Treatment of HCV with ABT-450/r–Ombitasvir and Dasabuvir with Ribavirin

In this trial in previously untreated patients with HCV genotype 1 infection and no cirrhosis, high rates of sustained response were achieved with three new direct-acting antiviral agents and ribavirin. Serious adverse events and treatment discontinuation were infrequent. Approximately 184 million p...

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Veröffentlicht in:The New England journal of medicine 2014-04, Vol.370 (17), p.1594-1603
Hauptverfasser: Feld, Jordan J, Kowdley, Kris V, Coakley, Eoin, Sigal, Samuel, Nelson, David R, Crawford, Darrell, Weiland, Ola, Aguilar, Humberto, Xiong, Junyuan, Pilot-Matias, Tami, DaSilva-Tillmann, Barbara, Larsen, Lois, Podsadecki, Thomas, Bernstein, Barry
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Sprache:eng
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Zusammenfassung:In this trial in previously untreated patients with HCV genotype 1 infection and no cirrhosis, high rates of sustained response were achieved with three new direct-acting antiviral agents and ribavirin. Serious adverse events and treatment discontinuation were infrequent. Approximately 184 million people worldwide have chronic hepatitis C virus (HCV) infection, and more than 350,000 people die of HCV-related liver disease each year. 1 , 2 Until recently, the standard of care for chronic HCV genotype 1 infection was a first-generation protease inhibitor, telaprevir or boceprevir, with peginterferon and ribavirin; this therapy resulted in rates of sustained virologic response of 67 to 75% among previously untreated patients. 3 , 4 The new standard of care is peginterferon and ribavirin combined with either the nucleotide nonstructural (NS) 5B polymerase inhibitor sofosbuvir or the protease inhibitor simeprevir. 5 Peginterferon-based treatment is associated with clinically significant systemic . . .
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJMoa1315722