ArticleJGH open : an open access journal of gastroenterology and hepatology2025
Prediction of Hepatocellular Carcinoma After Direct-Acting Antiviral Therapy Using Agile 3+ and End-of-Treatment Alpha-Fetoprotein Levels in Patients With Hepatitis C.
Article in JGH open : an open access journal of gastroenterology and hepatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Prediction of Hepatocellular Carcinoma After Direct-Acting Antiviral Therapy Using Agile 3+ and End-of-Treatment Alpha-Fetoprotein Levels in Patients With Hepatitis C.JGH open : an open access journal of gastroenterology and hepatology · 2025Article
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7 authors.
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Abstract
Direct-acting antivirals (DAAs) have dramatically improved sustained virological response (SVR) rates in patients with hepatitis C virus (HCV) infection. However, the risk of hepatocellular carcinoma (HCC) remains even after achieving SVR. We previously reported that alpha-fetoprotein (AFP) levels at the end of treatment (EOT) were associated with the occurrence of HCC after achieving sustained virologic response (SVR). Here, to improve predictive accuracy by incorporating the Agile 3+ score among 502 patients who received DAA therapy for HCV infection between September 2017 and July 2024, we excluded those who developed HCC within 1 year of treatment and included 337 patients with chronic hepatitis or compensated cirrhosis, who had no prior HCC and underwent transient elastography before treatment. A scoring system was developed by assigning 1 point for Agile 3+ score ≥ 0.9398 and 1 point for EOT-AFP ≥ 3.8 ng/mL. The cumulative HCC incidence was analyzed in relation to the total score. Cox proportional hazards models were used to assess independent risk factors. During follow-up, 15 patients (4.5%) developed HCC. Patients with a score of ≥ 1 had a significantly higher HCC risk (
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