Review Article

Performance of HCV Antigen Testing for the Diagnosis and Monitoring of Antiviral Treatment: A Systematic Review and Meta-Analysis

Table 2

Main characteristic of studies that used HCV Ag testing to evaluate antiviral treatment.

YearAuthorCountryHCV Ag assayTreatmentSensitivitySpecificityConcordance

2019Bo Feng et al. [39]ChinaArchitect HCV Ag (Abbott Diagnostics)782PEG-IFN-α and ribavirinNANANA
2020Lin et al. [18]Architect HCV Ag (Abbott Diagnostics)110Paritaprevir/ritonavir, ombitasvir e dasabuvirNANABaseline: 97.3, week 2 : 54.8, week 4 : 63.9, end: 89.7, post-W12: 98.6
2019Fan et al. [36]ChinaArchitect HCV Ag (Abbott Diagnostics)135(PEG-INF-α) and RBVWeek 12: 96.5%Week 12: 79.5%NA
2018van Tilborg et al. [44]CanadaArchitect HCV Ag (Abbott Diagnostics)10.006Treatment of direct acting antivirals (excluding TVR and BOC) with or without PEG-INF, RBVWeek 4: 34.6%
End of treatment: 50%
Follow-up week 12: 98.2%
Follow-up week 24: 100%
Week 4: 86.6%
End of treatment: 97.5%
Follow-up week 12: 97.7%
Follow-up week 24: 100%
NA
2018Chevaliez et al. [14]NAArchitect HCV Ag (Abbott Diagnostics)631PRV boosted with ritonavir and OBV in a single pill combined with DSVWeek 4: 71.0%
Week 12: 96.2%
Posttreatment week 12: 87.5%
Week 4: 95.3%
Week 12: 97.4%
Posttreatment week 12: 98.9%
Concordance: 99.84%
Week 4: 97.05%
Week 12: 98.8%
Posttreatment week 12: 99%
2017Łucejko et al. [46]EuropeArchitect HCV Ag (Abbott Diagnostics)33OBV/PRV/r±DSV±RBV and LDV/SOFDay 7: 62.5%
Week 4: 50%
Day 7: 44.4%
Week 4: 81.8%
End of treatment: 100%
NA
2017Rockstroh et al. [15]NAArchitect HCV Ag (Abbott Diagnostics)737RTV-boosted PRV and OBV with DSV coadministered with or without RBVNANAConcordance between HCV Ag and HCV RNA in week 4 (96.46%) and posttreatment week (99.75%)
2017Loggi et al. [48]ItalyArchitect HCV Ag (Abbott Diagnostics)963D±RBV; SOF±RBV; SOF+SMV±RBV; SOF+LDV±RBV; SOF+DCV; SOF+PEG-IFN-α+RBVWeek 2: 42.8% week 4: 31.25% week 8 and 12: 0%Week 2: 84.2%
Week 4: 78.4%
Week 8: 82.1%
Week 12: 90.4%
Week 16 and 24: 100%
NA
2017Arboledas et al. [49]SpainArchitect HCV Ag (Abbott Diagnostics)2622D+RBV; 3D±RBV; SOF+DAC±RBV; SOF+LED±RBV; SOF+SIM±RBV; SOF+PEG+RBV; SOF+RBV; SIM+DAC+RBVNANAWeek 1: 56.7%
Week 4: 83%
End of treatment: 93.5%
2017Lamoury et al. [11]AustraliaArchitect HCV Ag (Abbott Diagnostics)92PEG-INF-α-2b and RBVTreatment: 31%
Posttreatment: 100%
End of treatment: 56%
SVR12/24 : 100% sensitivity and specificity
Treatment: 98%
Post treatment: 100%
End of treatment: 100%
NA
2017Alonso et al. [50]SpainArchitect HCV Ag (Abbott Diagnostics)28Viekirax+Exviera/Harvoni/Viekirax+Exviera+RBV/Harvoni+RBV/Sovaldi/SOF+DCV/SOF+SMV+RBVNAEnd of treatment: 92.8%NA
2016Aghemo et al. [13]ItalyArchitect HCV Ag (Abbott Diagnostics)58PRV/RTV/OBV+DSV±RBV or SOF+SMV±RBV/SOF+RBV/PEG-IFN associate SOF+RBV/SOF+RBV or SOF+SMV±RBVNANAConcordance HCV RNA and HCV Ag: week 2: 40%; week 4: 55%; at the end of treatment, as expected, the agreement between the tests raised to 95%.
2016Kim et al. [52]South KoreaArchitect HCV Ag (Abbott Diagnostics)92PEG-IFN-α-2aWeek 4: 33.3%Week 4: 100%NA
2015Kamal et al. [53]EgyptArchitect HCV Ag (Abbott Diagnostics)410PEG-IFN-α2a and RBVWeek 4: 100%
Week 12: 100%
Week 4: 97.5%
Week 12: 99.3%
NA
2014Florea et al. [35]RomaniaArchitect HCV Ag (Abbott Diagnostics)1782IFN+RBV4 weeks: 77.9%
12 weeks: 52.1%
24 weeks: 48.1%
48 weeks: 88.2%
72 week: 96.1%
4 weeks: 100%
12 weeks: 100%
24 weeks: 100%
48 weeks: 100%
72 week: 100%
NA
2005González et al. [21]SpainOrthotrak-C™ (Ortho Clinical Diagnostics)58IFN-α2α+RBVWeek 4: 42.5%
Week 12: 10.5%
24 weeks after end of: 88.9%
EOT week 4: 100%
EOT week 12: 100%
24 weeks after end of: 100%
NA
2005Masahiko Takahashi et al. [32]JapanLumipulse Ortho HCV Ag (Ortho Clinical Diagnostics)44PEG-IFN-α-2a+RBVWeek 7: 76.9%
Day 15: 74.1%
NAWeek 7: 79.5%; : 75%
2004Soffredini et al. [31]ItalyOrthotrak-C™ (Ortho Clinical Diagnostics)111IFN+RBVWeek 12: 70.5%
6 months after therapy: 94.2%
NANA

Legend: PEG: peliguiado; BOC: boceprevir; TVR: telaprevir; DCV: daclastavir; SOF: sofosbuvir; DAC: daclavir; DSV: dasabuvir; LDV: ledipasvir; OBV: ombitasvir; PRV: paritaprevir; RBV: ribavirin; RTV: ritonavir; IFN: interferon; SIM/SMV: simeprevir; NA: not available.