Durability of SVR in chronic hepatitis C patients treated with peginterferon-α2a/ribavirin in combination with a direct-acting anti-viral
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Durability of SVR in chronic hepatitis C patients treated with peginterferon-α2a/ribavirin in combination with a direct-acting anti-viral. / Rutter, K; Hofer, H; Beinhardt, S; Dulic, M; Gschwantler, M; Maieron, A; Laferl, H; Stättermayer, A F; Scherzer, T-M; Strassl, R; Holzmann, H; Steindl-Munda, P; Ferenci, P.
in: ALIMENT PHARM THER, Jahrgang 38, Nr. 2, 01.07.2013, S. 118-23.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Durability of SVR in chronic hepatitis C patients treated with peginterferon-α2a/ribavirin in combination with a direct-acting anti-viral
AU - Rutter, K
AU - Hofer, H
AU - Beinhardt, S
AU - Dulic, M
AU - Gschwantler, M
AU - Maieron, A
AU - Laferl, H
AU - Stättermayer, A F
AU - Scherzer, T-M
AU - Strassl, R
AU - Holzmann, H
AU - Steindl-Munda, P
AU - Ferenci, P
N1 - © 2013 John Wiley & Sons Ltd.
PY - 2013/7/1
Y1 - 2013/7/1
N2 - BACKGROUND: The introduction of direct-acting anti-virals has increased sustained virological response (SVR) rates in chronic hepatitis C genotype 1 infection. At present, data on long-term durability of viral eradication after successful triple therapy are lacking.AIM: To evaluate the long-term durability of viral eradication in patients treated with triple therapy, including direct-acting anti-virals.METHODS: Patients who participated in randomised, controlled trials or an extended access programme of treatment with peginterferon-α2a/ribavirin in combination with a direct-acting anti-viral (telaprevir, danoprevir, faldaprevir, simeprevir, mericitabine, balapiravir) were followed after achieving SVR. The median follow-up after the patients was 21 (range: 7-64) months.RESULTS: One hundred and three patients with chronic hepatitis C genotype 1 infection [f/m: 34/69; GT-1b: 67 GT-1a: 34, GT-4: 2; mean age: 47.6 years (45.5-49.7; 95% CI)] achieving a SVR triple therapy were followed. Two cases of late relapses (2/103, 1.9%; 95% CI: 0.24-6.8) were observed. One patient was cirrhotic, both carried the genotype 1b and completed the prescribed treatment. The relapses occurred 8 and 12 months after cessation of anti-viral treatment. Cloning sequencing revealed identical sequence in both patients. Resistance analysis revealed no presence of viral resistance.CONCLUSION: Like the SVR after peginterferon-α2/ribavirin combination treatment, HCV eradication after triple therapy remains durable after long-term follow-up.
AB - BACKGROUND: The introduction of direct-acting anti-virals has increased sustained virological response (SVR) rates in chronic hepatitis C genotype 1 infection. At present, data on long-term durability of viral eradication after successful triple therapy are lacking.AIM: To evaluate the long-term durability of viral eradication in patients treated with triple therapy, including direct-acting anti-virals.METHODS: Patients who participated in randomised, controlled trials or an extended access programme of treatment with peginterferon-α2a/ribavirin in combination with a direct-acting anti-viral (telaprevir, danoprevir, faldaprevir, simeprevir, mericitabine, balapiravir) were followed after achieving SVR. The median follow-up after the patients was 21 (range: 7-64) months.RESULTS: One hundred and three patients with chronic hepatitis C genotype 1 infection [f/m: 34/69; GT-1b: 67 GT-1a: 34, GT-4: 2; mean age: 47.6 years (45.5-49.7; 95% CI)] achieving a SVR triple therapy were followed. Two cases of late relapses (2/103, 1.9%; 95% CI: 0.24-6.8) were observed. One patient was cirrhotic, both carried the genotype 1b and completed the prescribed treatment. The relapses occurred 8 and 12 months after cessation of anti-viral treatment. Cloning sequencing revealed identical sequence in both patients. Resistance analysis revealed no presence of viral resistance.CONCLUSION: Like the SVR after peginterferon-α2/ribavirin combination treatment, HCV eradication after triple therapy remains durable after long-term follow-up.
KW - Antiviral Agents
KW - Drug Therapy, Combination
KW - Female
KW - Follow-Up Studies
KW - Hepacivirus
KW - Hepatitis C, Chronic
KW - Humans
KW - Interferon-alpha
KW - Male
KW - Middle Aged
KW - Polyethylene Glycols
KW - Randomized Controlled Trials as Topic
KW - Recombinant Proteins
KW - Ribavirin
KW - Time Factors
KW - Treatment Outcome
KW - Viral Load
U2 - 10.1111/apt.12350
DO - 10.1111/apt.12350
M3 - SCORING: Journal article
C2 - 23710895
VL - 38
SP - 118
EP - 123
JO - ALIMENT PHARM THER
JF - ALIMENT PHARM THER
SN - 0269-2813
IS - 2
ER -