Telaprevir‐based triple therapy for chronic hepatitis C patients with advanced fibrosis: a prospective clinical study

Summary Background Antiviral treatment is recommended for chronic hepatitis C patients with advanced fibrosis to reduce and prevent cirrhosis‐related complications. Aim To evaluate the efficacy and safety of telaprevir (TVR)‐based triple therapy for patients with advanced fibrosis in a clinical prac...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Alimentary pharmacology & therapeutics 2013-11, Vol.38 (9), p.1076-1085
Hauptverfasser: Ogawa, E., Furusyo, N., Nakamuta, M., Kajiwara, E., Nomura, H., Dohmen, K., Takahashi, K., Satoh, T., Azuma, K., Kawano, A., Tanabe, Y., Kotoh, K., Shimoda, S., Hayashi, J.
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 1085
container_issue 9
container_start_page 1076
container_title Alimentary pharmacology & therapeutics
container_volume 38
creator Ogawa, E.
Furusyo, N.
Nakamuta, M.
Kajiwara, E.
Nomura, H.
Dohmen, K.
Takahashi, K.
Satoh, T.
Azuma, K.
Kawano, A.
Tanabe, Y.
Kotoh, K.
Shimoda, S.
Hayashi, J.
description Summary Background Antiviral treatment is recommended for chronic hepatitis C patients with advanced fibrosis to reduce and prevent cirrhosis‐related complications. Aim To evaluate the efficacy and safety of telaprevir (TVR)‐based triple therapy for patients with advanced fibrosis in a clinical practice setting. Methods This prospective, multicentre study consisted of 102 patients with advanced fibrosis (METAVIR score F3‐4) who were infected with HCV genotype 1b. All received 12 weeks of TVR in combination with 24 weeks of pegylated interferon (PEG‐IFN) α2b and ribavirin (RBV). Results The sustained virological response (SVR) rate was 69.6% (71 of 102). Notably, for treatment‐naïve and prior relapse patients the SVR rate was over 80%. Previous treatment response, interleukin 28B polymorphism (rs8099917) and rapid virological response (undetectable HCV RNA at week 4) were independently associated with SVR. To achieve SVR, an adequate dosage of PEG‐IFNα2b (≥1.2 μg/kg/week) and RBV (≥7.5 mg/kg/day) is preferable; however, the mean weight‐adjusted TVR dosage had little impact on treatment outcome. Although severe blood cytopaenia and a dermatological disorder were frequently found, the rate of discontinuation due to adverse effects was 12.7%. The inosine triphosphatase CC allele (rs1127354) was independently associated with the development of severe anaemia, and lower serum albumin level (
doi_str_mv 10.1111/apt.12494
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1464502999</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1464502999</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4234-8eab78d4c8056b249b80f92891581208066fb86c9d99bc8c8f093644a4b18f363</originalsourceid><addsrcrecordid>eNqNkTtOAzEQhi0EgvAouABygwTFgu11vDYdinhJSFCEemV7x4rRJllsJ1E6jsAZOQmGBKiQmGam-Oafx4_QISVnNMe57tIZZVzxDdSjpegXjJRiE_UIE6pgkpY7aDfGZ0KIqAjbRjuME6W4UD20GEKruwBzH95f34yO0OAUfNcCTiMIultiNw3YjsJ04i0eQaeTTz7iAf6sYJIiXvg0wrqZ64nN3c6bMI0-XmCNu1x1YJOfA7atzwq6xTHNmuU-2nK6jXCwznvo6fpqOLgt7h9u7gaX94XlrOSFBG0q2XArSV-YfKKRxCkmFe1LyogkQjgjhVWNUsZKKx1RpeBcc0OlK0W5h05WunmVlxnEVI99tNC2egLTWawpF7xPmFLqHygvOaEVYxk9XaE2HxgDuLoLfqzDsqak_rSkzpbUX5Zk9mgtOzNjaH7Ibw8ycLwGdMz_cSH_0cdfrqoUE1Rm7nzFLXwLy78n1pePw9XoD_BNo_M</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1443401722</pqid></control><display><type>article</type><title>Telaprevir‐based triple therapy for chronic hepatitis C patients with advanced fibrosis: a prospective clinical study</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Access via Wiley Online Library</source><source>Wiley Online Library (Open Access Collection)</source><creator>Ogawa, E. ; Furusyo, N. ; Nakamuta, M. ; Kajiwara, E. ; Nomura, H. ; Dohmen, K. ; Takahashi, K. ; Satoh, T. ; Azuma, K. ; Kawano, A. ; Tanabe, Y. ; Kotoh, K. ; Shimoda, S. ; Hayashi, J.