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 |
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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.
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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.
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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.
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Peginterferon-based treatment is associated with clinically significant systemic . . . |
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ISSN: | 0028-4793 1533-4406 |
DOI: | 10.1056/NEJMoa1315722 |