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Management of DAAs Failure

If you have failure of plan A in treating a patient with chronic hepatitis C. What's your plan B

If you have failure of plan A in treating a patient with chronic hepatitis C. What's your plan B

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Treatment recommendations for retreatment <strong>of</strong><br />

HCV who failed to achieve SVR on prior antiviral<br />

therapy containing one or several <strong>DAAs</strong><br />

‡<br />

‡<br />

Patients who failed to achieve SVR with a PegIFN-α and telaprevir, or boceprevir, or simeprevir<br />

GT1<br />

LDV/SOF<br />

12 weeks +<br />

RBV<br />

SOF/VEL<br />

12 weeks +<br />

RBV<br />

OBV/PTV/<br />

RTV + DSV<br />

OBV/PTV/<br />

RTV<br />

- - -<br />

GZR/EBR SOF + DCV SOF + SMV<br />

12 weeks<br />

+ RBV<br />

-<br />

Patients who failed to achieve SVR with a SOF + SMV<br />

LDV/SOF<br />

SOF/VEL<br />

OBV/PTV/<br />

RTV + DSV<br />

OBV/PTV/<br />

RTV<br />

GZR/EBR SOF + DCV SOF + SMV<br />

GT1<br />

or<br />

GT4<br />

12 weeks +<br />

RBV (F0-F2)<br />

or<br />

24 weeks +<br />

RBV (F3-F4)<br />

12 weeks +<br />

RBV (F0-F2)<br />

or<br />

24 weeks +<br />

RBV (F3-F4)<br />

- - -<br />

12 weeks + RBV<br />

(F0-F2) or<br />

24 weeks + RBV<br />

(F3-F4)<br />

-<br />

•EASL Recommendations on Treatment <strong>of</strong> Hepatitis C 2016; Journal <strong>of</strong> Hepatology 2016<br />

http://dx.doi.org/10.1016/j.jhep.2016.09.001 (Accessed September 2016)

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