</creator><creatorcontrib>Ogawa, E. ; Furusyo, N. ; Nakamuta, M. ; Kajiwara, E. ; Nomura, H. ; Dohmen, K. ; Takahashi, K. ; Satoh, T. ; Azuma, K. ; Kawano, A. ; Tanabe, Y. ; Kotoh, K. ; Shimoda, S. ; Hayashi, J. ; Kyushu University Liver Disease Study (KULDS) Group ; The Kyushu University Liver Disease Study (KULDS) Group</creatorcontrib><description>Summary Background Antiviral treatment is recommended for chronic hepatitis C patients with advanced fibrosis to reduce and prevent cirrhosis‐related complications. Aim To evaluate the efficacy and safety of telaprevir (TVR)‐based triple therapy for patients with advanced fibrosis in a clinical practice setting. Methods This prospective, multicentre study consisted of 102 patients with advanced fibrosis (METAVIR score F3‐4) who were infected with HCV genotype 1b. All received 12 weeks of TVR in combination with 24 weeks of pegylated interferon (PEG‐IFN) α2b and ribavirin (RBV). Results The sustained virological response (SVR) rate was 69.6% (71 of 102). Notably, for treatment‐naïve and prior relapse patients the SVR rate was over 80%. Previous treatment response, interleukin 28B polymorphism (rs8099917) and rapid virological response (undetectable HCV RNA at week 4) were independently associated with SVR. To achieve SVR, an adequate dosage of PEG‐IFNα2b (≥1.2 μg/kg/week) and RBV (≥7.5 mg/kg/day) is preferable; however, the mean weight‐adjusted TVR dosage had little impact on treatment outcome. Although severe blood cytopaenia and a dermatological disorder were frequently found, the rate of discontinuation due to adverse effects was 12.7%. The inosine triphosphatase CC allele (rs1127354) was independently associated with the development of severe anaemia, and lower serum albumin level (&lt;35 g/L) was associated with the occurrence of infection. Conclusions The great gain in the SVR rate by telaprevir‐based triple therapy offsets the problems with adverse effects; thus, it should be considered as a potent treatment protocol for patients with advanced fibrosis, especially for those with treatment‐naïve and prior relapse.</description><identifier>ISSN: 0269-2813</identifier><identifier>EISSN: 1365-2036</identifier><identifier>DOI: 10.1111/apt.12494</identifier><identifier>PMID: 24099469</identifier><language>eng</language><publisher>Oxford: Blackwell</publisher><subject><![CDATA[Aged ; Albumin ; Anemia - epidemiology ; Anemia - etiology ; Antiviral Agents - administration & dosage ; Antiviral Agents - adverse effects ; Antiviral Agents - therapeutic use ; Biological and medical sciences ; Drug Therapy, Combination ; Female ; Genotype ; Hepacivirus - genetics ; Hepacivirus - isolation & purification ; Hepatitis C virus ; Hepatitis C, Chronic - drug therapy ; Hepatitis C, Chronic - physiopathology ; Human viral diseases ; Humans ; Infectious diseases ; Interferon-alpha - administration & dosage ; Interferon-alpha - adverse effects ; Interferon-alpha - therapeutic use ; Liver Cirrhosis - drug therapy ; Liver Cirrhosis - physiopathology ; Male ; Medical sciences ; Middle Aged ; Oligopeptides - administration & dosage ; Oligopeptides - adverse effects ; Oligopeptides - therapeutic use ; Polyethylene Glycols - administration & dosage ; Polyethylene Glycols - adverse effects ; Polyethylene Glycols - therapeutic use ; Prospective Studies ; Recombinant Proteins - administration & dosage ; Recombinant Proteins - adverse effects ; Recombinant Proteins - therapeutic use ; Recurrence ; Ribavirin - administration & dosage ; Ribavirin - therapeutic