From:  Direct-acting antivirals and management of hepatitis C: updates on treatment guidelines

 Recommendations for treatment of HCV-infected treatment-experienced adults with or without compensated cirrhosis according to the AASLD/IDSA 2023 guidelines.

RegimenDurationFailed regimenComments
SOF/VEL/VOX ± weight-based RBV12 weeksSOF-based regimens or EBR/GZRRibavirin is added in patients with GT3 and compensated cirrhosis
SOF/VEL/VOX ± weight-based RBV12 weeksG/PRibavirin is added in patients with compensated cirrhosis
SOF/VEL/VOX ± weight-based RBV24 weeksMultiple DAA treatment failure (including SOF/VEL/VOX or SOF + G/P)
G/P16 weeksSOF-based regimensNot for NS3/41 inhibitor-inclusive regimens. Not for GT3
G/P + SOF + weight-based RBV16 weeksG/P or multiple DAA treatment failure (including SOF/VEL/VOX or SOF + G/P)
SOF/VEL + weight-based RBV24 weeksSofosbuvir- or NS5A inhibitor-based treatment
LDV/SOF + RBV 600 mg, increased as tolerated24 weeksSOF-based treatmentFor GT1, 4, 5, or 6 only