Faldaprevir and Deleobuvir for HCV Genotype 1 Infection
In this phase 2b study, an interferon-free regimen consisting of the combination of a protease inhibitor (faldaprevir), a nonnucleoside polymerase inhibitor (deleobuvir), and ribavirin was effective for the treatment of chronic hepatitis C virus infection. The introduction of the direct-acting antiv...
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Veröffentlicht in: | The New England journal of medicine 2013-08, Vol.369 (7), p.630-639 |
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Sprache: | eng |
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Zusammenfassung: | In this phase 2b study, an interferon-free regimen consisting of the combination of a protease inhibitor (faldaprevir), a nonnucleoside polymerase inhibitor (deleobuvir), and ribavirin was effective for the treatment of chronic hepatitis C virus infection.
The introduction of the direct-acting antiviral agents telaprevir and boceprevir (nonstructural protein 3/4A [NS3/4A] protease inhibitors) was a major advance in the management of chronic infection with hepatitis C virus (HCV) genotype 1, the most prevalent and difficult-to-cure genotype.
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However, these drugs are used in combination with pegylated interferon alfa and ribavirin, which are associated with a high rate of side effects and discontinuation.
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In addition, many patients cannot receive pegylated interferon because of contraindications.
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Host genetic factors are known to influence the response to treatment with pegylated interferon and ribavirin in patients infected with HCV genotype 1. Single-nucleotide polymorphisms . . . |
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ISSN: | 0028-4793 1533-4406 |
DOI: | 10.1056/NEJMoa1213557 |