Summary: Treatment-Naive Genotype 1a With Compensated Cirrhosis
Recommended regimens listed by evidence level and alphabetically for:
Treatment-Naive Genotype 1a Patients With Compensated Cirrhosisa
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RECOMMENDED
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DURATION
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RATING
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Daily fixed-dose combination of elbasvir (50 mg)/grazoprevir (100 mg) for patients without baseline NS5A RASsb for elbasvir
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12 weeks
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I, A
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Daily fixed-dose combination of ledipasvir (90 mg)/sofosbuvir (400 mg)
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12 weeks
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I, A
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Daily fixed-dose combination of sofosbuvir (400 mg)/velpatasvir (100 mg)
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12 weeks
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I, A
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Daily fixed-dose combination of glecaprevir (300 mg)/pibrentasvir (120 mg)c
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8 weeks
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I, B
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a For decompensated cirrhosis, please refer to the appropriate section.
b Includes genotype 1a RASs at amino acid position 28, 30, 31, or 93 known to confer antiviral resistance. If 1 or more RASs are present, another recommended regimen should be used.
c Dosing is 3 coformulated tablets (glecaprevir [100 mg]/pibrentasvir [40 mg]) taken once daily. Please refer to the prescribing information. For patients with HIV/HCV coinfection, a treatment duration of 12 weeks is recommended.
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