Hofmann, Axel Baumgarten, Ralph Link, Peter R. Geyer, Hanns-Friedrich F. Loehr, Andreas Schober, Gero Moog, Stefanie Holm, Renate Heyne Introduction: A simple non invasive score (Fibrofast) was developed using five routine laboratory tests (ALT, AST, Alkaline phosphatase, Albumin and Platelets count) for the detection of significant hepatic fibrosis in patients with chronic hepatitis C (CHC) (Attallah et al., Hepatology Research (2006) 34: 163-169). Accordingly, we validated the accuracy of Fibrofast score on 1067 cases from several

international centers, which revealed a sensitivity of 61.5 %, specificity of 81.1%, positive predictive value of 59% and negative predictive value of 82.6%. This indicated that Alectinib the performance of the test is not enough as a suggestive alternative to liver biopsy. The aim of this study was to develop a new cut off score of the test that allows the diagnosis of established cirrhosis (F4) and (F0-F3) ensuring accuracy (more MI-503 than 95%). Method: Subjects were

1 873 patients with CHC. All biopsies were scored using METAVIR system. Our fibrosis score (Fibrofast) were measured and the performance of the new cut off score were done using ROC curve. Results: Liver biopsy showed that 1646 cases (F0F3) and 227 cases established cirrhosis (F4). Using the ROC curve we develop new 2 cut off scores. The positive one is for

diagnosis of (F0-F3) and the negative one is for diagnosis of established cirrhosis (F4).145 out of 227 cases (63.87%) were established cirrhosis and 328 out of 1646 cases (19.9%) (F0F3) i. e.463 out 1873 cases (24.7%) was positively correlated with liver biopsy (r = 0.393, P= 0.0〇1), sensitivity 95%, specificity 95%. Conclusion: Fibrofast score with the new two cut off scores could be an alternative MCE to liver biopsy in about onefourth of the patients with sensitivity 95% and specificity 95%. Being non invasive, it could be an ideal marker for follow up during and after treatment in many patients. Disclosures: The following people have nothing to disclose: Gamal Shiha, Waleed Samir, Khaled T. Zalata, Amira Elbeeh, Ammal Metwally (Background and Aim) Interferon response is an important component for the virus elimination even in the DAA-based interferon-free regimen. We established stable culture system of chimeric viruses between HCV-TMD1(G-2b) and JFH1 (G-2a).