کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3266593 1207854 2007 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Pegylated interferon and ribavirin in re-treatment of responder-relapser HCV patients
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی غدد درون ریز، دیابت و متابولیسم
پیش نمایش صفحه اول مقاله
Pegylated interferon and ribavirin in re-treatment of responder-relapser HCV patients
چکیده انگلیسی

BackgroundThe re-treatment of patients who relapse after a course of standard interferon and ribavirin with pegylated interferon alfa-2b plus ribavirin is an open issue.AimsTo evaluate efficacy and safety of treatment with pegylated interferon alfa-2b plus ribavirin and the role of early HCV-RNA assessment as a predictor of sustained response.PatientsBetween May 2001 and December 2002, 242 consecutive patients with chronic hepatitis C were enrolled in an open, regional, multicentre study. Seventy-eight of them were responder-relapsers to a previous course of combination therapy.MethodsPatients were treated with pegylated interferon alfa-2b (1 μg/kg/week) plus ribavirin (800–1200 mg daily). Qualitative HCV-RNA was performed at week 2. Genotypes 1–4 were treated for 48 weeks, while genotypes 2 and 3 were treated for 24 weeks.ResultsWe obtained an overall sustained virological response rate of 41.0% (78.6% for patients with genotypes 2–3).ConclusionThis treatment schedule prove to be safe and effective in relapsers with genotype non-1 while genotype 1–4 patients had a low rate of sustained virological response. Qualitative virological assessment after 2 weeks may identify patients who are more likely to reach sustained virological response, but it is not a valid tool for a stopping rule approach.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Digestive and Liver Disease - Volume 39, Issue 1, January 2007, Pages 47–51
نویسندگان
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