use ; Treatment Outcome ; Viral diseases ; Viral hepatitis]]></subject><ispartof>Alimentary pharmacology &amp; therapeutics, 2013-11, Vol.38 (9), p.1076-1085</ispartof><rights>2013 John Wiley &amp; Sons Ltd</rights><rights>2014 INIST-CNRS</rights><rights>2013 John Wiley &amp; Sons Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4234-8eab78d4c8056b249b80f92891581208066fb86c9d99bc8c8f093644a4b18f363</citedby><cites>FETCH-LOGICAL-c4234-8eab78d4c8056b249b80f92891581208066fb86c9d99bc8c8f093644a4b18f363</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fapt.12494$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fapt.12494$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,1434,27929,27930,45579,45580,46414,46838</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=27792618$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24099469$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ogawa, E.</creatorcontrib><creatorcontrib>Furusyo, N.</creatorcontrib><creatorcontrib>Nakamuta, M.</creatorcontrib><creatorcontrib>Kajiwara, E.</creatorcontrib><creatorcontrib>Nomura, H.</creatorcontrib><creatorcontrib>Dohmen, K.</creatorcontrib><creatorcontrib>Takahashi, K.</creatorcontrib><creatorcontrib>Satoh, T.</creatorcontrib><creatorcontrib>Azuma, K.</creatorcontrib><creatorcontrib>Kawano, A.</creatorcontrib><creatorcontrib>Tanabe, Y.</creatorcontrib><creatorcontrib>Kotoh, K.</creatorcontrib><creatorcontrib>Shimoda, S.</creatorcontrib><creatorcontrib>Hayashi, J.</creatorcontrib><creatorcontrib>Kyushu University Liver Disease Study (KULDS) Group</creatorcontrib><creatorcontrib>The Kyushu University Liver Disease Study (KULDS) Group</creatorcontrib><title>Telaprevir‐based triple therapy for chronic hepatitis C patients with advanced fibrosis: a prospective clinical study</title><title>Alimentary pharmacology &amp; therapeutics</title><addtitle>Aliment Pharmacol Ther</addtitle><description>Summary Background Antiviral treatment is recommended for chronic hepatitis C patients with advanced fibrosis to reduce and prevent cirrhosis‐related complications. Aim To evaluate the efficacy and safety of telaprevir (TVR)‐based triple therapy for patients with advanced fibrosis in a clinical practice setting. Methods This prospective, multicentre study consisted of 102 patients with advanced fibrosis (METAVIR score F3‐4) who were infected with HCV genotype 1b. All received 12 weeks of TVR in combination with 24 weeks of pegylated interferon (PEG‐IFN) α2b and ribavirin (RBV). Results The sustained virological response (SVR) rate was 69.6% (71 of 102). Notably, for treatment‐naïve and prior relapse patients the SVR rate was over 80%. Previous treatment response, interleukin 28B polymorphism (rs8099917) and rapid virological response (undetectable HCV RNA at week 4) were independently associated with SVR. To achieve SVR, an adequate dosage of PEG‐IFNα2b (≥1.2 μg/kg/week) and RBV (≥7.5 mg/kg/day) is preferable; however, the mean weight‐adjusted TVR dosage had little impact on treatment outcome. Although severe blood cytopaenia and a dermatological disorder were frequently found, the rate of discontinuation due to adverse effects was 12.7%. The inosine triphosphatase CC allele (rs1127354) was independently associated with the development of severe anaemia, and lower serum albumin level (&lt;35 g/L) was associated with the occurrence of infection. Conclusions The great gain in the SVR rate by telaprevir‐based triple therapy offsets the problems with adverse effects; thus, it should be considered as a potent treatment protocol for patients with advanced fibrosis, especially for those with treatment‐naïve and prior relapse.