Page 115 - Read Online
P. 115

Zanetto et al. Hepatoma Res 2018;4:70  I  http://dx.doi.org/10.20517/2394-5079.2018.102                                           Page 5 of 16


               Table 2. Hepatocellular carcinoma recurrence after direct-acting antiviral agents treatment
                                                                                                    Time
                                                                                                    be-
                                                                                                    tween
                Authors, year  Type of      Cirrhotic   Child-  Control   Fol-          Time between   DAA
                                                                      low-up  HCC recur-
                                                                                        last HCC treat-
                                                                                                    treat-
                             study  Patients  patients   Pugh  %  group  (me-  rence rates  ment and DAA   ment
                                            (%)
                                                                      dian)             start       and
                                                                                                    HCC
                                                                                                    recur-
                                                                                                    rence
                Reig et al. [35] ,   Retro-  58  94.8  CTPA   91  -   5.7 mo 28%       11.2 mo     3.5 mo
                2016         spective              CTPB   5.4                          (8.7 mo in patients  after
                                                   CTPC  3.6                           with recurrence,   DAA
                                                                                       15 mo in those   start
                                                                                       without)
                Conti et al. [37] ,   Retro-  59  100  CTPA  88.7  -  6 mo  28.8%      376 days (446 days  NA
                2016         spective              CTPB  11.3                          in patients with re-
                                                                                       currence, 360 days
                                                                                       in those without)
                ANRS collabora-  Retro-  189  85   NA     -   Untreated  20 mo 0.73/100   NA       NA
                tive study group on  spective                              person-month
                hepatocellular   HEP-                                      (P = 0.87 vs.
                carcinoma [56] ,   ATHER                                   controls)
                2016         cohort
                ANRS collabora-  Retro-  13  100   CTPA  100  Untreated  59 mo 1.1/100 person-  Included patients   37.1 mo
                tive study group on  spective                              month (P = 0.75  were   (one
                hepatocellular   CirVir                                    vs. controls)  considered to be in  patient)
                carcinoma [56] ,   cohort                                              remission at least
                2016                                                                   3 mo following
                                                                                       implementation of
                                                                                       at least one cura-
                                                                                       tive procedure
                Cheung et al. [40] ,   Prospec-  29  100  CTPA   17.2  -  15 mo  6.9%   NA         20 w
                2016         tive                  CTPB   72.7                                     and 26
                                                   CTPC  10.1                                      w after
                                                                                                   treat-
                                                                                                   ment
                                                                                                   start
                                                                                                   (two
                                                                                                   patients)
                Zavaglia et al. [57] ,   Retro-  31  100  CTPA   81  -  8 mo  3.2%     19.3 mo  (1.7 mo   8 mo
                2017         spective              CTPB  19                            since last assess-  (one
                             (letter)                                                  ment)       patient)
                Petta et al. [59] ,   Retro-  58  94.8  CTPA   91  IFN based   18 mo Cumulative 1 and  NA  NA
                2017         spective              CTPB   5   cohort       5-year: 12.9%
                                                   CTPC  4                 and 39.1% (P NS
                                                                           vs. controls)
                Cabibbo et al. [58] ,   Prospec-  143  100  CTPA  86  Untreated 8.7 mo  6-,12-,18-month  NA  NA
                2017         tive                   CTPB  14               recurrence: 12%,
                                                                           26.6%, 29.1%.
                                                                           No differences
                                                                           in terms of time
                                                                           to recurrence
                                                                           with untreated
                                                                           patients
                Ikeda et al. [105] ,   Restro-  177  NA  NA  -  Untreated 20.7 mo Recurrence rates  10.7 mo  NA
                2017         pective                                       at 1st and 2nd
                                                                           year were 18.1
                                                                           and 25.0% in
                                                                           pts with DAA
                                                                           therapy and 21.8
                                                                           and 46.5% in
                                                                           those without
                                                                           DAAs,
                                                                           (P = 0.003)

               HCC: hepatocellula carcinoma; DAA: direct-acting antiviral agent; NA: not available; NS: not significant; IFN: interferon; CTP: Child-
               Turcotte-Pugh; SVR: sustained virological response; CHC: chronic viral hepatitis; RBV: ribavirin
   110   111   112   113   114   115   116   117   118   119   120