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1106A AASLD ABSTRACTS HEPATOLOGY, October, 2015 75% were male, 84% were black, 91% were GT 1, 19% had >5% steatosis, and 31% had AF. 155 pts (46%) were being treated with a PI: Atazanavir (n=40), Kaletra (n=40), Indinavir (n=15), Nelfinavir (n=34), Darunavir (n=6), and other (n=20). The prevalence of HB (range 1.3 to 9.4 mg/dL) was 15.4%. Those with HB had higher AST (132 vs 75; p
HEPATOLOGY, VOLUME 62, NUMBER 1 (SUPPL) AASLD ABSTRACTS 1107A of increasing the number of PWIDs treated with new oral DAAs was considered, including the annual number needed to treat in order to reduce the HCV-infected PWID population by 2030. Results: If the current transmission paradigm continues, there are projected to be 3,620 HCV infected PWIDs in 2030. Annually treating 40 HCV-infected PWIDs with new oral DAAs (1% of HCV-infected PWID population in 2014) resulted in a 5% reduction in HCV-infected PWIDs by 2030, while annual treatment of 200 PWIDs (5% of 2014 population) resulted in a reduction of over 25% by 2030. Treating 387 PWIDs annually (17% of 2014 population) resulted in a >90% reduction in HCV-infected PWIDs by 2030. Targeting treatment to PWIDs engaged in OST and NEP would provide the greatest reduction in prevalence for the number of individuals treated (2.2 treated in OST/NEP to reduce prevalence by 1, as compared with 6.8 treated in the general population). Conclusions: The results show that treating yet a small amount of PWIDs resulted in substantial decreases in the HCV infected PWID population by 2030. Furthermore, the relative impact of treatment was greatest when focused on the population engaged in OST and NEP. Treatment is expected to increase the rate of reinfection; however, reinfection will decline as HCV prevalence decreases. This analysis supports the implementation of a screening and treatment strategy among PWIDs when combined with an expansion of harm reduction programs. Disclosures: Stefan Bourgeois - Advisory Committees or Review Panels: AbbVIe, Gilead; Consulting: Roche, MSD; Speaking and Teaching: Janssen, BMS Sarah Blach - Employment: Center for Disease Analysis Homie Razavi - Management Position: Center for Disease Analysis Geert Robaeys - Advisory Committees or Review Panels: Gilead; Speaking and Teaching: Merck, Janssens The following authors have nothing to disclose: Catharina Mathei, Christian Brixko, Jean-Pierre Mulkay, Thomas Sersté 1843 Non-Invasive Fibrosis Scores: Do They Predict Antiviral Treatment Response, Decompensation, Hepatocellular Carcinoma and Significant Liver Related Adverse Events in Chronic Hepatitis C? Ragesh B. Thandassery 1 , Madiha E. Soofi 1 , Anil John 1 , Samir S. Nairat 1 , Abdulrahman A. Alfadda 2 , Saad R. Al Kaabi 1 ; 1 Hamad Medical Corporation, Doha, Qatar; 2 King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia Background The role of non-invasive liver fibrosis scores (NIF) in predicting antiviral treatment (AVT) response and post treatment significant liver related events (SLRE) in chronic hepatitis C (CHC) is less studied. Aim To compare 12 simple NIF, derived from routine blood investigations, for predicting response to AVT and SLRE. Methods 1605 patients underwent liver biopsy (LB, Scheuer classification) and received AVT (pegylated interferon and ribavirin). 12 NIF [AST-platelet count ratio index (APRI), Fibrosis-4 (FIB-4) score, Lok score, GUCI score, Fibroalpha score, modified APRI, King score, AST-ALT ratio (AAR), Fibrosis Index (FI), Fibro score, Fibrosis cirrhosis index (FCI) and Globulin platelet index (GPI)] were calculated prior to AVT. AUROCs were calculated for each of these NIF for predicting non-response to AVT and development of SLRE (defined as development of any event requiring intervention; decompensation and hepatocellular carcinoma, HCC) on follow-up Results Mean age 41.9years, predominantly genotype 4(65%).1089(67.8%) were responders, 482(30%) non responders and 34(2.1%) relapsers. After median follow-up of 6580.5 patient-years; 52(3.2%) had decompensation (bleed- 9, ascites-39, jaundice-22, hepatic encephalopathy-7, spontaneous bacterial peritonitis-10, hepatorenal syndrome-4), 11(0.7%) had HCC and 60(3.7%) had SLRE. The predictive accuracy of NIF and LB for non-response to AVT was low. FibroQ, King score and FIB-4 showed high accuracy for predicting adverse events. For predicting decompensation, HCC and SLRE, FibroQ (0.88), King score (0.90) and FibroQ (0.87) had highest AUROC respectively. Conclusions Predictive accuracy of NIF for non-response to treatment was low. Some NIF have high accuracy for predicting development of decompensation, HCC and SLRE on follow-up. Application of these simple scores can improve assessment of liver prognosis in patients treated for CHC. Non-invasive scores in predicting post treatment events * AUROC(95% Confidence interval) Disclosures: The following authors have nothing to disclose: Ragesh B. Thandassery, Madiha E. Soofi, Anil John, Samir S. Nairat, Abdulrahman A. Alfadda, Saad R. Al Kaabi
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1000A AASLD ABSTRACTS HEPATOLOGY, O
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1312A AUTHOR INDEX HEPATOLOGY, Octo
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1366A CATEGORY INDEX HEPATOLOGY, Oc
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