</description><subject>Aged</subject><subject>Albumin</subject><subject>Anemia - epidemiology</subject><subject>Anemia - etiology</subject><subject>Antiviral Agents - administration &amp; dosage</subject><subject>Antiviral Agents - adverse effects</subject><subject>Antiviral Agents - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Drug Therapy, Combination</subject><subject>Female</subject><subject>Genotype</subject><subject>Hepacivirus - genetics</subject><subject>Hepacivirus - isolation &amp; purification</subject><subject>Hepatitis C virus</subject><subject>Hepatitis C, Chronic - drug therapy</subject><subject>Hepatitis C, Chronic - physiopathology</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Interferon-alpha - administration &amp; dosage</subject><subject>Interferon-alpha - adverse effects</subject><subject>Interferon-alpha - therapeutic use</subject><subject>Liver Cirrhosis - drug therapy</subject><subject>Liver Cirrhosis - physiopathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Oligopeptides - administration &amp; dosage</subject><subject>Oligopeptides - adverse effects</subject><subject>Oligopeptides - therapeutic use</subject><subject>Polyethylene Glycols - administration &amp; dosage</subject><subject>Polyethylene Glycols - adverse effects</subject><subject>Polyethylene Glycols - therapeutic use</subject><subject>Prospective Studies</subject><subject>Recombinant Proteins - administration &amp; dosage</subject><subject>Recombinant Proteins - adverse effects</subject><subject>Recombinant Proteins - therapeutic use</subject><subject>Recurrence</subject><subject>Ribavirin - administration &amp; dosage</subject><subject>Ribavirin - therapeutic use</subject><subject>Treatment Outcome</subject><subject>Viral diseases</subject><subject>Viral hepatitis</subject><issn>0269-2813</issn><issn>1365-2036</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkTtOAzEQhi0EgvAouABygwTFgu11vDYdinhJSFCEemV7x4rRJllsJ1E6jsAZOQmGBKiQmGam-Oafx4_QISVnNMe57tIZZVzxDdSjpegXjJRiE_UIE6pgkpY7aDfGZ0KIqAjbRjuME6W4UD20GEKruwBzH95f34yO0OAUfNcCTiMIultiNw3YjsJ04i0eQaeTTz7iAf6sYJIiXvg0wrqZ64nN3c6bMI0-XmCNu1x1YJOfA7atzwq6xTHNmuU-2nK6jXCwznvo6fpqOLgt7h9u7gaX94XlrOSFBG0q2XArSV-YfKKRxCkmFe1LyogkQjgjhVWNUsZKKx1RpeBcc0OlK0W5h05WunmVlxnEVI99tNC2egLTWawpF7xPmFLqHygvOaEVYxk9XaE2HxgDuLoLfqzDsqak_rSkzpbUX5Zk9mgtOzNjaH7Ibw8ycLwGdMz_cSH_0cdfrqoUE1Rm7nzFLXwLy78n1pePw9XoD_BNo_M</recordid><startdate>201311</startdate><enddate>201311</enddate><creator>Ogawa, E.</creator><creator>Furusyo, N.</creator><creator>Nakamuta, M.</creator><creator>Kajiwara, E.</creator><creator>Nomura, H.</creator><creator>Dohmen, K.</creator><creator>Takahashi, K.</creator><creator>Satoh, T.</creator><creator>Azuma, K.</creator><creator>Kawano, A.</creator><creator>Tanabe, Y.</creator><creator>Kotoh, K.</creator><creator>Shimoda, S.</creator><creator>Hayashi, J.</creator><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7U9</scope><scope>H94</scope></search><sort><creationdate>201311</creationdate><title>Telaprevir‐based triple therapy for chronic hepatitis C patients with advanced fibrosis: a prospective clinical study</title><author>Ogawa, E. ; Furusyo, N. ; Nakamuta, M. ; Kajiwara, E. ; Nomura, H. ; Dohmen, K. ; Takahashi, K. ; Satoh, T. ; Azuma, K. ; Kawano, A. ; Tanabe, Y. ; Kotoh, K. ; Shimoda, S. ; Hayashi, J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4234-8eab78d4c8056b249b80f92891581208066fb86c9d99bc8c8f093644a4b18f363</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Aged</topic><topic>Albumin</topic><topic>Anemia - epidemiology</topic><topic>Anemia - etiology</topic><topic>Antiviral Agents - administration &amp; dosage</topic><topic>Antiviral Agents - adverse effects</topic><topic>Antiviral Agents - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Drug