | 4.9 | 1.5 | 4.6 | 1.5 | 4.8 | 1.7 |
Treatment duration, days | 107 | 41 | NA | 99 | 44 | 98 | 29 | 106 | 37 | 86 | 17 | 126 | 56 | 84 | 0 |
n | % | Only RNA data | n | % | n | % | n | % | n | % | n | % | N | % | ||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Sample of post‐treatment viraemic patients | 5,973 | 100% | 68 | 100% | 173 | 100% | 1125 | 100% | 3264 | 100% | 131 | 100% | 1041 | 100% | 84 | 100% |
Demographic characteristics | ||||||||||||||||
Sex | ||||||||||||||||
Male | 4,344 | 73% | 158 | 91% | 1106 | 98% | 1943 | 60% | 113 | 86% | 892 | 86% | 82 | 98% | ||
Female | 1,561 | 26% | 15 | 9% | 19 | 2% | 1321 | 40% | 18 | 14% | 149 | 14% | 2 | 2% | ||
Age (years) | ||||||||||||||||
<60 | 3,880 | 65% | 126 | 73% | 252 | 22% | 2388 | 73% | 101 | 77% | 859 | 83% | 81 | 96% | ||
>60+ | 2,009 | 34% | 31 | 18% | 873 | 78% | 876 | 27% | 30 | 23% | 182 | 17% | 3 | 4% | ||
Missing | 16 | 0% | 16 | 9% | 0 | 0% | 0 | 0% | 0 | 0% | 0 | 0% | 0 | 0% | ||
HIV antibody coinfection | 154 | 3% | 13 | 8% | 38 | 3% | 0 | 0% | 7 | 5% | 0 | 0% | 75 | 89% | ||
HBsAg‐positive | 119 | 2% | 0 | 0% | 76 | 7% | 9 | 0% | 1 | 1% | 25 | 2% | 5 | 6% | ||
Disease characteristics | ||||||||||||||||
Fibrosis FIB4 | ||||||||||||||||
F0–F1 (FIB4 < 1.45) | 1,539 | 26% | 27 | 16% | 193 | 17% | 991 | 30% | 2 | 2% | 252 | 24% | 54 | 64% | ||
F2–F3 (3.25 ≥ FIB4 ≥ 1.45) | 1,764 | 30% | 50 | 29% | 403 | 36% | 967 | 30% | 15 | 11% | 294 | 28% | 21 | 25% | ||
F4 (FIB4 > 3.25) | 2,473 | 41% | 60 | 35% | 529 | 47% | 1294 | 40% | 74 | 56% | 486 | 47% | 9 | 11% | ||
Missing | 129 | 2% | 36 | 21% | 0 | 0% | 12 | 0% | 40 | 31% | 9 | 1% | 0 | 0% | ||
Genotype g | ||||||||||||||||
1a | 733 | 12% | 49 | 28% | 659 | 59% | 0 | 0% | 25 | 19% | 0 | 0% | 0 | 0% | ||
1b | 177 | 3% | 16 | 9% | 156 | 14% | 0 | 0% | 5 | 4% | 0 | 0% | 0 | 0% | ||
1 (unknown subtype) | 478 | 8% | 0 | 0% | 44 | 4% | 109 | 3% | 8 | 6% | 294 | 28% | 2 | 2% | ||
2 | 315 | 5% | 16 | 9% | 81 | 7% | 0 | 0% | 4 | 3% | 212 | 20% | 0 | 0% | ||
3 | 734 | 12% | 89 | 51% | 160 | 14% | 23 | 1% | 83 | 63% | 324 | 31% | 36 | 43% | ||
4 | 3,154 | 53% | 2 | 1% | 17 | 2% | 3132 | 96% | 3 | 2% | 0 | 0% | 0 | 0% | ||
5 | 2 | 0% | 1 | 1% | 1 | 0% | 0 | 0% | 0 | 0% | 0 | 0% | 0 | 0% | ||
6 | 30 | 1% | 0 | 0% | 1 | 0% | 0 | 0% | 0 | 0% | 0 | 0% | 0 | 0% | ||
Mixed genotype | 37 | 1% | 0 | 0% | 6 | 1% | 0 | 0% | 3 | 2% | 0 | 0% | 28 | 33% | ||
Unknown | 227 | 4% | 0 | 0% | 0 | 0% | 0 | 0% | 0 | 0% | 211 | 20% | 0 | 0% | ||
Treatment characteristics | ||||||||||||||||
Treatment duration | ||||||||||||||||
6/8 weeks h | 46 | 1% | 41 | 24% | 0 | 0% | 0 | 0% | 5 | 4% | 0 | 0% | 0 | 0% | ||
12 weeks | 4,197 | 70% | 77 | 45% | 886 | 79% | 2406 | 74% | 106 | 81% | 563 | 54% | 84 | 100% | ||
16 or 20 weeks | 187 | 3% | 17 | 10% | 97 | 9% | 0 | 0% | 1 | 1% | 72 | 7% | 0 | 0% | ||
24 weeks | 1,423 | 24% | 37 | 21% | 142 | 13% | 858 | 26% | 4 | 3% | 370 | 36% | 0 | 0% | ||
48 weeks | 37 | 1% | 1 | 1% | 0 | 0% | 0 | 0% | 0 | 0% | 36 | 3% | 0 | 0% | ||
Missing | 15 | 0% | 0 | 0% | 0 | 0% | 0 | 0% | 15 | 11% | 0 | 0% | 0 | 0% | ||
DAA era i | ||||||||||||||||
Early | 1,613 | 27% | 83 | 48% | 146 | 13% | 878 | 27% | 3 | 2% | 488 | 47% | 0 | 0% | ||
Mid | 3,918 | 66% | 22 | 13% | 798 | 71% | 2386 | 73% | 123 | 94% | 517 | 50% | 0 | 0% | ||
Recent | 374 | 6% | 68 | 39% | 181 | 16% | 0 | 0% | 5 | 4% | 36 | 3% | 84 | 100% |
Ukraine e | Cambodia c | Mozambique c | Pakistan c | |||||
