Outcomes and costs of treating hepatitis C patients in the era of first generation protease inhibitors: results from the PAN study

1. Objective Chronic hepatitis C virus infections (HCV) cause a significant public health burden. Introduction of telaprevir (TVR) and boceprevir (BOC) has increased sustained virologic response rates (SVR) in genotype 1 patients but were accompanied by higher treatment costs and more side effects....

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Main Authors: Stahmeyer, Jona (Author) , Eisenbach, Christoph (Author)
Format: Article (Journal)
Language:English
Published: 28 July 2016
In: PLOS ONE
Year: 2016, Volume: 11, Issue: 7
ISSN:1932-6203
DOI:10.1371/journal.pone.0159976
Online Access:Verlag, Volltext: http://dx.doi.org/10.1371/journal.pone.0159976
Verlag, Volltext: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0159976
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Author Notes:Jona T. Stahmeyer, Siegbert Rossol, Florian Bert, Klaus H.W. Böker, Harald-Robert Bruch, Christoph Eisenbach, Ralph Link, Christine John, Stefan Mauss, Renate Heyne, Eckart Schott, Heike Pfeiffer-Vornkahl, Dietrich Hüppe, Christian Krauth

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520 |a 1. Objective Chronic hepatitis C virus infections (HCV) cause a significant public health burden. Introduction of telaprevir (TVR) and boceprevir (BOC) has increased sustained virologic response rates (SVR) in genotype 1 patients but were accompanied by higher treatment costs and more side effects. Aim of the study was to assess outcomes and costs of treating HCV with TVR or BOC in routine care. 2. Material and Methods Data was obtained from a non-interventional study. This analysis relates on a subset of 1,786 patients for whom resource utilisation was documented. Sociodemografic and clinical parameters as well as resource utilisation were collected using a web-based data recording system. Costs were calculated using official remuneration schemes. 3. Results Mean age of patients was 49.2 years, 58.6% were male. In treatment-naive patients SVR-rates of 62.2% and 55.7% for TVR and BOC were observed (prior relapser: 68.5% for TVR and 63.5% for BOC; prior non-responder: 45.6% for TVR and 39.1% for BOC). Treatment costs are dominated by costs for pharmaceuticals and range between €39,081 and €53,491. We calculated average costs per SVR of €81,347 (TVR) and €70,163 (BOC) in treatment-naive patients (prior relapser: 78,089 €/SVR for TVR and 82,077 €/SVR for BOC; prior non-responder: 116,509 €/SVR for TVR and 110,156 €/SVR for BOC). Quality of life data showed a considerable decrease during treatment. 4. Conclusion Our study is one of few investigating both, outcomes and costs, of treating HCV in a real-life setting. Data can serve as a reference in the discussion of increasing costs in recently introduced agents. 
650 4 |a Adverse events 
650 4 |a Cirrhosis 
650 4 |a Drug therapy 
650 4 |a Hepatitis C 
650 4 |a Hepatitis C virus 
650 4 |a Protease inhibitors 
650 4 |a Quality of life 
650 4 |a Viral load 
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