Therapy, Combination</topic><topic>Female</topic><topic>Genotype</topic><topic>Hepacivirus - genetics</topic><topic>Hepacivirus - isolation &amp; purification</topic><topic>Hepatitis C virus</topic><topic>Hepatitis C, Chronic - drug therapy</topic><topic>Hepatitis C, Chronic - physiopathology</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Interferon-alpha - administration &amp; dosage</topic><topic>Interferon-alpha - adverse effects</topic><topic>Interferon-alpha - therapeutic use</topic><topic>Liver Cirrhosis - drug therapy</topic><topic>Liver Cirrhosis - physiopathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Oligopeptides - administration &amp; dosage</topic><topic>Oligopeptides - adverse effects</topic><topic>Oligopeptides - therapeutic use</topic><topic>Polyethylene Glycols - administration &amp; dosage</topic><topic>Polyethylene Glycols - adverse effects</topic><topic>Polyethylene Glycols - therapeutic use</topic><topic>Prospective Studies</topic><topic>Recombinant Proteins - administration &amp; dosage</topic><topic>Recombinant Proteins - adverse effects</topic><topic>Recombinant Proteins - therapeutic use</topic><topic>Recurrence</topic><topic>Ribavirin - administration &amp; dosage</topic><topic>Ribavirin - therapeutic use</topic><topic>Treatment Outcome</topic><topic>Viral diseases</topic><topic>Viral hepatitis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ogawa, E.</creatorcontrib><creatorcontrib>Furusyo, N.</creatorcontrib><creatorcontrib>Nakamuta, M.</creatorcontrib><creatorcontrib>Kajiwara, E.</creatorcontrib><creatorcontrib>Nomura, H.</creatorcontrib><creatorcontrib>Dohmen, K.</creatorcontrib><creatorcontrib>Takahashi, K.</creatorcontrib><creatorcontrib>Satoh, T.</creatorcontrib><creatorcontrib>Azuma, K.</creatorcontrib><creatorcontrib>Kawano, A.</creatorcontrib><creatorcontrib>Tanabe, Y.</creatorcontrib><creatorcontrib>Kotoh, K.</creatorcontrib><creatorcontrib>Shimoda, S.</creatorcontrib><creatorcontrib>Hayashi, J.</creatorcontrib><creatorcontrib>Kyushu University Liver Disease Study (KULDS) Group</creatorcontrib><creatorcontrib>The Kyushu University Liver Disease Study (KULDS) Group</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><jtitle>Alimentary pharmacology &amp; therapeutics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ogawa, E.</au><au>Furusyo, N.</au><au>Nakamuta, M.</au><au>Kajiwara, E.</au><au>Nomura, H.</au><au>Dohmen, K.</au><au>Takahashi, K.</au><au>Satoh, T.</au><au>Azuma, K.</au><au>Kawano, A.</au><au>Tanabe, Y.</au><au>Kotoh, K.</au><au>Shimoda, S.</au><au>Hayashi, J.</au><aucorp>Kyushu University Liver Disease Study (KULDS) Group</aucorp><aucorp>The Kyushu University Liver Disease Study (KULDS) Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Telaprevir‐based triple therapy for chronic hepatitis C patients with advanced fibrosis: a prospective clinical study</atitle><jtitle>Alimentary pharmacology &amp; therapeutics</jtitle><addtitle>Aliment Pharmacol Ther</addtitle><date>2013-11</date><risdate>2013</risdate><volume>38</volume><issue>9</issue><spage>1076</spage><epage>1085</epage><pages>1076-1085</pages><issn>0269-2813</issn><eissn>1365-2036</eissn><abstract>Summary Background Antiviral treatment is recommended for chronic hepatitis C patients with advanced fibrosis to reduce and prevent cirrhosis‐related complications. Aim To evaluate the efficacy and safety of telaprevir (TVR)‐based triple therapy for patients with advanced fibrosis in a clinical practice setting. Methods This prospective, multicentre study consisted of 102 patients with advanced fibrosis (METAVIR score F3‐4) who were infected with HCV genotype 1b. All received 12 weeks of TVR in combination