---|---|---|---|---|---|---|---|---|
Mean | SD | Mean | SD | Mean | SD | Mean | SD | |
Baseline VL (IU/ml), millions | 3.3 | 4.2 | 3.5 | 5.3 | 0.7 | 1.0 | 0.3 | 0.2 |
VL at 12‐week SVR (IU/ml), millions f | 2.0 | 3.2 | 2.7 | 4.7 | 0.3 | 0.5 | 0.5 | 0.7 |
VL at 12‐week SVR log (IU/ml) | 4.7 | 1.9 | 5.4 | 1.5 | 3.9 | 2.3 | 4.9 | 1.3 |
Treatment duration, days | 84 | 0 | 84 | 0 | 84 | 0 | 121 | 43 |
n | % | n | % | n | % | n | % | |
---|---|---|---|---|---|---|---|---|
Sample of post‐treatment viraemic patients | 17 | 100% | 40 | 100% | 3 | 100% | 27 | 100% |
Demographic characteristics | ||||||||
Sex | ||||||||
Male | 11 | 65% | 26 | 65% | 3 | 100% | 10 | 37% |
Female | 6 | 35% | 14 | 35% | 0 | 0% | 17 | 63% |
Age (years) | ||||||||
<60 | 17 | 100% | 28 | 70% | 3 | 100% | 25 | 93% |
60+ | 0 | 0% | 12 | 30% | 0 | 0% | 2 | 7% |
Missing | 0 | 0% | 0 | 0% | 0 | 0% | 0 | 0% |
HIV antibody coinfection | 13 | 76% | 5 | 13% | 3 | 100% | 0 | 0% |
HBsAg‐positive | 2 | 12% | 1 | 3% | 0 | 0% | 0 | 0% |
Disease characteristics | ||||||||
Fibrosis FIB4 | ||||||||
F0–F1 (FIB4 < 1.45) | 13 | 76% | 4 | 10% | 3 | 100% | 0 | 0% |
F2–F3 (3.25 ≥ FIB4 ≥ 1.45) | 3 | 18% | 10 | 25% | 0 | 0% | 1 | 4% |
F4 (FIB4 > 3.25) | 1 | 6% | 19 | 48% | 0 | 0% | 1 | 4% |
Missing | 0 | 0% | 7 | 18% | 0 | 0% | 25 | 93% |
Genotype g | ||||||||
1a | 0 | 0% | 0 | 0% | 0 | 0% | 0 | 0% |
1b | 0 | 0% | 0 | 0% | 0 | 0% | 0 | 0% |
1 (unknown subtype) | 10 | 59% | 10 | 25% | 1 | 33% | 0 | 0% |
2 | 0 | 0% | 1 | 3% | 0 | 0% | 1 | 4% |
3 | 7 | 41% | 0 | 0% | 0 | 0% | 12 | 44% |
4 | 0 | 0% | 0 | 0% | 0 | 0% | 0 | 0% |
5 | 0 | 0% | 0 | 0% | 0 | 0% | 0 | 0% |
6 | 0 | 0% | 29 | 73% | 0 | 0% | 0 | 0% |
Mixed genotype | 0 | 0% | 0 | 0% | 0 | 0% | 0 | 0% |
Unknown | 0 | 0% | 0 | 0% | 2 | 67% | 14 | 52% |
Treatment characteristics | ||||||||
Treatment duration | ||||||||
6/8 weeks h | 0 | 0% | 0 | 0% | 0 | 0% | 0 | 0% |
12 weeks | 17 | 100% | 40 | 100% | 3 | 100% | 15 | 56% |
16 or 20 weeks | 0 | 0% | 0 | 0% | 0 | 0% | 0 | 0% |
24 weeks | 0 | 0% | 0 | 0% | 0 | 0% | 12 | 44% |
48 weeks | 0 | 0% | 0 | 0% | 0 | 0% | 0 | 0% |
Missing | 0 | 0% | 0 | 0% | 0 | 0% | 0 | 0% |
DAA era i | ||||||||
Early | 0 | 0% | 0 | 0% | 0 | 0% | 15 | 56% |
Mid | 17 | 100% | 40 | 100% | 3 | 100% | 12 | 44% |
Recent | 0 | 0% | 0 | 0% | 0 | 0% | 0 | 0% |
Abbreviations: DAA, direct‐acting antiviral; FIB4, fibrosis 4; HBsAg, hepatitis B virus surface antigen; HIV, human immunodeficiency virus; SD, standard deviation; SVR, sustained virologic response; VL, viral load.
Registries from country‐wide national HCV ministries of health.
Large health care systems.
Non‐governmental organizations with programmatic data including across multiple countries.
Specific funded research projects.
Clinical trial registries from two large pharmaceutical companies (Gilead and AbbVie).
Genotype is imputed for Egypt based on previously identified distributions; the majority are genotype 4, and genotyping is no longer undertaken routinely.
4 individuals had 6 weeks of treatment in a clinical trial.
Early era DAAs (sofosbuvir/ribavirin and sofosbuvir/simeprevir with or without ribavirin), mid‐era (sof/daclatasvir, sof/ledipasvir and elbasvir/grazoprevir‐, or ombitasvir/paritaprevir‐containing regimens) and recent era (glecaprevir/pibrentasvir and sof/velpatasvir regimens).
Three individuals had a recorded VL > 1,000,000,000 and were not included in the mean due to likely data entry error.