Safety and efficacy of treatment with pegylated interferon alpha-2a with ribavirin in chronic



Título del documento: Safety and efficacy of treatment with pegylated interferon alpha-2a with ribavirin in chronic
Revista: Annals of hepatology
Base de datos: PERIÓDICA
Número de sistema: 000418064
ISSN: 1665-2681
Autores: 1
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Instituciones: 1Consorcio Hospital General Universitario, Valencia. España
2Hospital de Terrassa, Barcelona. España
3Hospital Germans Trias i Pujol, Badalona, Barcelona. España
4Hospital del Mar, Barcelona. España
5Hospital Clínico de Valencia, Valencia. España
6Hospital Valdecilla, Santander. España
7Hospital La Paz, Madrid. España
8Hospital Dr. Peset, Valencia. España
9Fundación Jimenez Diaz, Madrid. España
10Hospital Arquitecto Marcide, Ferrol. España
11Hospital Verge de la Cinta, Tortosa, Tarragona. España
12Hospital Clinic de Barcelona, Barcelona. España
13Hospital Carlos III, Madrid. España
14Hospital General Universitario, Albacete. España
15Hospital Parc Tauli Sabadell, Sabadell. España
16Hospital San Jorge Huesca, Huesca. España
Año:
Periodo: Feb
Volumen: 12
Paginación: 30-35
País: México
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Experimental
Resumen en inglés The hepatitis C virus (HCV) genotype is an important predictive outcome parameter for pegylated interferon plus ribavirin therapy. Most published therapeutic trials to date have enrolled mainly patients with HCV genotypes 1, 2 and 3. Limited studies have focused on genotype 4 patients, who have had a poor representation in pivotal trials. Our aim was to evaluate the efficacy and safety of treatment with standard dose pegylated interferon alfa-2a in combination with weight-based ribavirin in patients with chronic hepatitis C genotype 4. In this prospective observational study, 198 patients with HCV-4 were included in this study from February 2004 to August 2005,188 patients who received at least 1 dose of drugs were included in the ITT analysis and they were treated with pegylated interferon alfa-2a and ribavirin for 48 weeks. Baseline and demographic characteristics, response to treatment at weeks 12, 48 and 72, and the nature and frequency of adverse effects were analyzed. Virological response at week 12 was achieved in 144 patients (76.6%). Virological response at the end of treatment was present in 110 patients (58.5%). At week 72, 99 patients presented SVR (52.7%). The reported adverse events were similar to those found in the literature for treatments of similar dose and duration. In conclusion, combined treatment with pegylated interferon alfa-2a and ribavirin was well tolerated and effective in chronic hepatitis C genotype 4, yielding response rates between those reported for genotype 1 and those of genotypes 2-3
Disciplinas: Medicina
Palabras clave: Gastroenterología,
Farmacología,
Peginterferón,
Ribavirina,
Respuesta sostenida,
Virus de la hepatitis C,
Genotipos
Keyword: Gastroenterology,
Pharmacology,
Peginterferon,
Ribavirin,
Sustained response,
Hepatitis C virus,
Genotypes
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