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Triple combination treatment of chronic hepatitis C


Authors: P. Husa
Authors place of work: Klinika infekčních chorob Lékařské fakulty MU a FN Brno, pracoviště Bohunice, přednosta prof. MUDr. Petr Husa, CSc.
Published in the journal: Vnitř Lék 2012; 58(7 a 8): 202-204
Category: 60th Birthday prof. MUDr. Miroslav Souček, CSc.

Summary

The 2011 has brought about a significant change in the treatment of chronic hepatitis C virus (HCV) infection. This change has been enabled by commercial availability of new antiviral agents for treatment of chronic HCV infection – telaprevir and boceprevir – in combination with pegylated interferon (PEG-IFN) α and ribavirin (RBV). The triple combination is significantly more effective than the PEG-IFN and RBV combination alone in antiviral treatment-naive patients as well as in patients in whom the traditional PEG-IFN and RBV combination did not provide permanent HCV infection elimination. In treatment-naive patients, the triple combination is approximately 2-fold more effective than the standard treatment with PEG-IFN and RBV and the effect of the triple combination is 3-fold higher when used in pre-treated patients instead of repeated PEG-IFN and RBV treatment.

Key words:
chronic hepatitis C – boceprevir – telaprevir


Zdroje

1. Urbánek P. Infekce virem hepatitidy C. Praha: Galén 2004.

2. Husa P. Virové hepatitidy. Praha: Galén 2005.

3. Urbánek P, Husa P, Galský J et al. Standardní diagnostický a terapeutický postup chronické infekce virem hepatitidy C (HCV). Doporučený postup České hepatologické společnosti a Společnosti infekčního lékařství ČLS JEP. In press 2012.

4. Poordad F, McCone J Jr, Bacon BR et al. SPRINT-2 Investigators. Boceprevir for untreated chronic HCV genotype 1 infection. N Engl J Med 2011; 364: 1195–1206.

5. Bacon BR, Gordon SC, Lawitz E et al. HCV RESPOND-2 Investigators. Boceprevir for pre­viously treated chronic HCV genotype 1 infection. N Engl J Med 2011; 364: 1207–1217.

6. Jacobson IM, McHutchinson JG, Dusheiko G et al. ADVANCE Study Team. Telaprevir for previously untreated chronic hepatitis C virus infection. N Engl J Med 2011; 364: 2405–2416.

7. Sherman KE, Flamm SL, Afdhal NH et al. Telaprevir in combination with peginterferon alfa 2a and ribavirin for 24 or 48 weeks in treatment-naive genotype 1 HCV patients who achieved an extended rapid virological response: final results of Phase 3 ILLUMINATE study. Hepatology 2010; 52: 401A.

8. Zeuzem S, Andreone P, Pol S et al. REALIZE Study Team. Telaprevir for retreatment of HCV infection. N Engl J Med 2011; 364: 2417–2428.

Štítky
Diabetology Endocrinology Internal medicine

Článok vyšiel v časopise

Internal Medicine

Číslo 7 a 8

2012 Číslo 7 a 8
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