{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T10:48:30Z","timestamp":1761562110539},"reference-count":30,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2016,5,15]],"date-time":"2016-05-15T00:00:00Z","timestamp":1463270400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100005564","name":"Gilead Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005564","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Viral Hepatitis"],"published-print":{"date-parts":[[2016,10]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>High rates of sustained virologic response (<jats:styled-content style=\"fixed-case\">SVR<\/jats:styled-content>) has been achieved in Japanese patients with chronic hepatitis C virus (<jats:styled-content style=\"fixed-case\">HCV<\/jats:styled-content>) genotype (<jats:styled-content style=\"fixed-case\">GT<\/jats:styled-content>)1 and <jats:styled-content style=\"fixed-case\">GT<\/jats:styled-content>2 infection treated with ledipasvir\/sofosbuvir (<jats:styled-content style=\"fixed-case\">LDV<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">SOF<\/jats:styled-content>) \u00b1ribavirin (<jats:styled-content style=\"fixed-case\">RBV<\/jats:styled-content>) and <jats:styled-content style=\"fixed-case\">SOF<\/jats:styled-content>+<jats:styled-content style=\"fixed-case\">RBV<\/jats:styled-content>, respectively. We evaluated the effect of baseline <jats:styled-content style=\"fixed-case\">HCV NS<\/jats:styled-content>5A and <jats:styled-content style=\"fixed-case\">NS<\/jats:styled-content>5B resistance\u2010associated variants (<jats:styled-content style=\"fixed-case\">RAV<\/jats:styled-content>s) on treatment outcome and characterized variants at virologic failure.<\/jats:p><jats:p>Baseline deep sequencing for <jats:styled-content style=\"fixed-case\">NS<\/jats:styled-content>5A and <jats:styled-content style=\"fixed-case\">NS<\/jats:styled-content>5B genes was performed for all <jats:styled-content style=\"fixed-case\">GT<\/jats:styled-content>1 patients. Deep sequencing of <jats:styled-content style=\"fixed-case\">NS<\/jats:styled-content>5A (<jats:styled-content style=\"fixed-case\">GT<\/jats:styled-content>1 only) and <jats:styled-content style=\"fixed-case\">NS<\/jats:styled-content>5B (<jats:styled-content style=\"fixed-case\">GT<\/jats:styled-content>1 and <jats:styled-content style=\"fixed-case\">GT<\/jats:styled-content>2) was performed for patients who failed treatment or discontinued early with detectable <jats:styled-content style=\"fixed-case\">HCV RNA<\/jats:styled-content> (i.e., &gt;25 <jats:styled-content style=\"fixed-case\">IU<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">mL<\/jats:styled-content>). In patients with <jats:styled-content style=\"fixed-case\">HCV GT<\/jats:styled-content>1 infection, 22.3% (<jats:styled-content style=\"fixed-case\">GT<\/jats:styled-content>1a: 2\/11; <jats:styled-content style=\"fixed-case\">GT<\/jats:styled-content>1b: 74\/330) had \u22651 baseline <jats:styled-content style=\"fixed-case\">NS<\/jats:styled-content>5A <jats:styled-content style=\"fixed-case\">RAV<\/jats:styled-content>. The most frequent <jats:styled-content style=\"fixed-case\">NS<\/jats:styled-content>5A <jats:styled-content style=\"fixed-case\">RAV<\/jats:styled-content>s in <jats:styled-content style=\"fixed-case\">GT<\/jats:styled-content>1b were Y93H (17.9%, 59\/330) and L31M (2.4%, 8\/330). Despite the presence of <jats:styled-content style=\"fixed-case\">NS<\/jats:styled-content>5A <jats:styled-content style=\"fixed-case\">RAV<\/jats:styled-content>s at baseline, 100% and 97% of patients achieved <jats:styled-content style=\"fixed-case\">SVR<\/jats:styled-content>12, compared with 100% and 99% for those with no <jats:styled-content style=\"fixed-case\">NS<\/jats:styled-content>5A <jats:styled-content style=\"fixed-case\">RAV<\/jats:styled-content>s with <jats:styled-content style=\"fixed-case\">LDV<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">SOF<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">LDV<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">SOF<\/jats:styled-content>+<jats:styled-content style=\"fixed-case\">RBV<\/jats:styled-content>, respectively. All patients with <jats:styled-content style=\"fixed-case\">NS<\/jats:styled-content>5B <jats:styled-content style=\"fixed-case\">RAV<\/jats:styled-content>s at baseline achieved <jats:styled-content style=\"fixed-case\">SVR<\/jats:styled-content>12. Of the 153 patients with <jats:styled-content style=\"fixed-case\">GT<\/jats:styled-content>2 infection (<jats:styled-content style=\"fixed-case\">GT<\/jats:styled-content>2a 60.1%, <jats:styled-content style=\"fixed-case\">GT<\/jats:styled-content>2b 39.9%), 3.3% (5\/153) experienced viral relapse. No S282T or other <jats:styled-content style=\"fixed-case\">NS<\/jats:styled-content>5B <jats:styled-content style=\"fixed-case\">RAV<\/jats:styled-content>s were detected at baseline or relapse; no change in susceptibility to <jats:styled-content style=\"fixed-case\">SOF<\/jats:styled-content> or <jats:styled-content style=\"fixed-case\">RBV<\/jats:styled-content> was observed at relapse. In conclusion, <jats:styled-content style=\"fixed-case\">LDV<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">SOF<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">SOF<\/jats:styled-content>+<jats:styled-content style=\"fixed-case\">RBV<\/jats:styled-content> demonstrate a high barrier to resistance in Japanese patients with <jats:styled-content style=\"fixed-case\">HCV GT<\/jats:styled-content>1 and <jats:styled-content style=\"fixed-case\">GT<\/jats:styled-content>2 infection. The presence of baseline <jats:styled-content style=\"fixed-case\">NS<\/jats:styled-content>5A <jats:styled-content style=\"fixed-case\">RAV<\/jats:styled-content>s did not impact treatment outcome in <jats:styled-content style=\"fixed-case\">GT<\/jats:styled-content>1 Japanese patients treated with <jats:styled-content style=\"fixed-case\">LDV<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">SOF<\/jats:styled-content> for 12 weeks.<\/jats:p>","DOI":"10.1111\/jvh.12549","type":"journal-article","created":{"date-parts":[[2016,5,20]],"date-time":"2016-05-20T03:11:27Z","timestamp":1463713887000},"page":"780-788","source":"Crossref","is-referenced-by-count":34,"title":["Resistance Analyses of Japanese Hepatitis C\u2010Infected Patients Receiving Sofosbuvir or Ledipasvir\/Sofosbuvir Containing Regimens in Phase 3 Studies"],"prefix":"10.1111","volume":"23","author":[{"given":"M.","family":"Mizokami","sequence":"first","affiliation":[{"name":"The Research Center for Hepatitis &amp; Immunology National Center for Global Health and Medicine Chiba Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Dvory\u2010Sobol","sequence":"additional","affiliation":[{"name":"Gilead Sciences Inc. 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