with 24 weeks of pegylated interferon (PEG‐IFN) α2b and ribavirin (RBV). Results The sustained virological response (SVR) rate was 69.6% (71 of 102). Notably, for treatment‐naïve and prior relapse patients the SVR rate was over 80%. Previous treatment response, interleukin 28B polymorphism (rs8099917) and rapid virological response (undetectable HCV RNA at week 4) were independently associated with SVR. To achieve SVR, an adequate dosage of PEG‐IFNα2b (≥1.2 μg/kg/week) and RBV (≥7.5 mg/kg/day) is preferable; however, the mean weight‐adjusted TVR dosage had little impact on treatment outcome. Although severe blood cytopaenia and a dermatological disorder were frequently found, the rate of discontinuation due to adverse effects was 12.7%. The inosine triphosphatase CC allele (rs1127354) was independently associated with the development of severe anaemia, and lower serum albumin level (&lt;35 g/L) was associated with the occurrence of infection. Conclusions The great gain in the SVR rate by telaprevir‐based triple therapy offsets the problems with adverse effects; thus, it should be considered as a potent treatment protocol for patients with advanced fibrosis, especially for those with treatment‐naïve and prior relapse.</abstract><cop>Oxford</cop><pub>Blackwell</pub><pmid>24099469</pmid><doi>10.1111/apt.12494</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0269-2813
ispartof Alimentary pharmacology & therapeutics, 2013-11, Vol.38 (9), p.1076-1085
issn 0269-2813
1365-2036
language eng
recordid cdi_proquest_miscellaneous_1464502999
source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Access via Wiley Online Library; Wiley Online Library (Open Access Collection)
subjects Aged
Albumin
Anemia - epidemiology
Anemia - etiology
Antiviral Agents - administration & dosage
Antiviral Agents - adverse effects
Antiviral Agents - therapeutic use
Biological and medical sciences
Drug Therapy, Combination
Female
Genotype
Hepacivirus - genetics
Hepacivirus - isolation & purification
Hepatitis C virus
Hepatitis C, Chronic - drug therapy
Hepatitis C, Chronic - physiopathology
Human viral diseases
Humans
Infectious diseases
Interferon-alpha - administration & dosage
Interferon-alpha - adverse effects
Interferon-alpha - therapeutic use
Liver Cirrhosis - drug therapy
Liver Cirrhosis - physiopathology
Male
Medical sciences
Middle Aged
Oligopeptides - administration & dosage
Oligopeptides - adverse effects
Oligopeptides - therapeutic use
Polyethylene Glycols - administration & dosage
Polyethylene Glycols - adverse effects
Polyethylene Glycols - therapeutic use
Prospective Studies
Recombinant Proteins - administration & dosage
Recombinant Proteins - adverse effects
Recombinant Proteins - therapeutic use
Recurrence
Ribavirin - administration & dosage
Ribavirin - therapeutic use
Treatment Outcome
Viral diseases
Viral hepatitis
title Telaprevir‐based triple therapy for chronic hepatitis C patients with advanced fibrosis: a prospective clinical study
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-14T09%3A14%3A22IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Telaprevir%E2%80%90based%20triple%20therapy%20for%20chronic%20hepatitis%20C%20patients%20with%20advanced%20fibrosis:%20a%20prospective%20clinical%20study&rft.jtitle=Alimentary%20pharmacology%20&%20therapeutics&rft.au=Ogawa,%20E.&rft.aucorp=Kyushu%20University%20Liver%20Disease%20Study%20(KULDS)%20Group&rft.date=2013-11&rft.volume=38&rft.issue=9&rft.spage=1076&rft.epage=1085&rft.pages=1076-1085&rft.issn=0269-2813&rft.eissn=1365-2036&rft_id=info:doi/10.1111/apt.12494&rft_dat=%3Cproquest_cross%3E1464502999%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1443401722&rft_id=info:pmid/24099469&rfr_iscdi=true